管理高风险行为和挑战,以防止永久支持性住房的住房损失:快速审查
Nick Kerman1, Sean A Kidd2,3, Christina Mutschler4
1Centre for Addiction and Mental Health, Toronto, ON, Canada. nick.kerman@camh.ca.
Harm reduction journal
|September 29, 2023
概括
在永久支持性住房 (PSH) 中,高风险行为可能威胁住房的稳定性,过量服用是死亡的重要原因. 本次审查综合了应对这些挑战的方法,强调了有效性研究的必要性.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 永久支持性住房 (PSH) 有效地为无家可归者和精神疾病患者提供住房.
- 在这个人群中,高风险行为很普遍,可能会危及住房稳定和健康.
- 现有的关于PSH高风险问题和住房稳定性的研究需要综合.
研究的目的:
- 在PSH中识别高风险行为和挑战的住房相关结果.
- 记录机构和居民用来解决这些问题的方法.
- 确定PSH的证据缺口和研究重点.
主要方法:
- 快速审查学术和灰色文学.
- 搜索内容包括MEDLINE,APA PsycINFO,CINAHL Plus,专业期刊,机构网站以及谷歌等.
- 包括32篇文章,考察PSH中的高风险行为和管理方法.
主要成果:
- 过量服用被确定为影响住房租的重要死亡原因.
- 二十六项研究详细介绍了八种类型的管理方法 (临床,关系,监督,限制性,战略,基于设计,法律,自卫).
- 这些方法的有效性没有被严格检查,有些可能与住房稳定或居民赋权相冲突.
结论:
- 高风险行为对PSH的住房稳定性构成重大挑战.
- 存在各种各样的管理方法,但它们的有效性在很大程度上没有得到证实.
- 进一步的研究对于开发基于证据的实践来管理PSH中高风险行为至关重要.
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