在无家可归的情况下,进入住房治疗酒精使用障碍的实践经验:一种定性研究
Katrina Hayes-Macaluso1, Marissa Coppola1, David Serota1
1Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Journal of substance use and addiction treatment
|April 26, 2025
概括
像酒精逃避和导航负担这样的障碍阻碍了无家可归者对酒精使用障碍 (AUD) 的治疗. 促进者包括住房需求和社区支持,为更好的AUD护理模式提供信息.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 酒精使用障碍 (AUD) 显著影响无家可归人口,其中29%-63%受影响.
- 现有的AUD治疗服务未被无家可归者充分利用.
- 有限的研究探讨了寻求AUD治疗的无家可归者的生活经历.
研究的目的:
- 了解无家可归者在AUD治疗中经历无家可归者的以患者为中心的观点.
- 确定影响AUD治疗启动,导航和维持这一群体的障碍和促进因素.
- 为无家可归者开发更有效,更有吸引力的AUD治疗模式提供信息.
主要方法:
- 与19名无家可归者进行了深入的半结构面试,他们正在接受住宅AUD治疗.
- 使用NVivo软件和开放代码书对采访成绩单进行主题分析.
- 探索参与者从街头导航治疗途径的观点.
主要成果:
- 关键的障碍包括酒精作为逃避,个人的航行负担,以及关于社区资源的知识差距.
- 促进者包括住房需求,来自"善良的撒玛利亚人"的帮助,内心的信仰,以及成为榜样的愿望.
- 影响参与的态度是自我效能,认识到AUD风险和对医生的不信任.
结论:
- 该研究确定了影响无家可归人口AUD治疗的内部/外部障碍和促进者.
- 确定了影响参与AUD治疗网络的常见态度.
- 这些发现可以指导针对无家可归者制定有针对性和有效的AUD治疗策略.
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