Benefits of the PRISM Shelter-Based Program for Attainment of Stable Housing and Functional Outcomes by People Experiencing Homelessness and Mental Illness: A Quantitative Analysis.

IF 3.3 3区 医学 Q2 PSYCHIATRY
Ghassen Soufi, Brigitte Voisard, Eric A Latimer, Lavina Matai, Erica E M Moodie, Vincent Laliberté
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引用次数: 0

Abstract

Objective: 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.

Method: 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.

Results: 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.

Conclusions: 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.

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PRISM基于庇护所的计划对无家可归和精神疾病患者获得稳定住房和功能结果的好处:定量分析。
目的:探讨客户出院时和完成Projet Réaffiliation Itinérance SantéMentale(PRISM)后1年的住房轨迹、个人康复、功能水平和生活质量,一个基于庇护所的心理健康和康复计划,旨在为无家可归和患有严重精神疾病的人提供过渡住房,并使他们重新获得心理健康和社会服务。方法:在项目开始、项目结束和1年后评估住房状况、精神病随访轨迹、个人康复(加拿大个人康复结果测量)、功能水平(Multnomah社区能力量表)和生活质量(Lehman生活质量访谈)。结果:在2018年5月31日至2019年12月31日期间参与该研究的50名客户中,43人完成了该项目。其中,76.7%的患者出院接受住房治疗,78%的患者在项目结束时接受了精神病随访。62.5%的参与者在一年的随访中实现了住房稳定,即出院后居住在同一个永久地址。出院时和1年随访时,功能水平和生活质量评分均较基线显著改善。结论:入住PRISM有助于客户获得长期稳定的住房和适当的精神病随访。在一年的随访中,大多数客户的住房保持稳定,他们在长期随访中受益于持续的功能和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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