Department of Psychiatry, Columbia University, 1051 Riverside Dr, New York, NY, 10032, USA.
Columbia University School of Nursing, New York, NY, USA.
Community Ment Health J. 2021 Aug;57(6):1195-1207. doi: 10.1007/s10597-020-00752-y. Epub 2021 Jan 1.
People diagnosed with serious mental illness (SMI) experience significant health disparities, including high rates of premature mortality. Supportive housing may serve as a critical service setting for addressing physical health, but comprehensive health-related services within these programs remain an exception. This study sought to identify barriers, and potential solutions, to addressing the physical health needs of people with SMI within supportive housing. Semi-structured interviews and focus groups were conducted with multiple stakeholders (clients, peer specialists, non-peer staff, leadership) across three supportive housing agencies. There was general consensus regarding multiple barriers at the individual, organizational, policy/system, and community levels. Nevertheless, stakeholders also identified strategies in domains such as staffing, organizational culture, partnerships, communication, and infrastructure for addressing barriers. These findings can inform planning for implementation of health initiatives within supportive housing while also highlighting the need for broader community, systems, and policy change.Trial Registration Number: NCT02175641.
被诊断患有严重精神疾病（SMI）的人会经历显著的健康差异，包括过早死亡的高比率。支持性住房可以作为解决身体健康问题的重要服务场所，但这些项目中的综合健康相关服务仍然是例外。本研究旨在确定在支持性住房中解决患有 SMI 的人的身体健康需求的障碍和潜在解决方案。对三个支持性住房机构的多个利益相关者（客户、同伴专家、非同伴工作人员、领导层）进行了半结构化访谈和焦点小组讨论。个人、组织、政策/系统和社区层面都存在着多种障碍的普遍共识。然而，利益相关者也在人员配备、组织文化、合作伙伴关系、沟通和基础设施等领域确定了应对障碍的策略。这些发现可以为支持性住房内实施健康计划提供规划依据，同时也强调了更广泛的社区、系统和政策变革的必要性。试验注册号：NCT02175641。
