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Problems in the Assessment of Mental Illness among the Homeless

An Empirical Approach
  • Paul Koegel
  • M. Audrey Burnam
Part of the Topics in Social Psychiatry book series (TSPS)

Abstract

Throughout most of the twentieth century, one image was sufficient to depict with reasonable accuracy the population of individuals with no fixed, stable abode at any given point in time. First there was the hobo, an itinerant worker who rode the rails while following the dictates of a lifestyle coherent and established enough to earn its own name—hobohemia—and to have its own newspaper—the Hobo News.1–3 Next came the victims of the Great Depression—residents of squatter towns dubbed Hoovervilles, and migrants, both single men and families, who traveled in the hope that elsewhere they might find the means to earn a living.4 Following the era of prosperity ushered in by World War II came the skid row alcoholic, an older white male whose ties to family and to the institutions of mainstream society had been overwhelmingly strained, if not completely severed.5–8

Keywords

Mental Illness Major Depressive Episode Antisocial Personality Disorder Homeless People Homeless Person 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Anderson N: The Hobo. Chicago, University of Chicago Press, 1923.Google Scholar
  2. 2.
    Edge W: The Main Stem. New York, Vanguard, 1927.Google Scholar
  3. 3.
    London J: The Road. Santa Barbara, Peregrine, 1907.Google Scholar
  4. 4.
    Hopper, K, Hamberg J: The Making of America’s Homeless: From Skid Row Poor to New Poor. New York, Community Service Society, 1984.Google Scholar
  5. 5.
    Bahr HM, Caplow T: Old Men Drunk and Sober. New York, New York University Press, 1974.Google Scholar
  6. 6.
    Blumberg LV, Hoffman FH, LoCicero V, et al: The Men on Skid Row. Philadelphia, Temple University Department of Psychiatry, 1960.Google Scholar
  7. 7.
    Bogue D: Skid Row in American Cities. Chicago, University of Chicago Press, 1963.Google Scholar
  8. 8.
    Wallace SE: Skid Row as a Way of Life. Totowa, NJ, Bedminster, 1965.Google Scholar
  9. 9.
    Bassuk EL: Is homelessness a mental health problem? Sci Am 251:40–45, 1984.PubMedCrossRefGoogle Scholar
  10. 10.
    Crystal S, Goldstein M. Correlates of Shelter Utilization: One-Day Study. New York, Human Resources Administration, 1984.Google Scholar
  11. 11.
    Roth D, Bean J, Lust N, et al: Homelessness in Ohio: A Study of People in Need. Columbus, Ohio Department of Mental Health, 1985.Google Scholar
  12. 12.
    Bassuk EL, Rubin L, Lauriat A: The characteristics of sheltered homeless families. Am J Public Health 76:1097–1101, 1986.PubMedCrossRefGoogle Scholar
  13. 13.
    McChesney KY: Families: The new homeless. Family Professional 1:13–14, 1986.Google Scholar
  14. 14.
    Merves ES: Conversations with Homeless Women: A Sociological Examination. Unpublished doctoral dissertation, Ohio State University, 1986.Google Scholar
  15. 15.
    Stoner MR: The plight of homeless women. Social Service Review 57:565–581, 1983.CrossRefGoogle Scholar
  16. 16.
    Strasser, JA: Urban transient women. Am J Nurs 78:2076–2079, 1978.PubMedGoogle Scholar
  17. 17.
    Lamb HR: What did we really expect from deinstitutionalization? Hosp Community Psychiatry 32:105–109, 1981.PubMedGoogle Scholar
  18. 18.
    Pepper B, Ryglewicz H: Testimony for the neglected: The mentally ill in the post-deinstitutionalized age. Am J Orthopsychiatry 52:388–392, 1982.PubMedCrossRefGoogle Scholar
  19. 19.
    Reich R, Siegel L: Psychiatry under siege: The chronic mentally ill shuffle to oblivion. Psychiatr Ann 3:37–55, 1970.Google Scholar
  20. 20.
    Crystal S: Chronic and Situational Dependency: Long-Term Residents in a Shelter for Men. New York, Human Resources Administration, 1982.Google Scholar
  21. 21.
