BuildingBridges to Housingfor homeless adults with intellectual and developmental disabilities: outcomes of a cross-sector intervention

被引:0
|
作者
Reid, Nadine [1 ]
Kron, Amie [1 ]
Lamanna, Denise [1 ]
Wen, Sophia [2 ]
Durbin, Anna [3 ]
Rajakulendran, Thanara [1 ]
Lunsky, Yona [1 ,4 ,5 ]
Roy, Sylvain [1 ,6 ,7 ]
DuBois, Denise [8 ,9 ]
Stergiopoulos, Vicky [1 ,3 ,4 ]
机构
[1] Ctr Addict & Mental Hlth, 100 Stokes St,Room 6215, Toronto, ON M6J 1H4, Canada
[2] Univ Toronto, Fac Med, Toronto, ON, Canada
[3] St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada
[4] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[5] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada
[6] Inner City Family Hlth Team, Toronto, ON, Canada
[7] York Univ, Toronto, ON, Canada
[8] Univ Toronto, Fac Med, Rehabil Sci Inst, Toronto, ON, Canada
[9] Providence Care Hosp, Kingston, ON, Canada
关键词
developmental disability; homeless persons; housing first; Intellectual disability; mental health; supportive housing; QUALITY-OF-LIFE; MENTAL-ILLNESS; 1ST; PEOPLE; INDIVIDUALS; EXPERIENCES; PATHWAYS; NEEDS;
D O I
10.1111/jar.12779
中图分类号
G44 [教育心理学];
学科分类号
0402 ; 040202 ;
摘要
Background Adults with intellectual and developmental disabilities (IDD) have high rates of homelessness. This observational study evaluates Bridges to Housing, a cross-sector intervention offering immediate access to housing and supports to this population in Toronto, Canada. Methods Twenty-six participants, enrolled between April 2016 and December 2017, were assessed at baseline, six and 12 months post-enrolment. Descriptive statistics and generalized linear modelling evaluated quality of life (QOL) and service needs outcomes. Twenty-one service users and providers participated in semi-structured interviews between August 2017 and June 2018 to elicit their experiences of the intervention, which were analysed thematically. Results Twelve months post-enrolment, 24 participants were successfully housed and reported increased QOL scores (F(2,43) = 13.73,p = <.001) and decreased perceived unmet service needs (Wald chi(2)(2) = 12.93,p = .002). Individual-, intervention- and system-level characteristics facilitated housing stability in this population. Conclusions Cross-sector approaches can improve outcomes for homeless adults with IDD and may have an important role in supporting this marginalized population.
引用
收藏
页码:16 / 27
页数:12
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