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《住房外展计划协作组织(HOP-C)北方项目针对原住民青年的调整与实施》。

Adaption and implementation of the Housing Outreach Program Collaborative (HOP-C) North for Indigenous youth.

机构信息

Lakehead University.

Dilico Anishinabek Family Care.

出版信息

Am J Orthopsychiatry. 2021;91(1):96-108. doi: 10.1037/ort0000520. Epub 2020 Oct 15.

Abstract

There is a high prevalence of Indigenous youth experiencing either precarious housing or homelessness in northwestern Ontario. Given that Indigenous pathways to homelessness can differ from non-Indigenous youth, interventions that address homelessness must also adapt to meet diverse needs. The Housing Outreach Program Collaborative (HOP-C) is a tertiary prevention intervention designed to provide congruent housing and peer and mental health supports for youth experiencing homelessness in Toronto, Ontario. Less is known regarding its adaptability to adequately serve Indigenous youth in northwestern Ontario. This study assessed the preliminary effectiveness and feasibility of an adaptation of the HOP-C North program for transitional aged Indigenous youth exiting homelessness in Thunder Bay, Ontario. Participants completed premeasures ( = 15) and postmeasures ( = 8) as well as qualitative interviews regarding their experiences in the program. Qualitative interviews were also conducted with staff ( = 14) engaged in implementing the program. After completing the HOP-C North program, participants reported improvements in a number of outcomes, including increased educational enrollment, attainment of employment, reduced hospitalizations, and increased engagement in clinical mental health services. Specific program aspects that participants found helpful included increased program flexibility, accessibility, emphasis on relationships, relevance of programming, fostering participant autonomy, and an adaptive approach to program implementation. These findings suggest that the HOP-C North model, when adapted, is a helpful program for Indigenous youth. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

在安大略省西北部,有大量的原住民青年经历着不稳定的住房或无家可归的情况。鉴于原住民无家可归的途径可能与非原住民青年不同,解决无家可归问题的干预措施也必须适应不同的需求。住房外展计划合作组织(HOP-C)是一种三级预防干预措施,旨在为安大略省多伦多市无家可归的青年提供一致的住房以及同伴和心理健康支持。对于如何使该干预措施适应安大略省西北部的原住民青年,我们知之甚少。本研究评估了为安大略省 Thunder Bay 市离开无家可归状态的过渡年龄原住民青年改编 HOP-C North 项目的初步效果和可行性。参与者完成了前测(n = 15)和后测(n = 8),以及关于他们在项目中的经历的定性访谈。还对参与实施该项目的工作人员(n = 14)进行了定性访谈。完成 HOP-C North 项目后,参与者报告说,在许多结果方面都有所改善,包括增加了教育入学率、获得了就业机会、减少了住院治疗次数以及更多地参与临床心理健康服务。参与者认为有帮助的项目具体方面包括增加项目的灵活性、可及性、强调关系、项目的相关性、培养参与者的自主性,以及对项目实施的适应性方法。这些发现表明,改编后的 HOP-C North 模型是原住民青年的一个有益的项目。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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