0309/2021 - Fatores contextuais e implantação da intervenção Housing First: uma revisão da literatura Contextual factors and implementation of Housing First intervention: a literature review
O Housing First (HF) tem se difundido no cenário internacional como uma intervenção baseada em evidência para superar a situação de rua entre pessoas com agravos de saúde mental. No Brasil, o HF tem sido adotado como referência no desenvolvimento de iniciativas voltadas para pessoas em situação de rua que fazem uso prejudicial de drogas. Estudos apontam a necessidade de maior compreensão da dinâmica de implantação do em diferentes cenários. De tal modo, utilizando o método de revisão de literatura, analisamos os fatores que facilitam e dificultam a implantação do HF. Foram selecionados 68 artigos, publicados entre 2003 e 2020, nas bases PubMed, Scopus, PsychoINFO e Embase. Identificamos fatores em quatro dimensões: características da intervenção, contexto de implantação, aspectos institucionais e processo de implantação. A indisponibilidade de habitações, a falta de coordenação dos serviços necessários aos moradores e a resistência dos agentes implantadores aos princípios do HF são fatores que dificultam a implantação. Por sua vez, agentes com valores, atitudes e competências convergentes ao modelo e educação permanente aparecem como facilitadores. Apontamos a necessidade de se compreender e favorecer o processo de integração do HF aos sistemas de proteção social existentes.
Palavras-chave:
Moradia; Pessoas em situação de rua; Saúde mental; Ciência da implementação.
Abstract:
Housing First (HF) is has spread as an intervention to overcome homelessness among people with mental health problems. In Brazil, HF inspired initiatives focused on homeless people who abuse drugs implemented in the field of public policy. Studies indicate the need to expand our understanding of the dynamics of HF implementation in different contexts. Thus, using a literature review method, we identified and discussed barriers and facilitating factor that influence HF. 68 articles, published between 2003 and 2020, were ed through PubMed, Scopus, PsychoINFO, Embase, Lilacs and Scielo databases. We identified factors in four dimensions: intervention characteristics, implementation context, institutional aspects and implementation process. Factors identified as hindering the implementation of HF are: shortage of accessible housing, lack of coordination between services to address residents needs and the resistance of agents implementing HF to its principles. In turn, continuous education programs and convergence of the values, attitudes and competencies of agents with those of HF were identified as facilitating factors. We also point out the need to further explore and favor the integration of HF into existing social protection systems.
Contextual factors and implementation of Housing First intervention: a literature review
Resumo (abstract):
Housing First (HF) is has spread as an intervention to overcome homelessness among people with mental health problems. In Brazil, HF inspired initiatives focused on homeless people who abuse drugs implemented in the field of public policy. Studies indicate the need to expand our understanding of the dynamics of HF implementation in different contexts. Thus, using a literature review method, we identified and discussed barriers and facilitating factor that influence HF. 68 articles, published between 2003 and 2020, were ed through PubMed, Scopus, PsychoINFO, Embase, Lilacs and Scielo databases. We identified factors in four dimensions: intervention characteristics, implementation context, institutional aspects and implementation process. Factors identified as hindering the implementation of HF are: shortage of accessible housing, lack of coordination between services to address residents needs and the resistance of agents implementing HF to its principles. In turn, continuous education programs and convergence of the values, attitudes and competencies of agents with those of HF were identified as facilitating factors. We also point out the need to further explore and favor the integration of HF into existing social protection systems.
Carvalho,A. P., Furtado, J. P.. Fatores contextuais e implantação da intervenção Housing First: uma revisão da literatura. Cien Saude Colet [periódico na internet] (2021/out). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-contextuais-e-implantacao-da-intervencao-housing-first-uma-revisao-da-literatura/18208?id=18208
