加拿大严重精神疾病患者的高支持性住房:范围审查
Alexandra Sosnowski1, Mariana Ravazolli Martins1, Eric A Latimer2,3
1Centre for Addiction and Mental Health, Toronto, ON, Canada.
Frontiers in psychiatry
|July 9, 2025
概括
高支持性住房 (HSH) 为严重精神疾病 (SMI) 患者提供住宿和服务. 这次审查发现了HSH改善健康,社会支持和生活质量的初步证据,尽管需要更多的研究.
科学领域:
- 心理健康服务研究研究 心理健康服务研究
- 住房研究 住房研究
- 公共卫生 公共卫生
背景情况:
- 心理健康支持性住房为严重精神疾病 (SMI) 患者提供住宿和服务.
- 基于集体的高支持性住房 (HSH) 模式,提供24 / 7现场支持,正在加拿大脱机构化后出现.
- 关于HSH模型及其对SMI人群 (包括无家可归的人群) 的结果的信息有限.
研究的目的:
- 对加拿大严重精神疾病 (SMI) 患者的高支持性住房 (HSH) 模式进行范围审查.
- 确定与HSH相关的特征,配置和结果.
- 综合现有证据,对HSH的有效性和确定研究差距.
主要方法:
- 进行了一次注册的范围审查.
- 搜索包括四个学术数据库 (Medline,Embase,PsycINFO,CINAHL Plus),引用搜索和灰色文献识别.
- 在加拿大背景下研究了HSH配置和结果,例如住房稳定,健康,社区融合,生活质量和成本.
主要成果:
- 在选了超过27000个学术和164个灰色文学来源后,包括了58篇学术文章和31篇灰色文学报告.
- 鉴定出三种类型的HSH:监护式,面向康复的,以及医院方案的替代方案.
- 初步证据表明,HSH改善了居民的健康,功能,社会支持,生活质量和社区融合,与住院住院相比,有可能降低成本. 同时还注意到居民的满意度.
结论:
- 高支持性住房 (HSH) 可以使严重精神疾病 (SMI) 面临复杂需求的个人受益.
- 与其他住房干预措施相比,对HSH的研究进展较低.
- 进一步调查汇聚住房环境,长期结果和 HSH 的面向复苏的做法是有必要的.
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