A Comprehensive Assessment to Enable Recovery of the Homeless: The HOP-TR Study
| العنوان: | A Comprehensive Assessment to Enable Recovery of the Homeless: The HOP-TR Study |
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| المؤلفون: | Coline Van Everdingen, Peter Bob Peerenboom, Koos Van Der Velden, Philippe A. E. G. Delespaul |
| المساهمون: | RS: MHeNs - R2 - Mental Health, Psychiatrie & Neuropsychologie |
| المصدر: | Frontiers in Public Health, 9 Frontiers in Public Health Frontiers in Public Health, 9:661517. Frontiers Media S.A. Frontiers in Public Health, Vol 9 (2021) |
| بيانات النشر: | Frontiers Media SA, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Service (systems architecture), Applied psychology, Sample (statistics), human rights, Care provision, Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], SHELTER USE, recovery, 03 medical and health sciences, All institutes and research themes of the Radboud University Medical Center, 0302 clinical medicine, Quality of life (healthcare), TRANSDIAGNOSTIC PSYCHIATRY, PEOPLE, severe mental illness, Methods, Humans, 030212 general & internal medicine, homelessness, SUBSTANCE USE, Ecosystem, Netherlands, public health policy, HOUSING 1ST, HIGH-INCOME COUNTRIES, SEVERE MENTAL-ILLNESS, Public Health, Environmental and Occupational Health, MONTREAL COGNITIVE ASSESSMENT, HEALTH SURVEY, CARE, transdiagnostic mental health strategy, Social engagement, Mental health, InterRAI Community Mental Health questionnaire, 030227 psychiatry, Management information systems, Cross-Sectional Studies, Ill-Housed Persons, Needs assessment, Quality of Life, healthcare ecosystem approach, Public Health, Public aspects of medicine, RA1-1270, Psychology |
| الوصف: | Background: Homelessness is an increasing problem in Western European countries. In the Netherlands, policy reforms and austerity measures induced an urgent need for management information on local homeless citizens. Municipal authorities initiated cross-sectional reviews of Homeless Service (HS) users. The resulting Homeless People Treatment and Recovery (HOP-TR) study developed a health and needs assessment strategy over different domains to comprehensively assess individuals and care networks with the perspective on recovery.Methods: Dutch HS users were selected using a naturalistic meta-snowball sampling. Semi-structured interviews provided the primary data source. The interview content was partly derived from the InterRAI Community Mental Health questionnaire and the “Homelessness Supplement.” Using the raw interview data, algorithmic summary scores were computed and integrating clinical parameters assessed. The data describe health and needs in a rights-based, recovery-oriented frame of reference. The mental health approach is transdiagnostic. The positive health framework is used for structuring health and needs aspects in relation to the symptomatic (physical and mental health), social (daily living, social participation), and personal (quality of life, meaning) dimensions of recovery.Results: Recruitment (between 2015 and 2017) resulted in a saturated sample of 436 HS users in 16 facilities and seven cities. Most participants were long-term or intermittently homeless. The sample characteristics reveal the multi domain character of needs and the relevance of a broad, comprehensive approach. Local authorities used the reports to reflect and discuss needs, care provision, access, and network cooperation. These dialogs incited to improve the quality of care at various ecosystem levels.Discussion: This paper describes new recruitment strategies and data collections of comprehensive data domains, to improve our knowledge in the field of homelessness. Traditional epidemiological literature on homelessness is often domain specific and relies on administrative sources. The HOP-TR study uses an analytical epidemiological approach. It shifts the assessment focus from problem-centered marginalization processes toward a comprehensive, three-dimensional recovery-oriented vision of health. Different perspectives are integrated to explore the interaction of homeless people with care networks. |
| وصف الملف: | application/pdf |
| تدمد: | 2296-2565 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::60b07fa910608c6b542228954a527c47Test https://doi.org/10.3389/fpubh.2021.661517Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....60b07fa910608c6b542228954a527c47 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22962565 |
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