Institute for Health and Equity.
Center for AIDS Intervention Research.
Am J Orthopsychiatry. 2021;91(4):514-523. doi: 10.1037/ort0000550. Epub 2021 May 3.
To compare the effectiveness of different models of permanent supportive housing (PSH), housing configuration, and service provision model on substance use, depression, and anxiety symptoms among residents over time.
Linear mixed model regression was used with 888 residents of PSH to investigate the relationship between supportive housing type, service model, and housing configuration and change in mental health and substance use at baseline, 6-, 12-, and 18-month follow-up.
There were few significant differences in problematic substance use, depression, or anxiety symptoms among those in different PSH types, different housing configuration models, or different service provision models. Similarly, there were no significant differences in PSH type, housing configuration, or service delivery model among those with severe mental illness (SMI), substance use disorder (SUD), or those with dual diagnoses.
There is little evidence that different models of PSH result in differences in mental health and substance use outcomes. Future research should consider the number of services clients receive and critical periods in PSH residency in improving mental health and substance use outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
比较永久性支持性住房（PSH）的不同模式、住房配置和服务提供模式对居民在一段时间内物质使用、抑郁和焦虑症状的有效性。
采用线性混合模型回归，对 888 名 PSH 居民进行调查，研究支持性住房类型、服务模式和住房配置与心理健康和物质使用在基线、6、12 和 18 个月随访时的变化之间的关系。
在不同的 PSH 类型、不同的住房配置模式或不同的服务提供模式中，物质使用问题、抑郁或焦虑症状的差异较小。同样，在严重精神疾病（SMI）、物质使用障碍（SUD）或双重诊断患者中，PSH 类型、住房配置或服务提供模式之间也没有显著差异。
几乎没有证据表明不同模式的 PSH 会导致心理健康和物质使用结果的差异。未来的研究应考虑到客户接受的服务数量和 PSH 居住的关键时期，以改善心理健康和物质使用结果。
