Low Gary Kk, Li Jason, Hielscher Emily, Sheanoda Veronica, Govindasamy Sumathi, Marasha Fadzi
Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Outcome and Improvement Team, Flourish Australia, Olympic Park, NSW, Australia; and Nepean Blue Mountain Local Health District, Penrith, NSW, Australia.
Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Australas Psychiatry. 2025 Jun;33(3):493-504. doi: 10.1177/10398562251316431. Epub 2025 Jan 30.
ObjectiveTo investigate the demographic characteristics associated with mental health recovery measures among individuals accessing the Housing and Accommodation Support Initiative (HASI) program over a 19-year period.MethodsThis was a retrospective cohort study conducted from January 2004 to October 2023. The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and Recovery Assessment Scale (RAS) were used as measures of mental health recovery.FindingsA total of 2350 people with an average age of 42 years old were included. Female accounts for 46.0% of the total. The proportion of unmet needs in the CANSAS reduced from a median of 33.3% of the first follow-up to 5.8% in the 20 follow-up. The average RAS scores were above three, indicating agree and strongly agree in all domains and improved in each follow-up. First Nations were associated with higher unmet needs in 'psychotic symptoms', 'safety to others' and 'transport' CANSAS domains, and LGBTI had reduced RAS scores in all domains.ConclusionHASI program engagement is associated with the reduction of unmet needs and improvement of the recovery of individuals with severe mental illness. Age, sex, gender, LGBTI, First Nations and country of birth were associated with changes in the CANSAS and RAS outcomes.
目的
调查在19年期间参与住房和住宿支持倡议（HASI）项目的个体中与心理健康康复措施相关的人口统计学特征。
方法
这是一项从2004年1月至2023年10月进行的回顾性队列研究。坎伯韦尔需求评估简短评定量表（CANSAS）和康复评估量表（RAS）被用作心理健康康复的衡量指标。
结果
共纳入2350人，平均年龄42岁。女性占总数的46.0%。CANSAS中未满足需求的比例从首次随访时的中位数33.3%降至第20次随访时的5.8%。RAS平均得分高于3分，表明在所有领域均为同意和强烈同意，且在每次随访中均有所改善。原住民在CANSAS的“精神病症状”“对他人的安全”和“交通”领域中未满足需求较高，而LGBTI在所有领域的RAS得分均较低。
结论
参与HASI项目与减少未满足需求以及改善重度精神疾病个体的康复情况相关。年龄、性别、性取向、LGBTI、原住民和出生国家与CANSAS和RAS结果的变化相关。
