School of Rural Health, (Traralgon and West Gippsland), Monash University, Traralgon, Vic., Australia.
School of Rural Health (UDRH), Monash University, Moe, Vic., Australia.
Health Soc Care Community. 2019 Jul;27(4):e246-e256. doi: 10.1111/hsc.12729. Epub 2019 Mar 7.
This is a cross-sectional study of unmet needs of persons enrolled in Australia's Partners in Recovery (PIR) initiative. It aimed to explore the unmet needs reported by persons with a severe and persistent mental illness (SPMI) and to examine the associations between unmet accommodation needs and other unmet needs. The study was undertaken in the Gippsland region of Victoria from February to May 2015. Data were collected from the administrative database for the PIR initiative in Gippsland, which was held by the Gippsland Primary Health Network. Data on unmet needs, as measured by the Camberwell Assessment of Needs Short Appraisal Schedule, were analysed using proportions and logistic regression. Psychological distress, daytime activities, company/someone to spend time with and employment and volunteering were the most commonly reported unmet needs. Participants with unmet accommodation needs were less likely to receive information on their condition or access other services. They also had unmet needs relating to food, money, transport, childcare, looking after home, physical health, psychological distress and self-care. Supported accommodation may not be enough for persons with SPMI who have poor functioning skills and are incapable of looking after themselves. Services such as Housing First that have shown promising results need to be part of a comprehensive strategy to care for persons with severe and enduring mental illness.
这是一项针对参加澳大利亚“伙伴康复”（Partners in Recovery，简称 PIR）计划的人员的未满足需求的横断面研究。该研究旨在探讨严重和持久的精神疾病（SPMI）患者报告的未满足需求，并研究未满足的住宿需求与其他未满足需求之间的关系。该研究于 2015 年 2 月至 5 月在维多利亚州吉普斯兰地区进行。数据来自吉普斯兰 PIR 计划的行政数据库，该数据库由吉普斯兰初级卫生网络持有。使用比例和逻辑回归分析了用坎伯韦尔需求评估短期评估表衡量的未满足需求的数据。心理困扰、日间活动、陪伴/有人陪伴、就业和志愿服务是最常报告的未满足需求。未满足住宿需求的参与者不太可能获得关于他们病情的信息或获得其他服务。他们还存在与食物、金钱、交通、儿童保育、照顾家庭、身体健康、心理困扰和自我护理相关的未满足需求。对于功能较差且无法照顾自己的 SPMI 患者，支持性住宿可能还不够。已经显示出良好效果的“优先住房”等服务需要成为全面护理严重和持久精神疾病患者的策略的一部分。
