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首页> 外文期刊>Psychiatric services: a journal of the American Psychiatric Association >Impact of housing and work supports on outcomes for chronically homeless adults with mental illness: LA's HOPE
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Impact of housing and work supports on outcomes for chronically homeless adults with mental illness: LA's HOPE

机译：住房和工作支持对患有精神疾病的慢性无家可归成年人的结局的影响：洛杉矶的希望

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Objective: This study examined the impact of a federally funded housing and employment demonstration program (Los Angeles' Homeless Opportunity Providing Employment [LA's HOPE]) for homeless adults with mental illness. Methods: The sample included all participants enrolled between July 1, 2004, and May 17, 2005, in one of 18 Los Angeles County community mental health centers offering a state-funded program (AB2034) to reduce homelessness among people with serious mental illness. Fifty-six demonstration clients enrolled in three centers received housing and special employment supports. Their outcomes were compared with those of 415 clients enrolled in the county's other 15 AB2034 programs during the same period. Data included demographic characteristics, circumstances at enrollment and in the previous 12 months, and outcomes for at least 13 months after enrollment. Outcomes analyses used propensity score matching. Results: Demonstration clients got and kept housing and worked in paid employment and employment-related activities at rates significantly higher than those of the comparison group. Other than client group, no personal characteristics made any systematic difference to employment outcomes. Several personal characteristics-race and ethnicity, preenrollment length of homelessness, and whether the client had a co-occurring substance use disorder-affected housing outcomes independently of client group. Conclusions: The demonstration provided the structure and resources to help clients achieve better housing and employment outcomes than the comparison group had. The outcomes for LA's HOPE clients suggest that this very challenged population can achieve improved work outcomes if programs devote adequate and appropriate resources to help them.
机译：目的：本研究探讨了联邦资助的住房和就业示范计划（洛杉矶的无家可归者提供就业机会[LA's HOPE]）对患有精神疾病的无家可归的成年人的影响。方法：本样本包括2004年7月1日至2005年5月17日之间在洛杉矶县18个社区心理健康中心之一提供的所有参与者，这些中心提供了一项国家资助的计划（AB2034），以减少严重精神疾病患者的无家可归。在三个中心注册的56个示范客户获得了住房和特殊就业支持。他们的结果与同期加入该县其他15个AB2034计划的415位客户的结果进行了比较。数据包括人口统计学特征，入学时和过去12个月的情况以及入学后至少13个月的结果。结果分析使用倾向得分匹配。结果：演示客户获得并保留住房并从事有偿就业和与就业相关的活动，其比率明显高于对照组。除了客户群以外，没有任何个人特征会对就业结果产生系统性影响。几个个人特征-种族和种族，无家可归者的入学前长度，以及服务对象是否独立发生，共同影响物质使用的行为影响了住房结局，而与服务对象群体无关。结论：演示提供了结构和资源，以帮助客户获得比对照组更好的住房和就业成果。洛杉矶的HOPE客户的成果表明，如果计划投入足够和适当的资源来帮助他们，那么这个面临巨大挑战的人群就可以改善工作成果。

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