    Robertson MJ, Ropers RH, Boyer MA: The Homeless of Los Angeles County: Am Empirical Evaluation. Los Angeles, UCLA School of Public Health, 1985.Google Scholar
  22. 22.
    Rosnow MV, Shaw W, Concord CS: Listening to the Homeless. Milwaukee, Human Services Triangle, 1985.Google Scholar
  23. 23.
    Snow DA, Baker SG, Anderson, L, et al: The myth of pervasive mental illness among the homeless. Social Problems 33:301–317, 1986.CrossRefGoogle Scholar
  24. 24.
    Morse G, Shields NM, Hanneke CR, et al: Homeless People in St. Louis: A Mental Health Program Evaluation, Field Study and Follow-Up Investigation. Jefferson City, Missouri Department of Mental Health, 1985.Google Scholar
  25. 25.
    Rossi PH, Fisher GA, Willis G: The Condition of the Homeless of Chicago. Amherst, MA, Social and Demographic Research Institute, 1986.Google Scholar
  26. 26.
    Brown C, MacFarlane S, Paredes R, et al: The Homeless of Phoenix: Who Are They? And What Should Be Done? Phoenix, Phoenix South Community Mental Health Center, 1983.Google Scholar
  27. 27.
    Arce AA, Tadlock M, Vergare MJ, et al: A psychiatric profile of street people admitted to an emergency shelter. Hosp Community Psychiatry 34:812–817, 1983.PubMedGoogle Scholar
  28. 28.
    Barrow S, Lovell AM: Evaluation of programs for the mentally ill homeless: Progress report, in Struening EL (ed): A Report on Studies of CSS Programs and Issues. New York, Community Support System Program, New York State Psychiatric Institute, 1984, pp CSS-l–CSS-62.Google Scholar
  29. 29.
    Farr RK, Koegel P, Burnam MA: A Study of Homelessness and Mental Illness in the Skid Row Area of Los Angeles. Los Angeles, Los Angeles County Department of Mental Health, 1986.Google Scholar
  30. 30.
    Fischer P, Shapiro S, Breakey WR, et al: Mental health and social characteristics of the homeless: A survey of Baltimore shelter users. Am J Public Health 76:519–524, 1986.PubMedCrossRefGoogle Scholar
  31. 31.
    Burnam MA, Koegel P: Methodology for obtaining a representative sample of homeless persons: The Los Angeles Skid Row study. Evaluation Review 12:117–152, 1988.CrossRefGoogle Scholar
  32. 32.
    Cohen SI, Rose RN: Handbook of Clinical Psychobiology and Pathology, vol 2. Washington, Hemisphere, 1983.Google Scholar
  33. 33.
    Kaufmann CA: Implications of biological psychiatry for the severely mentally ill: A highly vulnerable population, in Lamb HR (ed): The Homeless Mentally III. Washington, DC, American Psychiatric Association, 1984.Google Scholar
  34. 34.
    Coleman JC, Butcher JN, Carson RC: Abnormal Psychology and Modern Life, ed 7. Glenview, IL, Scott, Foresman, 1984.Google Scholar
  35. 35.
    Corradi RB: Delirium and dementia, in Sudak HS (ed): Clinical Psychiatry. St. Louis, Warren H Green, 1985.Google Scholar
  36. 36.
    Cannon WB: Voodoo death, in Lessa W, Vogt E (eds): Reader in Comparative Religion: An Anthropological Approach. New York, Harper & Row, 1958, pp 433-439.Google Scholar
  37. 37.
    Lester D: Voodoo death—Some new thoughts on an old phenomenon. American Anthropologist 74:386, 1972.CrossRefGoogle Scholar
  38. 38.
    Baxter E, Hopper K: Private Lives / Public Spaces: Homeless Adults on the Streets of New York City. New York, Community Service Society, 1981.Google Scholar
  39. 39.
    Baxter E, Hopper K: The new mendicancy: Homeless in New York City. Am J Orthopsychiatry 53:393–408, 1982.Google Scholar
  40. 40.
    Lovell AM, Barrow S, Struening EL: Measurement issues in services research on the homeless mentally ill, in Proceedings of the 8th Annual MSIS National Users Conference, Orangeburg, NY, Nathan S Kline Institute for Psychiatric Research, 1984 (mimeograph).Google Scholar
  41. 41.
    Robertson MJ: The prevalence of mental disorder among the homeless: A review of the empirical literature, in Jahiel R (ed): Homelessness: A Prevention-Oriented Approach. Baltimore, Johns Hopkins Press, in press.Google Scholar
