促进营地退出:将低障碍过渡性住房与与药物有关的问题的稳定治疗相结合
Miriam Komaromy1,2,3, Andrea Stone4,5, Alicia Peterson4
1Boston Medical Center, Boston, MA, USA. Miriam.komaromy@bmc.org.
Addiction science & clinical practice
|October 26, 2023
概括
低障碍过渡性住房和临床稳定服务有效地支持无家可归和物质使用障碍 (SUD) 的个人. 该计划证明了可行性,近一半的居民接受了SUD治疗,四分之一的人过渡到永久住房.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 城市规划 城市规划
背景情况:
- 波士顿医疗中心 (BMC) 附近兴起的帐营地引发了公共卫生问题.
- 波士顿市,马萨诸塞州联邦和BMC之间的伙伴关系旨在解决这些问题.
- 该计划的重点是为无家可归的物质使用障碍 (SUD) 患者提供住房和临床稳定.
研究的目的:
- 评估低障碍过渡性住房计划的可行性和有效性,结合与同处的临床稳定服务.
- 评估居民与物质使用障碍的接触,治疗和过渡到永久住房.
- 分析个人访问SUD服务的临床结果.
主要方法:
- 在一家前酒店建立60个床位的过渡性住房设施,提供低障碍通道.
- 开发一个低障碍的,专注于SUD的诊所,提供紧急护理,药物和感染查.
- 实施24/7短期停留稳定单位,以管理与急性物质使用相关的问题.
- 安全的药物分发用于美沙的管理.
主要成果:
- 在第一年,有100人使用过渡性住房,年底还有59人居住.
- 49%的住房居民接受了SUD治疗,25%的人过渡到永久住房.
- 临床计划为1722名患者提供了7468次访问,主要用于阿片类药物,可卡因和酒精使用障碍;33%的人开始接受甲治疗.
结论:
- 与临床稳定相结合的低障碍过渡性住房是离开营地的个人可行的和可接受的模式.
- 该计划成功地让前营地居民接受治疗,并促进过渡到稳定的住房.
- 针对住房需求和物质使用障碍的综合护理对这个脆弱的人群来说是有前途的.
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