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在无家可归者营地和海洛因成瘾的交叉点:来自费城营地解决方案试点的服务使用障碍、促进因素和建议。

At the Intersection of Homeless Encampments and Heroin Addiction: Service Use Barriers, Facilitators, and Recommendations from the City of Philadelphia's Encampment Resolution Pilot.

机构信息

School of Social Policy & Practice, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

U.S. Department of Veteran Affairs, Philadelphia, Pennslyvania, USA.

出版信息

Soc Work Public Health. 2021 Feb 17;36(2):150-163. doi: 10.1080/19371918.2021.1877591. Epub 2021 Jan 24.

DOI:10.1080/19371918.2021.1877591
PMID:33491585
Abstract

We provide an overview of the pilot and evaluation measures used for an independent evaluation of the Encampment Resolution Pilot (ERP) wherein the City of Philadelphia closed two homeless encampments in May 2018 and sought to assist those displaced by the closures with housing and treatment services. The evaluation used the Rapid Assessment, Response, and Evaluation method to collect qualitative findings on service use barriers and facilitators from open-ended interviews with people staying in the encampments (N = 27) and service providers (N = 10). We assessed how the ERP allowed providers to "push the system" by removing access barriers, and providing amenable, effective, and accessible housing and drug treatment services that led to more widely adopted best practices. However, there was a clear need for additional supportive services and aftercare for those exiting treatment. Providers also cited a need for more integrated medical and mental health services.

摘要

我们提供了一份对试点和评估措施的概述,这些措施用于对营地解决方案试点(ERP)的独立评估,该试点是由费城在 2018 年 5 月关闭两个无家可归者营地,并试图为那些因营地关闭而流离失所的人提供住房和治疗服务。该评估使用快速评估、反应和评估方法,通过对留在营地的人(N=27)和服务提供者(N=10)进行开放式访谈,收集有关服务使用障碍和促进因素的定性发现。我们评估了 ERP 如何通过消除准入障碍,提供合适、有效和可及的住房和药物治疗服务,从而推动更多广泛采用最佳实践的方法。然而,对于那些正在接受治疗的人来说,显然需要更多的支持性服务和后续护理。提供者还指出,需要更多的医疗和心理健康服务的整合。

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