Roy Laurence, Abdel-Baki Amal, Bérubé Félix-Antoine, Crocker Anne, de Benedictis Luigi, Dostie Mathieu, Latimer Eric, Roy Marc-André
School of Physical and Occupational Therapy, McGill University, Montréal, Canada.
Douglas Mental Health University Institute Research Center, Montreal, Canada.
Early Interv Psychiatry. 2023 May;17(5):495-501. doi: 10.1111/eip.13344. Epub 2022 Aug 11.
High rates of mental illness among individuals experiencing homelessness, as well as documented contacts with psychiatric services prior to episodes of homelessness, indicate that early intervention could play a key role in homelessness prevention. Decision-makers and clinical teams need longitudinal data on housing trajectories following initial contact with psychiatric services, as well as on predictors of risk of housing instability and homelessness. This paper describes the AMONT study, a mixed-methods naturalistic longitudinal cohort study of individuals identified as new psychiatric service users in seven clinical sites across the province of Québec (Canada).
The goal of AMONT is to examine the housing situations of individuals over 36 months after their initial contact with psychiatric services, and to identify environmental and individual correlates and predictors of housing outcomes. Participants complete a broad battery of instruments at baseline and follow-up assessments after 24 and 36 months. We explore housing stability following an initial episode of psychiatric service use from the perspective of service users, family members, and service providers, through qualitative interviews.
The findings from the AMONT study will yield a better understanding of the residential pathways of individuals with mental illness, from their first contact with psychiatric services and for 3 years subsequently. This will inform service providers, decision-makers and managers on the specific housing concerns and issues that affect first-time mental health service users. This in turn can lead to the development and implementation of evidence-informed practices and policies that aim to prevent instability and homelessness.
无家可归者中精神疾病发病率很高，而且在无家可归之前就有与精神科服务机构接触的记录，这表明早期干预在预防无家可归方面可能发挥关键作用。决策者和临床团队需要有关首次接触精神科服务机构后的住房轨迹以及住房不稳定和无家可归风险预测因素的纵向数据。本文介绍了AMONT研究，这是一项针对加拿大魁北克省七个临床地点中被确定为新的精神科服务使用者的个体进行的混合方法自然主义纵向队列研究。
AMONT的目标是研究个体在首次接触精神科服务机构36个月后的住房情况，并确定住房结果的环境和个体相关因素及预测因素。参与者在基线以及24个月和36个月后的随访评估中完成一系列广泛的测评工具。我们通过定性访谈，从服务使用者、家庭成员和服务提供者的角度，探讨首次使用精神科服务后的住房稳定性。
AMONT研究的结果将使我们更好地了解患有精神疾病的个体从首次接触精神科服务机构开始及随后3年的居住途径。这将为服务提供者、决策者和管理人员提供有关影响首次心理健康服务使用者的具体住房问题和关切的信息。这反过来又可以促使制定和实施旨在预防不稳定和无家可归的循证实践和政策。
