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Engagement with health and social care services: perceptions of homeless young people with mental health problems.

The present qualitative study describes and discusses the perspectives and experiences of young homeless people with mental health problems in relation to their interactions with health and social care services. Working in partnership with Streetlink, a supported accommodation assistance programme in Adelaide, Australia, the authors interviewed 10 homeless young people, aged from 16 to 24 years of age, who had experienced mental health problems. In-depth interviews elicited accounts of the best and worst of the participants' experiences of health and social care services. Access to services was not identified as being a significant problem in comparison with the participants' concerns regarding the quality of the services encountered. The central findings stress the importance of a respectful and supportive climate in relation to the qualities of service provision that the young people identified as valuable for their continuing treatment or consultation.

Adolescent↗

The homeless man.

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Black or African American↗

Scheduled brief admissions: patient "tuneups".

1. Incorporating brief, planned admissions into the treatment plan of chronically mentally disabled patients has demonstrated positive outcomes related to health care services, as well as to the patients' perceptions of their own health status. 2. A comparison of the "Tuneup" program before and since its inception showed that, while the number of patient hospitalizations increased, the patients' length of stay, amount of unplanned hospitalizations, and cost decreased significantly during this period. 3. The chronically mentally ill are a population at risk for a variety of hardships, including rehospitalization, social isolation, homelessness, and even death. Psychiatric nurses who understand the needs of these persons can serve as a vital force in mental health care reform.

Adult↗