在支持性住房和住房优先计划中解决高风险问题的方案和组织障碍和促进者
Nick Kerman1, Timothy de Pass2, Sean A Kidd2,3
1Centre for Addiction and Mental Health, Toronto, ON, Canada. nick.kerman@camh.ca.
Community mental health journal
|October 18, 2024
概括
支持性住房和住房优先计划的服务提供者认为灵活性,早期风险识别,环境和资源是管理高风险行为的关键. 有效的风险管理需要平衡这些因素与计划价值.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在支持性住房和住房优先 (HF) 计划中,风险管理至关重要.
- 缺乏在这些环境中实施风险管理的证据.
- 高风险行为对服务提供构成重大挑战.
研究的目的:
- 探索影响加拿大支持性住房和HF计划风险管理的程序和组织因素.
- 确定防止和管理高风险行为的障碍和促进者.
主要方法:
- 定性研究涉及对32个服务提供商进行深入采访.
- 来自支持性住房和HF计划的参与者的有目的抽样.
- 使用定性描述和主题分析进行综合数据分析.
主要成果:
- 出现了四个主要的主题因素:风险应对的灵活性,早期风险识别,建筑环境/住房位置以及资源的可用性.
- 服务提供商的目标是迅速识别风险,从转诊开始.
- 干预能力是由程序模型,环境和资源所塑造的.
结论:
- 支持性住房和HF计划中的有效风险管理取决于灵活性,早期检测,环境考虑和资源分配.
- 风险管理策略可能与其他计划目标相冲突,需要采取平衡的方法.
- 需要在系统层面做出改变,以提高风险预防能力.
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