Effectiveness of Housing First for Homeless Adults with Mental Illness Who Frequently Use Emergency Departments in a Multisite Randomized Controlled Trial

被引：17
|
作者：
Kerman, Nick [1 ]
Aubry, Tim [1 ]
Adair, Carol E. [2 ,3 ]
Distasio, Jino [4 ]
Latimer, Eric [5 ]
Somers, Julian [6 ]
Stergiopoulos, Vicky [7 ,8 ]
机构：
[1] Univ Ottawa, Sch Psychol, Ottawa, ON, Canada
[2] Univ Calgary, Dept Psychiat, Calgary, AB, Canada
[3] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada
[4] Univ Winnipeg, Dept Geog, Winnipeg, MB, Canada
[5] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[6] Simon Fraser Univ, Dept Psychiat, Burnaby, BC, Canada
[7] Ctr Addict & Mental Hlth, Toronto, ON, Canada
[8] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
来源：
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2020年 / 47卷 / 04期
关键词：
Homelessness; Mental illness; Emergency departments; Service use; Housing first; CASE-MANAGEMENT PROGRAM; HEALTH-CARE UTILIZATION; CHRONICALLY HOMELESS; SERVICE USE; INDIVIDUALS; PEOPLE; COST; OUTCOMES; IMPACT; HOSPITALIZATION;
D O I：
10.1007/s10488-020-01008-3
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Frequent emergency department (ED) users experiencing homelessness are associated with high costs for healthcare systems yet interventions for this group have been minimally investigated. This study used 24-month data from a multisite randomized controlled trial of Housing First (HF) to examine how effective the intervention is in helping frequent ED users with a mental illness to achieve housing stability, improve behavioural health and functioning, and reduce their ED use. Findings showed that HF is effective in stably housing frequent ED users despite their complex health needs. Reductions in ED use and substance use problems, and improvements in mental health symptoms and community functioning were found for frequent ED users in both the HF and treatment as usual conditions.
引用
收藏
页码：515 / 525
页数：11
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