营地清理与过渡性住房:对居民观点的定性分析。

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Michael Mayer, Yesenia Mejia Urieta, Linda S Martinez, Miriam Komaromy, Ursel Hughes, Avik Chatterjee
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引用次数: 0

摘要

在美国,帐篷营地中无家可归的人数大幅增加。出于对健康和安全的担忧,许多城市都采取了引人注目的拆除帐篷营地行动。2022 年 1 月,马萨诸塞州波士顿的一个大型帐篷营地采用独特的方法进行了清理:大多数营地居民被安置在过渡性减低伤害住房中。我们在 2022 年 7 月至 2023 年 2 月期间对 30 名前营地居民进行了访谈,以探讨营地清理对他们的健康和安全感有何影响。我们还探讨了参与者对减低危害住房的看法。在受访者中,有 14 人已被安置在此类住房中。在未被安置的人中,营地清理往往会加剧健康和安全问题,尤其是与精神健康状况和暴力风险有关的问题。在成功安置的人群中,减低危害住房改善了健康和安全,使参与者在实现长期目标方面取得了有意义的进展,如戒毒、慢性病管理和永久住房。我们的研究结果表明,营地可能具有促进安全的特点,但如果要拆除营地,在拆除后提供减低危害住房可能是有益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Encampment Clearings And Transitional Housing: A Qualitative Analysis Of Resident Perspectives.

The number of people experiencing homelessness in tent encampments in the US has increased significantly. Citing concerns over health and safety, many cities have pursued highly visible encampment removals. In January 2022, a major tent encampment in Boston, Massachusetts, was cleared using a unique approach: Most encampment residents were placed in transitional harm reduction housing. We conducted interviews between July 2022 and February 2023 with thirty former encampment residents to explore how the encampment clearing affected their health and sense of safety. We also explored participants' perspectives on harm reduction housing. Of those interviewed, fourteen people had been placed in such housing. Among those not placed, the encampment clearing tended to exacerbate health and safety concerns, especially those related to mental health conditions and risk for violence. Among people successfully placed, harm reduction housing improved health and safety and allowed participants to make meaningful progress toward long-term goals such as addiction recovery, management of chronic health conditions, and permanent housing. Our findings suggest that encampments can have safety-promoting characteristics, but if encampment removal is pursued, offering harm reduction housing after removal can be beneficial.

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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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