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对居住在支持性住房中的重度精神疾病成年人不健康及虐待关系的探索性分析。

An Exploratory Analysis of Unhealthy and Abusive Relationships for Adults with Serious Mental Illnesses Living in Supportive Housing.

作者信息

Forenza Brad, Bermea Autumn M

机构信息

Center for Child Advocacy and Policy, Montclair State University, 372 Dickson Hall, 1 Normal Avenue, Montclair, NJ, 07043, USA.

Family Studies, Montclair State University, Montclair, NJ, 07043, USA.

出版信息

Community Ment Health J. 2017 Aug;53(6):679-687. doi: 10.1007/s10597-017-0141-8. Epub 2017 May 3.

DOI:10.1007/s10597-017-0141-8
PMID:28470461
Abstract

Individuals living with serious mental illness are at high risk of chronic homelessness, victimization, and intimate partner violence. In recent years, supportive housing programs have emerged as one way to prevent homelessness and victimization for this population, while also expanding social interactions and social networks. In concert with a focal supportive housing program, this research conducted two focus groups with 18 individuals who have a serious mental illness diagnosis. The authors sought to answer the research question, "What are perceptions of healthy and unhealthy relationships among formerly homeless people with serious mental illness?" To this end, the eight-item questionnaire was created around dimensions of power and control, as well as relationship equality. Findings from an inductive thematic analysis reveal three broad families of themes (relationship ideals, lived experiences, and risk/resources in supportive housing), around which smaller themes and subthemes are organized. Implications for policy, practice, and future research are also discussed.

摘要

患有严重精神疾病的个体面临长期无家可归、遭受侵害和亲密伴侣暴力的高风险。近年来,支持性住房项目已成为预防这一人群无家可归和遭受侵害的一种方式,同时还能扩大社交互动和社交网络。本研究与一个重点支持性住房项目协同开展,对18名被诊断患有严重精神疾病的个体进行了两个焦点小组访谈。作者试图回答研究问题:“患有严重精神疾病的曾经无家可归者对健康和不健康关系的看法是什么?”为此,围绕权力和控制维度以及关系平等编制了一份八项问卷。归纳主题分析的结果揭示了三大类主题(关系理想、生活经历以及支持性住房中的风险/资源),围绕这些主题又组织了较小的主题和子主题。还讨论了对政策、实践和未来研究的启示。

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本文引用的文献

1
How people with serious mental illness use smartphones, mobile apps, and social media.患有严重精神疾病的人如何使用智能手机、移动应用程序和社交媒体。
Psychiatr Rehabil J. 2016 Dec;39(4):364-367. doi: 10.1037/prj0000207. Epub 2016 Jun 16.
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Service user and family member perspectives on services for mental health, substance use/addiction, and violence: a qualitative study of their goals, experiences and recommendations.服务使用者和家庭成员对心理健康、物质使用/成瘾及暴力相关服务的看法:关于他们的目标、经历及建议的定性研究
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严重精神疾病患者的性取向与亲密关系:促成性行为的因素
Psychiatr Rehabil J. 2015 Sep;38(3):249-55. doi: 10.1037/prj0000117. Epub 2015 Feb 9.
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Quality of life after housing first for adults with serious mental illness who have experienced chronic homelessness.住房优先策略对长期无家可归的严重精神疾病成年患者生活质量的影响。
Psychiatry Res. 2014 Dec 15;220(1-2):549-55. doi: 10.1016/j.psychres.2014.07.072. Epub 2014 Aug 1.
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Living in supportive housing for people with serious mental illness: a paradoxical everyday life.居住在支持性住房中的严重精神疾病患者:充满矛盾的日常生活。
Int J Ment Health Nurs. 2014 Oct;23(5):409-18. doi: 10.1111/inm.12072. Epub 2014 May 6.
10
Mental health correlates of past homelessness in Latinos and Asians.拉丁裔和亚裔过去无家可归经历与心理健康的相关性。
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