为魁北克蒙特利尔的吸毒或酗酒者调整无家可归干预措施:服务使用者的观点

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hannah Brais, Mylene Riva
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引用次数: 0

摘要

背景:在住房负担危机的影响下,加拿大蒙特利尔的无家可归者人数不断增加。虽然吸毒或酗酒者在这一群体中占了很大一部分,但该市的无家可归者资源仍然通过戒酒规定或不根据他们的特殊需求调整计划来排斥他们。这种系统性的排斥以及这些资源的条件往往会对寻求帮助的人造成二次创伤。本研究采用创伤知情护理空间框架,询问使用药物的无家可归者在摆脱无家可归状态时有哪些需求?目前蒙特利尔的无家可归者资源在满足这些需求方面有哪些限制?如何改变这些资源以满足这些需求? 研究方法:2023 年,对目前无家可归的吸毒或酗酒者进行了 30 次半结构式访谈,并进行了 3 个月的跟踪调查。访谈记录在 Nvivo 中进行分析。 结果:研究结果呼吁对无家可归者服务的提供进行认真改革,强调更多形式的以减少伤害为基础的计划、综合职业活动、改善社会心理陪伴、更好地划分服务使用者以及为药物使用者提供替代性和适应性住房干预。大多数参与者都披露了潜在的创伤性生活经历,这凸显了以创伤为导向的计划编制的必要性。 结论允许个人阐述他们对计划的需求和愿望,表明这一群体认识到服务的不足,并将无家可归者资源视为可能造成创伤的场所。虽然有无家可归和药物使用生活经历的人提出的建议阐明了在药物使用康复以及无家可归服务提供方面有前途的做法,但无家可归服务提供者却迟迟没有相应地调整他们的计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adapting Homelessness Interventions for People Who Use Drugs or Alcohol in Montreal, Quebec: Service User Perspectives

Background: Under a housing affordability crisis, Montreal, Canada, is host to a growing homeless population. While people who use drugs or alcohol make up a large part of this group, homeless resources in the city continue to exclude them through sobriety rules or by not adapting programming to their specific needs. This systematic exclusion, and the conditions of these resources, can often be retraumatizing for individuals seeking help. Applying a trauma-informed spaces of care framework, this research asks what are the needs of homeless individuals who use substances to exit homelessness? What are the current limits within homeless resources in Montreal to actualize these needs? How can they change to meet these needs?

Methods: In 2023, 30 semistructured interviews were conducted, with follow-up at 3 months, with individuals who use drugs or alcohol currently experiencing homelessness. Transcribed interviews were analyzed in Nvivo.

Results: Findings called for serious reforms to homeless service provision, with an emphasis on more forms of harm reduction-based programming, integrated occupational activities, improved psychosocial accompaniment, better division of service users, and alternative and adapted housing interventions for substance users. Most participants disclosed potentially traumatic life experiences, highlighting the need for trauma-informed programming.

Conclusion: Allowing individuals to articulate their needs and desires for programming demonstrates that this group recognizes the inadequacy of services and identifies the homeless resource as a site of potential traumatization. While the recommendations of people with living experience of homelessness and substance use articulate promising practices in substance use recovery, as well as homelessness service provision, homeless service providers are slow to adapt their programming accordingly.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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