从住房优先、对无家可归青年的快速安置试验中吸取的经验教训。

IF 3.7 2区医学 Q1 SUBSTANCE ABUSE Addiction Science & Clinical Practice Pub Date : 2023-09-30 DOI:10.1186/s13722-023-00413-x

Natasha Slesnick, Brittany Brakenhoff, Alicia Bunger, Laura Chavez, Caleb Cuthbertson, Ruri Famelia, Xin Feng, Maggie Fitzpatrick, Jodi Ford, Irene Hatsu, Eugene Holowacz, Soren Jaderlund, Kelly Kelleher, Ellison Luthy, Allen Mallory, Jared Martin, Alexis Pizzulo, Steven Stone-Sabali, Tansel Yilmazer, Qiong Wu, Jing Zhang

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引用次数: 0

摘要

背景：无家可归的18至24岁青年（YEH）被认为与老年人不同，具有发展挑战。然而，关于结束无家可归现象、预防或干预青少年吸毒和心理健康问题的研究却落后于成年人。作为永久性支持性住房（PSH）和快速再住房（RRH）基础的住房优先（HF）模式已成为优先于治疗模式的模式。方法和结果：我们提供了迄今为止PSH和RRH研究的概述，并总结了我们目前对其与YEH一起使用的效用的理解。最后，我们回顾了我们团队目前和过去用YEH测试RRH的随机试验，提供了经验教训和建议。结论：目前指导最佳实践的研究工作因缺乏对HF原则的忠实性、缺乏随机设计以及缺乏对年轻人的关注而受到阻碍。我们从工作中吸取的经验教训和提出的建议有助于那些寻求结束无家可归现象、解决青年吸毒和心理健康问题的人今后的工作。

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Lessons learned from housing first, rapid rehousing trials with youth experiencing homelessness.

Background: Youth, 18 to 24 years, experiencing homelessness (YEH) are recognized as having developmental challenges dissimilar to older adults. Yet, research on efforts to end homelessness and prevent or intervene in drug use and mental health problems among youth have lagged behind that of adults. The Housing First (HF) Model which underlies Permanent Supportive Housing (PSH) and Rapid Re-Housing (RRH) has become preferred over treatment-first models.

Methods and results: We provide an overview of PSH and RRH studies to date and summarize our current understanding of their utility for use with YEH. Finally, we review our team's current and past randomized trials testing RRH with YEH, providing lessons learned and recommendations.

Conclusion: Current research efforts to guide best practices are hampered by a lack of fidelity to HF principles, lack of randomized design, and lack of focus on youth. Lessons learned and recommendations from our work are offered to facilitate the future work of those who seek to end homelessness and address drug use and mental health problems among youth.

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来源期刊

Addiction Science & Clinical Practice Psychology-Clinical Psychology

CiteScore

3.90

自引率

10.80%

发文量

审稿时长

28 weeks

期刊介绍： Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings. Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use. Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations. Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.