Williams Joah L, Keaton Kim, Phillips Robbie W, Crossley Aaron R, Glenn James M, Gleason Vivian L
Department of Psychology, University of Missouri, Kansas City, MO, USA.
University Health, Kansas City, MO, USA.
Community Ment Health J. 2023 Nov;59(8):1578-1587. doi: 10.1007/s10597-023-01146-6. Epub 2023 May 29.
Permanent supportive housing (PSH) for individuals experiencing homelessness and living with mental illness can reduce utilization of crisis care services and increase utilization of outpatient care, although the extent to which pre-housing utilization patterns influence post-housing utilization remains unclear. Therefore, pre- and post-housing health service utilization was examined in 80 individuals living with a chronic mental illness who were and were not utilizing health care services in the years pre- and post-housing. Overall, the proportion of tenants utilizing outpatient services, including outpatient behavioral health services, increased from pre- to post-housing. Tenants who did not use outpatient behavioral health services prior to housing were disproportionately less likely than their peers to use those services after being housed. Among tenants who utilized crisis care services prior to being housed, reductions were observed in the number of crisis care visits. Results suggest PSH leads to changes in health care utilization and associated costs.
为无家可归且患有精神疾病的个人提供的永久性支持性住房（PSH）可以减少危机护理服务的使用，并增加门诊护理的使用，尽管住房前的使用模式对住房后使用的影响程度尚不清楚。因此，研究人员对80名患有慢性精神疾病的个体在住房前后几年使用和未使用医疗服务的情况进行了住房前后医疗服务使用情况的调查。总体而言，包括门诊行为健康服务在内的使用门诊服务的租户比例从住房前到住房后有所增加。住房前未使用门诊行为健康服务的租户比同龄人在入住后使用这些服务的可能性要低得多。在入住前使用危机护理服务的租户中，危机护理就诊次数有所减少。结果表明，永久性支持性住房会导致医疗服务使用情况和相关成本的变化。
