在严重精神疾病的无家可归的经验丰富的成年人中,实现社会融入的途径:定性视角
Melissa Chinchilla1,2,3, Aaron Lulla4, Dylan Agans5
1Center for the Study of Healthcare Innovation, Implementation & Policy, Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA, 90073, USA. mechinchilla@ucla.edu.
BMC health services research
|October 4, 2024
概括
对于经历无家可归的严重精神疾病 (SMI) 的成年人来说,社会融入是具有挑战性的. 支持性住房服务可以改善社会联系,但必须优先考虑个人需求和恢复目标.
科学领域:
- 社会科学研究 社会科学研究
- 心理健康服务研究 心理健康服务研究
- 无家可归问题研究 无家可归问题研究
背景情况:
- 对于经历过无家可归的严重精神疾病 (SMI) 的成年人来说,社会融合是一个重大挑战.
- 对于这群人来说,现有的住房服务往往不能充分满足社会融入的需求.
- 改善社会融合对于提高过渡性和永久性住房的恢复结果至关重要.
研究的目的:
- 检查各种住房服务对无家可归的有SMI经验的成年人社会融入的影响.
- 确定不同住房环境如何影响参与者形成社会联系的能力.
- 在住房计划中,为开发更有效的支持性服务提供信息.
主要方法:
- 与30名有SMI的无家可归经验的成年人进行了半结构化采访.
- 参与者居住在三个不同的住房环境中:集体生活的过渡性住房,单独居住的过渡性住房和永久的支持性住房.
- 该研究分析了住房类型和服务提供对社会融合结果的影响.
主要成果:
- 参与者经常优先考虑恢复目标 (例如,物质使用) 而不是社会关系,将联系视为潜在的障碍.
- 社会融合往往是次要的心理健康,身体健康和住房稳定.
- 个人住宿提供了休息和对社交的控制,而接近服务是实现参与和恢复目标的关键.
结论:
- 了解个人对社会融合的概念化对于为无家可归的SMI成年人提供服务的计划至关重要.
- 住房计划必须考虑社会关系如何支持或阻碍康复之旅.
- 定制服务以平衡恢复目标与社会联系对于有效的支持至关重要.
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