« Chez soi d’abord » : se rétablir chez soi d’un trouble psychique sévère [Housing first : at home recovery of severe mental disorder]

Details

Serval ID
serval:BIB_106626D23FE8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
« Chez soi d’abord » : se rétablir chez soi d’un trouble psychique sévère [Housing first : at home recovery of severe mental disorder]
Journal
Revue medicale suisse
Author(s)
Garcia Gonzalez De Ara C., Morandi S., Lippuner M., Delmatti J., Golay P., Bonsack C.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
20/09/2017
Peer-reviewed
Oui
Volume
13
Number
575
Pages
1605-1609
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Mental disorders may result in severe precariousness of housing, with a worsening of the disorders, inappropriate hospitalizations, homelessness, substance abuse or even suicide. The « housing first » model offers direct access to housing with the support of a mobile psychiatric team, which bypasses the usual steps hospital - fostered home - independent housing. The goal of this article is to describe a « housing first » pilot project conducted in Lausanne. Demographics, clinical and services' use data were collected from participants 12 months before and after the integration into the program. 16 people have been integrated into housing. The average length (from 81 to 15 days) and the average number of psychiatric hospitalizations (from 1.31 to 0.44) declined significantly for 30%-60% less direct costs as compared to fostered homes. However, several obstacles remain to be overcome in order to continue this program.
Keywords
Homeless Persons, Hospitalization, Housing, Humans, Mental Disorders/rehabilitation, Pilot Projects, Substance-Related Disorders
Pubmed
Create date
21/09/2017 14:38
Last modification date
20/08/2019 12:37
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