Yuan Yeqing, Manuel Jennifer
Department of Social Work, Samuel Merritt University, Oakland, CA, USA.
University of Connecticut School of Social Work, CT, Hartford, USA.
Community Ment Health J. 2024 Dec 30. doi: 10.1007/s10597-024-01443-8.
Assertive Community Treatment (ACT) is a community-based, multidisciplinary mental health treatment model with improved housing stability as a treatment goal. We know little about factors contributing to housing stability among ACT participants with co-occurring serious mental illness and substance use disorders, who account for 30% of the ACT participant population. Informed by the behavioral model of health service use, the present study aimed to examine the relationship between housing stability and theoretically relevant factors. We retrospectively abstracted the data from two ACT teams' treatment service planning and tracking system. Stable housing was defined by living in a private residence or permanent supportive housing throughout the assessment periods; unstable housing was defined by having at least one unstable housing situation (e.g., jail or prison) throughout the assessment periods. The sample included 57 individuals with 272 assessment charts. Multivariate logistic regression results show that service engagement was associated with housing stability and that receiving housing supportive services was inversely associated with housing stability. The findings support prior literature in that service engagement remained a "critical ingredient" of the ACT model and highlights the importance of the supportive aspect of housing services in improving housing stability among individuals with co-occurring disorders.
积极社区治疗(ACT)是一种基于社区的多学科心理健康治疗模式,其治疗目标是提高住房稳定性。对于同时患有严重精神疾病和物质使用障碍的ACT参与者(占ACT参与者总数的30%),我们对影响其住房稳定性的因素知之甚少。本研究以卫生服务利用行为模型为依据,旨在探讨住房稳定性与理论相关因素之间的关系。我们回顾性地从两个ACT团队的治疗服务规划和跟踪系统中提取数据。稳定住房的定义是在整个评估期内居住在私人住宅或永久性支持性住房中;不稳定住房的定义是在整个评估期内至少有一次不稳定住房情况(如入狱)。样本包括57名个体,有272份评估图表。多变量逻辑回归结果显示,服务参与与住房稳定性相关,而接受住房支持服务与住房稳定性呈负相关。这些发现支持了先前的文献,即服务参与仍然是ACT模式的“关键要素”,并突出了住房服务支持方面在改善并发疾病个体住房稳定性方面的重要性。