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房主对社区机遇家园(CHO)计划实施的看法:加拿大安大略省西南部的民族志群体家庭研究。

Homeowner perspectives on the implementation of the Community Homes for Opportunity (CHO) program: an ethnographic group homes study in Southwestern Ontario Canada.

机构信息

Beryl and Richard Ivey Research Chair in Aging, Mental Health, Rehabilitation and Recovery, Lawson Health Research Institute, Arthur Labatt School of Nursing, Western University London, Parkwood Institute Mental Health Care Building, 550 Wellington Road, Suite B3-110, P.O. Box 5777, London, STN B, N6A 4V2, Canada.

Lawson Health Research Institute, Arthur Labatt School of Nursing, Parkwood Research Institute, Western University, London, Canada.

出版信息

BMC Public Health. 2023 Mar 29;23(1):585. doi: 10.1186/s12889-023-15512-2.

DOI:10.1186/s12889-023-15512-2
PMID:36991379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10053089/
Abstract

BACKGROUND

The global extant literature acknowledge that housing serves as a key social determinant of health. Housing interventions that involve group homes have been found to support the recovery of persons with mental illness and those with addiction issues. The current study explored the views of homeowners in relation to a supportive housing program called Community Homes for Opportunity (CHO) that modernised a provincial group home program (Homes for Special Care [HSC]) and provided recommendations for improving the program implementation in other geographical areas of Ontario.

METHODS

We applied ethnographic qualitative techniques to purposefully recruit 36 homeowner participants from 28 group homes in Southwest Ontario, Ontario Canada. Focus group discussions were conducted at two time points, during CHO program implementation (Fall 2018, and post implementation phases (Winter 2019) respectively.

RESULTS

Data analysis yielded 5 major themes. These include: (1) general impressions about the modernization process, (2) perceived social, economic and health outcomes, (3) enablers of the modernization program, (4) challenges to implementation of the modernization program, and (5) suggestions for implementation of the CHO in future.

CONCLUSIONS

A more effective and expanded CHO program will need the effective collaboration of all stakeholders including homeowners for successful implementation.

摘要

背景

全球现有文献承认,住房是健康的一个关键社会决定因素。涉及集体住房的住房干预措施被发现有助于精神疾病患者和有吸毒问题的人的康复。本研究探讨了房主对一项名为“社区机遇之家”(CHO)的支持性住房计划的看法,该计划对省级集体住房计划(特殊关怀之家[HSC])进行了现代化改造,并就如何在安大略省其他地区改进该计划的实施提出了建议。

方法

我们采用人种学定性技术,从加拿大安大略省西南部的 28 个集体住房中,有针对性地招募了 36 名房主参加者。分别在 CHO 计划实施期间(2018 年秋季)和实施后阶段(2019 年冬季)进行了两次焦点小组讨论。

结果

数据分析产生了 5 个主要主题。这些主题包括:(1)对现代化进程的总体印象,(2)感知的社会、经济和健康结果,(3)现代化计划的推动者,(4)现代化计划实施的挑战,以及(5)在未来实施 CHO 的建议。

结论

为了成功实施,一个更有效和扩大的 CHO 计划将需要所有利益攸关方,包括房主的有效合作。

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Family matters in Canada: understanding and addressing family homelessness in Ontario.加拿大的家庭问题:安大略省理解和解决家庭无家可归问题。
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Housing as a social determinant of health and wellbeing: developing an empirically-informed realist theoretical framework.住房作为健康和福利的社会决定因素:制定一个基于经验的现实主义理论框架。
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An ethnographic study of the implementation of a transitional discharge model: peer supporters' perspectives.一项关于过渡性出院模式实施情况的人种志研究:同伴支持者的观点。
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