PREDICTORS OF SERVICE USE BY HOMELESS SHELTER RESIDENTS

无家可归者收容所居民使用服务的预测因素

• 批准号: 3384706
• 负责人: ELMER L STRUENING
• 金额: $ 10.03万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-05-01 至 1991-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3384706
• 关键词: alcoholism /alcohol abuse; data collection; drug abuse; gender difference; health care model; health care quality; health care service utilization; housing; mathematical model; mental disorders

Needs assessment surveys of homeless adults, while rarely based on representative samples, have revealed consistent findings: that they are paradoxically a multi-problem but undeserved population; that they order their service needs differently from the professionals order them; that being mentally ill and/or an abuser of drugs or alcohol is associated with not getting into services. However, no study has yet examined the relative contribution of expressed needs and other characteristics of the individual or of service provider or service system factors, to utilization of services. This study will examine the "interactive fit" of these three types of variables in help- seeking for mental health or substance abuse problems. Specifically, the aims of the research are to understand (1) how expressed needs are determined and structured. (2) what contributes to getting into mental health, alcohol, or drug treatment. We also aim to disseminate these findings to relevant city, state, federal and private agencies. To pursue these aims, the study will use a data-set based on a random study, directed in 1987 by the Principal Investigator, of over 1000 men and women in the New York City adult shelter system. The survey used a 59-page interview protocol to obtain detailed information in areas such as health, mental health, substance abuse, housing, treatment, etc. It included standardized scales, with established reliability and modified by use for a homeless population. In addition, twenty areas of need were rated by both responders and interviewers. The study will also use ecological-level data to indicate presence of a "drug culture" in and around the shelters, and availability of services. Factor analytic procedures will be applied to identify dimensions of need and hierarchical multiple regression will be used to identify variables within variable sets hypothetically linked to measures of need. The help-seeking models of service utilization will be tested with logistic regression analyses, entering the variables hierarchically. All analyses will be run separately on men and women, as gender differences are known to affect expression of needs and help-seeking. The study will be the first to analyze individual and contextual level variables in understanding how needs and service utilization are related in a homeless population.

无家可归成年人的需求评估调查，而很少基于 在代表性样本上，已经揭示了一致的发现： 它们是矛盾的多个问题，但不当 人口;他们订购服务的需求与 专业人士命令他们；这是精神病和/或 滥用毒品或酒精与未进入 服务。 但是，尚未研究亲戚 表达需求和其他特征的贡献 个人或服务提供商或服务系统因素， 服务利用。 这项研究将检查 这三种类型的变量的“互动拟合” 寻求心理健康或药物滥用问题。 具体而言，研究的目的是了解（1） 表达的需求是确定和结构化的。 （2）什么 有助于进入心理健康，酒精或药物 治疗。 我们还旨在将这些发现传播给相关 城市，州，联邦和私人机构。 为了追求这些目标，该研究将使用基于 随机研究，由首席研究员于1987年指导 纽约市成人庇护所的1000多名男女 系统。 该调查使用59页的访谈协议获得 健康，心理健康等领域的详细信息， 药物滥用，住房，治疗等 标准化量表，具有确定的可靠性，并通过 用于无家可归的人口。 此外，需要二十个需要 被响应者和访调员评为。 研究将 还使用生态级数据表明存在“药物 文化“庇护所及其周围以及可用性 服务。 因子分析程序将应用于确定维度 需要和分层多重回归将用于 在假设链接到变量集中的变量 需求衡量。 将测试寻求帮助的服务使用模型 通过逻辑回归分析，输入变量 层次。 所有分析将分别对男人进行进行， 妇女，已知性别差异会影响 需求和寻求帮助。 该研究将是第一个分析个人和上下文的研究 了解需求和服务的水平变量 利用率与无家可归者人口有关。