老年无家可归成年人的心理健康和物质使用治疗需求未得到满足：来自 HOPE HOME 研究的结果。
Unmet mental health and substance use treatment needs among older homeless adults: Results from the HOPE HOME Study.
机构信息
Division of General Internal Medicine, University of California, San Francisco, CA Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.
UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, San Francisco, California.
出版信息
J Community Psychol. 2019 Nov;47(8):1893-1908. doi: 10.1002/jcop.22233. Epub 2019 Aug 19.
AIMS
To examine the prevalence of and factors associated with unmet need for mental health and substance use treatment in older homeless adults.
METHODS
Among 350 homeless adults aged ≥50, we examined prevalence of mental health and substance use problems and treatment. Using logistic regression, we examined factors associated with unmet treatment need.
RESULTS
Among those with a mental health problem, being aged ≥65 was associated with an increased odds, while having a regular healthcare provider and case manager were associated with a decreased odds of having unmet need for mental health treatment. A first homelessness episode at age ≥50 was associated with increased, while spending time in jail/prison or having a case manager was associated with decreased odds of unmet needs for substance use treatment.
CONCLUSION
Older homeless adults have a high prevalence of unmet behavioral health treatment need. There is a need for targeted services for this population.
目的
调查老年无家可归者中心理健康和物质使用治疗需求未得到满足的流行情况和相关因素。
方法
在 350 名年龄≥50 岁的无家可归成年人中，我们调查了心理健康和物质使用问题及治疗的流行情况。使用逻辑回归，我们调查了与治疗需求未得到满足相关的因素。
结果
在有心理健康问题的人群中，年龄≥65 岁与未满足心理健康治疗需求的可能性增加相关，而有固定的医疗保健提供者和个案管理员与未满足心理健康治疗需求的可能性降低相关。首次无家可归发生在≥50 岁时与未满足物质使用治疗需求的可能性增加相关，而在监狱/看守所服刑或有个案管理员与未满足物质使用治疗需求的可能性降低相关。
结论
老年无家可归者中心理健康和物质使用治疗需求未得到满足的情况较为普遍。需要为这一人群提供有针对性的服务。
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