  42. 42.
    Baxter E, Hopper K: Shelter and housing for the homeless mentally ill, in Lamb HR (ed): The Homeless Mentally III. Washington, DC, American Psychiatric Association, 1984, pp 109–139.Google Scholar
  43. 43.
    Rousseau AM: Shopping Bag Ladies: Homeless Women Speak About Their Lives. New York, Pilgrim Press, 1981.Google Scholar
  44. 44.
    Martin MA: Strategies of Adaptation: Coping Patterns of the Urban Transient Female. Unpublished doctoral dissertation, Columbia University, 1982.Google Scholar
  45. 45.
    Schiller NG: The Label of Functional Disability: A Reproduction of Ideology in a Program to Serve the Homeless. Presented at the joint meeting of the Canadian Ethnology Society, Canadian Association for Medical Anthropology, Society for Applied Anthropology in Canada, and American Ethnological Society, May 9, 1985, Toronto.Google Scholar
  46. 46.
    Robins LN, Heizer JE, Croughan J, et al: The National Institute of Mental Health Diagnostic Interview Schedule. Arch Gen Psychiatry 38:381–389, 1981.PubMedCrossRefGoogle Scholar
  47. 47.
    Endicott J, Spitzer RL: A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia. Arch Gen Psychiatry 35:837–844, 1978.PubMedCrossRefGoogle Scholar
  48. 48.
    Radloff LS: The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurements 1:174–181, 1977.Google Scholar
  49. 49.
    Dohrenwend BP, Shrout PE, Egri G, et al: Nonspecific psychological distress and other dimensions of psychopathology: Measures for use in the general population. Arch Gen Psychiatry 37:1229–1236, 1980.PubMedCrossRefGoogle Scholar
  50. 50.
    Vernon SW, Roberts RE: Measuring nonspecific psychological distress and other dimensions of psychopathology. Arch Gen Psychiatry 38:1239–1247, 1981.PubMedCrossRefGoogle Scholar
  51. 51.
    Hough R, Karno M, Burnam MA, et al: The Los Angeles Epidemiologic Catchment Area research program and the epidemiology of psychiatric disorders among Mexican-Americans. Journal of Operational Psychiatry 14:42–51, 1983.Google Scholar
  52. 52.
    Koegel P, Burnam MA, Farr RK: Subsistence adaption among homeless adults in the inner-city of Los Angeles. Journal of Social Issues, 46:83–107, 1990.CrossRefGoogle Scholar
  53. 53.
    Koegel P, Burnam MA, Farr RK: The prevalence of specific psychiatric disorders among homeless individuals in the inner-city of Los Angeles. Arch Gen Psychiatry, 45:1085–1092, 1988.PubMedCrossRefGoogle Scholar
  54. 54.
    Koegel, P, Farr RK, Burnam MA: Heterogeneity in an inner-city homeless population: A comparison between individuals surveyed in traditional skid row locations and in voucher hotel rooms. Psychosocial Rehabilitation Journal 10:31–45, 1986.Google Scholar
  55. 55.
    Koegel P, Burnam MA: Traditional and non-traditional homeless alcoholics: Findings from Los Angeles Skid Row. Alcohol Health and Research World, 11:28–34, 1987.Google Scholar
  56. 56.
    Koegel P, Burnam MA: Alcoholism among homeless adults in the inner-city of Los Angeles. Arch Gen Psychiatry, 45:1011–1018, 1988.PubMedCrossRefGoogle Scholar
  57. 57.
    Clayman-Cook F: An Epidemic-logical Study of the Prevalence of Personality Disorders in the Homeless. Doctoral dissertation proposal, California School of Professional Psychology, Los Angeles, 1986.Google Scholar
  58. 58.
    Goldman HH, Gattozzi AA, Taube CA: Defining and counting the chronically mentally ill. Hosp Community Psychiatry 32:21–27, 1981.PubMedGoogle Scholar
  59. 59.
    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 3. Washington, DC, American Psychiatric Association, 1980.Google Scholar

Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • Paul Koegel
    • 1
  • M. Audrey Burnam
    • 1
  1. 1.Social Policy DepartmentThe RAND CorporationSanta MonicaUSA

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