Homelessness pp 101-107 | Cite as

Mental Health Services for Homeless People

  • William R. Breakey
Part of the Topics in Social Psychiatry book series (TSPS)

Abstract

By definition, the homeless are a severely disadvantaged population. One of their disadvantages is a high prevalence of psychiatric disorder.1–4 Studies of the mental health of the homeless conclude that the prevalence of serious mental disorder is considerably higher than in the general population; about one-third of homeless adults have had a psychiatric hospital admission at some time.2,4 The need of this population for mental health services is great, but providing such services is made difficult by their extreme poverty, their lack of insight into their psychiatric problems, their distaste for psychiatric treatment, and the complexity of their service needs. These needs, therefore, are often poorly met.5 This chapter considers how clinical work with homeless people is affected by the special characteristics of the target population and how these characteristics affect the development of effective service systems.

Keywords

Mental Health Service Homeless People Homeless Person Homeless Population Homeless Adult 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bassuk EL, Rubin L, Lauriat AS: Characteristics of homeless sheltered families. Am J Public Health 76:1097–1101, 1986.PubMedCrossRefGoogle Scholar
  2. 2.
    Farr RK, Koegel P, Burnam A: 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
  3. 3.
    Fischer PJ, Breakey WR: Homelessness and mental health: An overview. Int J Mental Health 14(4):6–41, 1986.Google Scholar
  4. 4.
    Fischer PJ, Shapiro S, Breakey WR, et al: Mental health and social characteristics of the homeless: A survey of mission users. Am J Public Health 76:519–524, 1986.PubMedCrossRefGoogle Scholar
  5. 5.
    Lamb HR (ed): The Homeless Mentally Ill. Washington, DC, American Psychiatric Association, 1984.Google Scholar
  6. 6.
    Caton CLM: The homeless experience in adolescent years, in Bassuk EL (ed): The Mental Health Needs of Homeless Persons. San Francisco, Jossey-Bass, 1986, pp 63–70.Google Scholar
  7. 7.
    Caplow T, Bahr HM, Sternberg D: Homelessness, in International Encyclopedia of the Social Sciences. New York, Macmillan, 1968.Google Scholar
  8. 8.
    Fischer PJ, Breakey WR, Shapiro S, et al: Baltimore mission users: Social networks, morbidity and employment. J Psychosocial Rehab 9:51–63, April 1986.Google Scholar
  9. 9.
    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
  10. 10.
    Brickner PW, Sharer LK, Conanon B,et al: Health Care of Homeless People. New York, Springer, 1985.Google Scholar
  11. 11.
    Wright JD, Weber-Burdin E, Knight J,et al: The National Health Care for the Homeless Program: The First Year. Amherst, Social and Demographic Research Institute, University of Massachusetts, 1987.Google Scholar
  12. 12.
    Stark L: A century of alcohol and homelessness: Demographics and stereotypes. Alcohol Health and Research World 11:8–13, Spring 1987.Google Scholar
  13. 13.
    Koegel P, Burnam MA: Traditional and non-traditional homeless alcoholics. Alcohol Health and Research World 11:28–34, Spring 1987.Google Scholar
  14. 14.
    Bachrach LL: Geographic mobility and the homeless mentally ill. Hosp Community Psychiatry 38:27–28, 1987.PubMedGoogle Scholar
  15. 15.
    Farr RK: A mental health treatment program for the homeless mentally ill in the Los Angeles Skid Row area, in Jones BE (ed): Treating the Homeless: Urban Psychiatry’s Challenge. Washington, DC, American Psychiatric Press, 1986.Google Scholar
  16. 16.
    Susser E: Working with people who are mentally ill and homeless: The role of a psychiatrist, in Jahiel R (ed): Homelessness and Its Prevention. Baltimore, Johns Hopkins University Press, in press.Google Scholar
  17. 17.
    Drake RE, Adler DA: Shelter is not enough: Clinical work with the homeless mentally ill, in Lamb HR (ed): The Homeless Mentally Ill. Washington, DC, American Psychiatric Association, 1984.Google Scholar
  18. 18.
    Ball FLJ, Havassy BE: A survey of the problems and needs of homeless consumers of acute psychiatric services. Hosp Community Psychiatry 35:97–99, 1984.Google Scholar
  19. 19.
    Mulkern V, Bradley VJ, Spence R,et al: Homelessness Needs Assessment Study: Findings and Recommendations for the Massachusetts Department of Mental Health. Boston, Human Services Research Institute, 1985.Google Scholar
  20. 20.
    Talbott JA, Lamb HR: Summary and recommendations, in Lamb HR (ed): The Homeless Mentally III. Washington, DC, American Psychiatric Association, 1984, pp 1–10.Google Scholar
  21. 21.
    Baxter E, Hopper K: The new mendicancy: Homeless in New York City. Am J Orthopsychiatry 53:393–488, 1982.Google Scholar
  22. 22.
    Goldfinger SM, Chafetz L: Developing a better service delivery system for the homeless mentally ill, in Lamb HR (ed): The Homeless Mentally III, Washington, DC, American Psychiatric Association, 1984, pp 91–108.Google Scholar
  23. 23.
    Leach J, Wing J: Helping Destitute Men. London, Tavistock, 1980.Google Scholar
  24. 24.
    Axelroad S, Toff GE: Outreach Services for Homeless Mentally Ill People. Washington, DC, Clearing House on Homelessness among Mentally Ill People, 1987.Google Scholar
  25. 25.
    Baxter E, Hopper K: Shelter and housing for the homeless mentally ill, in Lamb HR (ed): The Homeless Mentally Ill, Washington, DC, American Psychiatric Association, 1984, pp 109–140.Google Scholar
  26. 26.
    Schwartz SR, Goldman HH, Churgin S: Case management for the chronic mentally ill: Models and dimensions. Hosp Community Psychiatry 33:1006–1009, 1982.PubMedGoogle Scholar
  27. 27.
    Intagliata J: Improving the quality of care for the chronically mentally disabled: The role of case management. Schizophr Bull 8(4):655–674, 1982.PubMedCrossRefGoogle Scholar
  28. 28.
    Ridgeway P, Spaniol L, Zipple T: Case Management Services for Persons Who Are Homeless and Mentally III: Report from an NIMH Workshop. Boston, Center for Psychiatric Rehabilitation, Sargent College of Allied Health Professions, Boston University, 1986.Google Scholar
  29. 29.
    Korenbaum S, Burney G: Program planning for alcohol-free living centers. Alcohol Health and Research World 11:68–73, Spring 1987.Google Scholar

Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • William R. Breakey
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesJohns Hopkins University School of MedicineBaltimoreUSA

Personalised recommendations