Nowhere to Go
| Author | : Edwin Fuller Torrey |
| Publisher | : HarperCollins Publishers |
| Total Pages | : 280 |
| Release | : 1988 |
| Genre | : Psychology |
| ISBN | : |
Examines the policy of deinstitutionalization of the mentally ill and what can be done about it.
The Homeless Mentally Ill
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Homelessness, Health, and Human Needs
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 257 |
| Release | : 1988-02-01 |
| Genre | : Medical |
| ISBN | : 0309038324 |
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Homelessness, Housing, and Mental Illness
| Author | : Russell K. Schutt |
| Publisher | : Harvard University Press |
| Total Pages | : 403 |
| Release | : 2011-02-28 |
| Genre | : Political Science |
| ISBN | : 0674051017 |
Humans are social animals and, in general, don’t thrive in isolated environments. Homeless people, many of whom suffer from serious mental illnesses, often live socially isolated on the streets or in shelters. Homelessness, Housing, and Mental Illness describes a carefully designed large-scale study to assess how well these people do when attempts are made to reduce their social isolation and integrate them into the community. Should homeless mentally ill people be provided with the type of housing they want or with what clinicians think they need? Is residential staff necessary? Are roommates advantageous? How is community integration affected by substance abuse, psychiatric diagnoses, and cognitive functioning? Homelessness, Housing, and Mental Illness answers these questions and reexamines the assumptions behind housing policies that support the preference of most homeless mentally ill people to live alone in independent apartments. The analysis shows that living alone reduces housing retention as well as cognitive functioning, while group homes improve these critical outcomes. Throughout the book, Russell Schutt explores the meaning and value of community for our most fragile citizens.
Clinical Guide to the Treatment of the Mentally Ill Homeless Person
| Author | : American Association of Community Psychiatrists |
| Publisher | : American Psychiatric Pub |
| Total Pages | : 204 |
| Release | : 2007-05-03 |
| Genre | : Medical |
| ISBN | : 1585626678 |
A case-based, clinical guide applicable to a variety of settings, this book offers evidence-based expert advice on the difficult challenges inherent in working with underserved homeless populations. The American Association of Community Psychiatrists' Clinical Guide to the Treatment of the Mentally Ill Homeless Person is a concise, practical work that gives busy clinicians the information they need; it not only is more up-to-date than existing publications, but also offers case- and site-based content that provides more hands-on, practical advice. Written by clinicians, for clinicians, it offers approaches to therapy and rehabilitation from the vantage point of the treatment environment, from street to housing and everything in between. The book reflects approaches to the clinical care of homeless people refined over two decades, building not only on the work of academic research but more importantly on the firsthand experience of clinicians. Its organization by treatment setting or specific subpopulation allows readers quick access to the chapters most relevant to their work. The first five chapters follow a sequence of naturalistic settings -- such as shelters and the work of Assertive Community Treatment Teams -- that demonstrate a model of engagement, intensive care, and ongoing rehabilitation. Subsequent chapters define specific scenarios that depict patients at various points on the engagement-rehabilitation continuum. Each chapter contains a clinical case example; guides to differential diagnosis, treatment planning, and accessing entitlements; and a flow chart for rehabilitation, including opportunities for student/resident or community involvement. The book emphasizes: A real-world orientation that provides a nuts-and-bolts approach to such cases as families, homeless children, veterans -- even individuals in rural settings. Cases that enable readers to follow the progress of individuals as they progress through the network of care. The importance of Assertive Community Treatment and "housing first" models of rehabilitation. Data supporting the importance of Critical Time Intervention, particularly with regard to homeless families. Examples of clinical interviewing techniques for engagement and treatment of challenging individuals who are being seen in community settings. These illustrated techniques can be incorporated into educational curricula. This is an indispensable resource for any mental health professional working with homeless populations and is also useful for medical students' clinical rotation in community psychiatric settings. Its examples of clinically engaging the homeless person are equally instructive for teaching interviewing skills to any professionals -- whether in law enforcement, social work, substance abuse treatment, or the clergy -- who encounter these forgotten members of society.
Homelessness
| Author | : Colleen Clark |
| Publisher | : Nova Science Publishers |
| Total Pages | : 0 |
| Release | : 2014 |
| Genre | : Homeless persons |
| ISBN | : 9781633216297 |
This book contains diverse chapters examining homelessness from a myriad of perspectives, from global perspectives to clinical perspectives. An international group of authors consider clinical and theoretical factors in the lives of people that are homeless and the services and policies that affect their lives. The international chapters provide different perspectives regarding the culturally-embedded nature of our perceptions of homelessness including definitions of homelessness, mental illness, and the expectations of family and support systems. These chapters include information from Ireland, a number of Asian countries, South Africa, Spain, the Czech Republic, and North America. From within the United States, the book presents different models for understanding, developing, and disseminating interventions for people that are homeless, and have mental illnesses and/or substance use disorders. The book explores the needs of special populations such as racial and ethnic minorities as well as those who experience mild developmental delays as well as mental illness and homelessness. Two chapters explore attitudes towards people that are homeless and that may have behavioral health problems. Finally, the role of climate and the forces of nature are reviewed for unique perspectives on homelessness. These multidisciplinary perspectives on an important issue are both thought-provoking and educational.
