Piat Myra, Boyer Richard, Fleury Marie-Josée, Lesage Alain, O'Connell Maria, Sabetti Judith
Department of Psychiatry, Douglas Mental Health University Institute, McGill University.
Department of Psychiatry, Mental Health University Institute of Montreal, University of Montreal.
Psychiatr Rehabil J. 2015 Mar;38(1):88-95. doi: 10.1037/prj0000104. Epub 2015 Jan 5.
Stable housing is a fundamental human right, and an important element for both mental health recovery and social inclusion among people with serious mental illness. This article reports findings from a study on the recovery orientation of structured congregate community housing services using the Recovery Self-Assessment Questionnaire (RSA) adapted for housing (O'Connell, Tondora, Croog, Evans, & Davidson, 2005).
The RSA questionnaires were administered to 118 residents and housing providers from 112 congregate housing units located in Montreal, Canada.
Residents rated their homes as significantly less recovery-oriented than did proprietors, which is contrary to previous studies of clinical services or Assertive Community Treatment where RSA scores for service users were significantly higher than service provider scores. Findings for both groups suggest the need for improvement on 5 of 6 RSA factors. While proprietors favored recovery training and education, and valued resident opinion and experience, vestiges of a traditional medical model governing this housing emerged in other findings, as in agreement between the 2 groups that residents have little choice in case management, or in the belief among proprietors that residents are unable to manage their symptoms.
This study demonstrates that the RSA adapted for housing is a useful tool for creating recovery profiles of housing services. The findings provide practical guidance on how to promote a recovery orientation in structured community housing, as well as a novel approach for reaching a common understanding of what this entails among stakeholders. (PsycINFO Database Record
稳定的住房是一项基本人权，也是严重精神疾病患者心理健康恢复和社会融入的重要因素。本文报告了一项关于使用适用于住房的康复自我评估问卷（RSA）（奥康奈尔、通多拉、克鲁格、埃文斯和戴维森，2005年）对结构化群居社区住房服务的康复导向进行研究的结果。
对来自加拿大蒙特利尔112个群居住房单元的118名居民和住房提供者进行了RSA问卷调查。
居民对其住房的康复导向评分显著低于业主，这与之前关于临床服务或积极社区治疗的研究相反，在那些研究中，服务使用者的RSA得分显著高于服务提供者的得分。两组的结果都表明，RSA的6个因素中有5个需要改进。虽然业主支持康复培训和教育，并重视居民的意见和经验，但在其他结果中仍出现了传统医疗模式对该住房的影响痕迹，比如两组都认为居民在个案管理中几乎没有选择，或者业主认为居民无法控制自己的症状。
本研究表明，适用于住房的RSA是创建住房服务康复概况的有用工具。研究结果为如何在结构化社区住房中促进康复导向提供了实践指导，也为利益相关者就这意味着什么达成共识提供了一种新方法。（PsycINFO数据库记录
