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安身之所:通过服务评估倾听有精神疾病的无家可归者的观点。

A Place to Call Home: Hearing the Perspectives of People Living with Homelessness and Mental Illness Through Service Evaluation.

机构信息

Metro South Addiction and Mental Health Service, Brisbane, Australia.

Centre for Functioning and Health Research, Metro South Health, Brisbane, Australia.

出版信息

Community Ment Health J. 2019 Oct;55(7):1218-1225. doi: 10.1007/s10597-019-00406-8. Epub 2019 May 16.

DOI:10.1007/s10597-019-00406-8
PMID:31098765
Abstract

There is an ongoing need to incorporate the perspectives of people in supported community housing to improve the provision of integrated mental health services. This study aimed to explore the satisfaction and experiences of people who have received supported housing and mental health services. We conducted a retrospective, mixed methods study using a data mining approach, analyzing consumer satisfaction survey responses collected on discharge from the service over a 7-year period. Responses from 178 consumers aged between 20 and 62 years were included. Quantitative results indicated that consumers rated the quality of services as relatively high. Analysis of qualitative responses identified seven themes describing people's views on how they had benefitted from the service. Consumers reported benefits in terms of practical and emotional supports, responsiveness of the team to their needs, socialization and community integration, personal growth and recovery, and finding 'my place'. Themes of learning and skills development were also important. These results suggest that practical support, together with emotional expressions of care and compassion are most valued by people who participated in this service. This research has implications for service evaluation and for future research, which may include focusing on the key role of connectedness, 'my place' and hope for recovery.

摘要

需要不断纳入支持性社区住房人群的观点,以改善综合心理健康服务的提供。本研究旨在探讨接受支持性住房和心理健康服务人群的满意度和体验。我们采用数据挖掘方法进行回顾性混合方法研究,分析了在该服务 7 年期间从服务中出院时收集的消费者满意度调查的回应。共纳入了 178 名年龄在 20 至 62 岁之间的消费者的回应。定量结果表明,消费者对服务质量的评价相对较高。对定性回应的分析确定了七个主题,描述了人们对他们如何受益于该服务的看法。消费者报告了在实际和情感支持、团队对他们的需求的响应能力、社交和社区融合、个人成长和康复,以及找到“我的位置”方面的益处。学习和技能发展的主题也很重要。这些结果表明,参加这项服务的人最看重实际支持以及关怀和同情的情感表达。这项研究对服务评估和未来研究具有启示意义,未来的研究可能包括关注联系、“我的位置”和康复希望的关键作用。

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Effects of comorbid substance use disorders on outcomes in a Housing First intervention for homeless people with mental illness.共病物质使用障碍对精神疾病 homeless 人群住房优先干预结局的影响。
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Recovery from mental illness: a service user perspective on facilitators and barriers.精神疾病康复:服务使用者对促进因素和障碍的看法
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A retrospective quasi-experimental study of a transitional housing program for patients with severe and persistent mental illness.一项针对重度和持续性精神疾病患者过渡性住房项目的回顾性准实验研究。
Community Ment Health J. 2014 Jul;50(5):538-47. doi: 10.1007/s10597-013-9654-y. Epub 2013 Oct 23.
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Housing First improves subjective quality of life among homeless adults with mental illness: 12-month findings from a randomized controlled trial in Vancouver, British Columbia.住房优先策略改善患有精神疾病的无家可归成年人群体的主观生活质量:不列颠哥伦比亚省温哥华的一项随机对照试验的 12 个月发现。
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