Permanent Supportive Housing
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 227 |
| Release | : 2018-08-11 |
| Genre | : Social Science |
| ISBN | : 0309477042 |
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
Insane Consequences
| Author | : D. J. Jaffe |
| Publisher | : Prometheus Books |
| Total Pages | : 370 |
| Release | : 2017 |
| Genre | : Medical |
| ISBN | : 1633882918 |
"In this in-depth critique of the mental healthcare system, a leading advocate for the mentally ill argues that the system fails to adequately treat the most seriously ill. He proposes major reforms to bring help to schizophrenics, the severely bipolar, and others"--
Racism and Psychiatry
| Author | : Morgan M. Medlock |
| Publisher | : Springer |
| Total Pages | : 264 |
| Release | : 2018-10-04 |
| Genre | : Medical |
| ISBN | : 3319901974 |
This book addresses the unique sociocultural and historical systems of oppression that have alienated African-American and other racial minority patients within the mental healthcare system. This text aims to build a novel didactic curriculum addressing racism, justice, and community mental health as these issues intersect clinical practice. Unlike any other resource, this guide moves beyond an exploration of the problem of racism and its detrimental effects, to a practical, solution-oriented discussion of how to understand and approach the mental health consequences with a lens and sensitivity for contemporary justice issues. After establishing the historical context of racism within organized medicine and psychiatry, the text boldly examines contemporary issues, including clinical biases in diagnosis and treatment, addiction and incarceration, and perspectives on providing psychotherapy to racial minorities. The text concludes with chapters covering training and medical education within this sphere, approaches to supporting patients coping with racism and discrimination, and strategies for changing institutional practices in mental healthcare. Written by thought leaders in the field, Racism and Psychiatry is the only current tool for psychiatrists, psychologists, administrators, educators, medical students, social workers, and all clinicians working to treat patients dealing with issues of racism at the point of mental healthcare.
American Psychosis
| Author | : E. Fuller Torrey |
| Publisher | : Oxford University Press |
| Total Pages | : 219 |
| Release | : 2013-08-22 |
| Genre | : Psychology |
| ISBN | : 0199361126 |
In 1963, President John F. Kennedy delivered an historic speech on mental illness and retardation. He described sweeping new programs to replace "the shabby treatment of the many millions of the mentally disabled in custodial institutions" with treatment in community mental health centers. This movement, later referred to as "deinstitutionalization," continues to impact mental health care. Though he never publicly acknowledged it, the program was a tribute to Kennedy's sister Rosemary, who was born mildly retarded and developed a schizophrenia-like illness. Terrified she'd become pregnant, Joseph Kennedy arranged for his daughter to receive a lobotomy, which was a disaster and left her severely retarded. Fifty years after Kennedy's speech, E. Fuller Torrey's book provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public. Torrey examines the Kennedys' involvement in the policy, the role of major players, the responsibility of the state versus the federal government in caring for the mentally ill, the political maneuverings required to pass the legislation, and how closing institutions resulted not in better care - as was the aim - but in underfunded programs, neglect, and higher rates of community violence. Many now wonder why public mental illness services are so ineffective. At least one-third of the homeless are seriously mentally ill, jails and prisons are grossly overcrowded, largely because the seriously mentally ill constitute 20 percent of prisoners, and public facilities are overrun by untreated individuals. As Torrey argues, it is imperative to understand how we got here in order to move forward towards providing better care for the most vulnerable.
Homelessness Prevention in Treatment of Substance Abuse and Mental Illness
| Author | : Kendon J Conrad |
| Publisher | : Routledge |
| Total Pages | : 252 |
| Release | : 2016-09-16 |
| Genre | : Psychology |
| ISBN | : 1317844548 |
Through Homelessness Prevention in Treatment of Substance Abuse and Mental Illness: Logic Models and Implementation of Eight American Projects, psychiatrist, psychologists, and social workers will discover the results of eight, three-year long development projects funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) designed to prevent homelessness in high- risk populations who have problems with alcoholism, drug abuse, and/or mental illness. Through this informative book, you will examine the theory or logic guiding each program, including an up-to-date review of the literature supporting each theory. You will also find a description of the implementation of the program as well as its history, the practical issues involved in delivering services, the pitfalls, lessons learned, and recommendations for the future so you can use the best ideas to implement in your own community and stop these individuals from reaching the streets. Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides insight into how to deal with many common issues that you are faced with every day, such as matching clients to appropriate services, preventing relapse, case management, training in independent living skills and money management, acquiring and maintaining housing, and benefits and employment for your disadvantaged clients. Compelling and informative, this unique book provides you with many tips and suggestions on how you can help the disadvantaged in our population avoid the added trauma of becoming homeless, such as: examining a new modified therapeutic community (TC) intervention program for mothers recovering from substance abuse who live with their children so you can learn to treat the family as a whole and not just treat the person with a "problem" gaining insight into a new intervention program for families caring for another family member with serious mental illness or substance abuse disorders so you can address such issues as the importance of respite for the family and home visits for relationship building among the entire household discovering a new, independent living model which allows clients with serious mental illnesses to select their own apartments learning about a new program in Philadelphia that offers support services to clients with serious mental illnesses and substance use disorders and provides several levels of housing from emergency shelter to highly supportive permanent housing discovering a community counseling center in Chicago that operates a “bank” that helps mentally ill clients or those with substance use disorders develop skills to independently manage their financial affairs through the use of “vouchers” that can be redeemed for cash for the payment of monthly bills Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides you with new insights into how you can help your clients overcome political, economic, and environmental barriers to treatment that can lead to homelessness. This essential book will help you improve your services to your clients as well as give you step-by-step guide to implement these new programs in your community.
