Treating The Homeless Mentally Ill
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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.
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.
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.
Author | : Carol L. M. Caton |
Publisher | : Oxford University Press |
Total Pages | : 177 |
Release | : 2017 |
Genre | : Political Science |
ISBN | : 0190463384 |
The Open Door provides a comprehensive, carefully documented "state of the science" on homelessness and mental illness. The book reviews the effectiveness of service and housing interventions targeted at this constituency, and discusses efforts to bring evidence-based programs to scale.
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.
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.
Author | : Elspeth Cameron Ritchie |
Publisher | : Springer Nature |
Total Pages | : 353 |
Release | : 2021-05-26 |
Genre | : Medical |
ISBN | : 3030701352 |
This volume highlights the socioeconomic concerns related to medical care for homeless patients and places them at the interface of common psychiatric and medical problems clinicians encounter. Written by experts in psychiatry and other medical specialties, this volume is a concise, yet comprehensive overview of the homeless crisis, its costs, and ultimately, best practices for improved outcomes. The text begins by examining the scope and epidemiology of the problem and discusses its costs. It then examines the best practices for both physical and psychiatric care before concluding with a section on working with special populations that have unique concerns across the country including LGBTQ, women, children, veterans, and aging adults. As the first medical book on homelessness, it is designed to cover a broad range of concerns in a concise, practical fashion for all clinicians working with homeless patients. Clinical Management of the Homeless Patient is written by and for psychiatrists, general internists, geriatricians, pediatricians, addiction medicine physicians, VA physicians, and all others who may encounter this crisis in their work.
Author | : Umar Bacha |
Publisher | : BoD – Books on Demand |
Total Pages | : 175 |
Release | : 2020-05-27 |
Genre | : Medical |
ISBN | : 1838801316 |
Healthcare Access - Regional Overviews is a compilation of ten chapters consisting of case studies, research works, reviews, and expert opinions providing insight on the previous and current developments in the field of hygiene and infection control with practices to prevent or minimize the spread of infectious diseases. The book also addresses the status and healthcare access of the most neglected segments in less developed countries. All chapters are written by global researchers are edited by experts in the field. The information presented in this work can be replicated at different levels to accelerate timely and quality healthcare services.
Author | : Manal Guirguis-Younger |
Publisher | : University of Ottawa Press |
Total Pages | : 331 |
Release | : 2014-04-24 |
Genre | : Medical |
ISBN | : 0776621483 |
"Brings together leading and emerging researchers to advance understanding of the complex relationships between homelessness and health. Covering a wide range of topics from youth homelessness to end-of-life care, contributors outline policy and practice recommendations to respond to this public health crisis."--Back cover.
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.