关键词: emergency shelter homeless persons housing mental disorders mental health services quality of life. severe urban health services

Mesh : Humans Housing Quality of Life Canada Mental Disorders / epidemiology therapy psychology Ill-Housed Persons

来  源:   DOI:10.1177/07067437231162494   PDF(Pubmed)

Abstract:
To explore the housing trajectory, personal recovery, functional level, and quality of life of clients at discharge and 1 year after completing Projet Réaffiliation Itinérance Santé Mentale (PRISM), a shelter-based mental health and rehabilitation program intended to provide individuals experiencing homelessness and severe mental illness with transition housing and to reconnect them with mental health and social services.
Housing status, psychiatric follow-up trajectory, personal recovery (Canadian Personal Recovery Outcome Measure), functional level (Multnomah Community Ability Scale), and quality of life (Lehman Quality of Life Interview) were assessed at program entry, at program discharge and 1 year later.
Of the 50 clients who participated in the study from May 31, 2018, to December 31, 2019, 43 completed the program. Of these, 76.7% were discharged to housing modalities and 78% were engaged with psychiatric follow-up at the program\'s end. Housing stability, defined as residing at the same permanent address since discharge, was achieved for 62.5% of participants at 1-year follow-up. Functional level and quality of life scores improved significantly both at discharge and at 1-year follow-up from baseline.
Admission to PRISM helped clients secure long-term stable housing and appropriate psychiatric follow-up. Stable housing was maintained for most clients at 1-year follow-up, and they benefited from sustained functional and quality of life outcomes in long-term follow-up.
摘要:
目的:探索住房轨迹,个人康复,功能层面,以及出院时和完成ProjetRéaffiliationItinéranceSantéMentale(PRISM)后1年的客户生活质量,一个以住房为基础的心理健康和康复计划,旨在为无家可归和严重精神疾病的个人提供过渡住房,并使他们重新获得心理健康和社会服务。
方法:房屋状态,精神病随访轨迹,个人康复(加拿大个人康复结果衡量标准),功能水平(摩特诺玛社区能力量表),和生活质量(雷曼生活质量访谈)在项目进入时进行了评估,在计划出院时和一年后。
结果:在2018年5月31日至2019年12月31日参与研究的50名客户中,有43名完成了该计划。其中,76.7%的人出院到住房模式,78%的人在计划结束时进行了精神病随访。住房稳定,定义为自卸任以来居住在同一永久地址,在1年的随访中,62.5%的参与者实现了目标。功能水平和生活质量评分在出院时和1年随访时均比基线显着改善。
结论:接受PRISM有助于客户获得长期稳定的住房和适当的精神病随访。在1年的随访中,大多数客户保持稳定的住房,他们在长期随访中受益于持续的功能和生活质量结果。
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