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Results for “Homeless Persons”

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At least 1,045 records · Page 58Linked to original sources
PubMed2006

Integrated residential treatment for persons with severe and persistent mental illness: lessons in recovery.

This retrospective study examines 24-month outcomes for 38 participants with histories of chronic homelessness and hospitalizations in an urban, residential integrated treatment (IT) program and compares characteristics of those who stayed in the program 24 months with those who left within their first year of residence. Informed by an Assertive Community Treatment approach, characterized by outreach (or what might better be referred to as inreach), low staff to consumer ratio, and meeting of basic needs, the residential program emphasized harm reduction and motivational interventions. The longitudinal study design was supplemented with a comparative analysis of treatment completers and noncompleters. There were significant differences between the two groups at baseline in terms of engagement with treatment, alcohol use severity, and mental health diagnosis. Additionally, those who stayed with the program showed significant reductions in alcohol and drug use, significant reduction in hospitalizations, and advances in treatment engagement.

Adult↗
PubMed2004

The roles of the American and European governments in the development and persistence of antisocial behavior.

Both the American and European governments play a crucial part in the development and continuation of antisocial behavior. They demonstrate a lack of activities or initiatives that should intervene in or prevent negative conditions that correlate with antisocial behavior such as media violence; poverty; poor neighborhoods; homelessness; unfavourable parental impact and attitude, educational, psychiatric, neurobiological, and physical problems. More research is needed into a) the determinants of antisocial behavior, b) the construction of new and improvement of existing prevention and intervention programs, c) the exact reasons for governments' lack of initiatives and adequate measurements in order to tackle problems that correlate with antisocial behavior, and d) the development of methods that are suitable to stimulate the government's awareness of the necessity for adequate prevention and intervention programs.

Antisocial Personality Disorder↗
PubMed1999

Social network characteristics associated with risky behaviors among runaway and homeless youth.

Runaway and homeless youth are at high risk for substance abuse and unsafe sexual behavior. Our study describes the personal social networks of these youth and examines network characteristics associated with risky behaviors. In 1995 and 1996, we interviewed a purposive sample of youth aged 14 through 21 who were living in Washington, DC and were identified on the streets or through shelters or other service agencies (N = 327). Although we found that most youth reported current social relationships, a significant minority (26%) did not. Youth without a social network were significantly more likely to report current illicit drug use, multiple sex partners, and survival sex than youth with a network. For youth with a network, the networks were small, strong in affective and supportive qualities, comprised primarily of friends, typically included an alcohol or illicit drug user, and usually were not a source of pressure for risky behaviors. Our results indicate that networks had risk-enhancing and risk-decreasing properties in that network characteristics were associated in both positive and negative directions with risky behaviors.

Adolescent↗
PubMed1997

Mental disorders and service utilization among youths from homeless and low-income housed families.

OBJECTIVE: To assess the mental health of homeless and poor housed youths, using the National Institute of Mental Health (NIMH) Diagnostic Interview Schedule for Children (DISC) Version 2.3, and to examine mental health service use. METHOD: As part of a comprehensive study of homeless and housed families Worcester, MA, data were collected on 41 homeless and 53 poor housed (never homeless) youths aged 9 to 17 using both the parent and youth versions of the DISC. RESULTS: On the basis of the parent version of the DISC, current (6-month) prevalence rates of DSM-III-R disruptive behavior, affective, and anxiety disorders were comparable in homeless and housed youths but higher than rates found among youths in the NIMH-sponsored Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study, which used the same diagnostic measure. Approximately 32% of the combined sample of homeless and housed youths had a current mental disorder accompanied by impairment in functioning. Mental health service use in the preceding 6 months among youths who had one or more current disorders and associated impairment ranged from 20% to 35%. A subgroup of youths with one or more current disorders and poor global functioning had never received treatment. CONCLUSIONS: This sample of homeless and housed youths was found to have high rates of current mental disorders. Use of mental health services by children with mental health needs was low, particularly for youths with poor overall functioning.

Adolescent↗
PubMedDate not supplied

Depressed and suicidal clients: how nurses can help.

This is my account of the care I helped to provide for a suicidal client while I was in my second year of a nursing degree course. At the time I was on placement with a community psychiatric nurse who worked with homeless people. My involvement taught me much about the importance of being a well-rounded person as well as a nurse.

Adult↗
PubMed1987

Are we legislating reinstitutionalization?

Attitudes and trends in the care of the chronic mentally ill are reviewed historically. The present impetus away from community care and back to hospitalization is examined, with special reference to recent legislative initiatives in California, an early leader in the movement to deinstitutionalization. Options for effective action on behalf of the homeless mentally ill are outlined.

California↗