Some clinical approaches to the homeless mentally ill
Cite this article as: Susser, E., Goldfinger, S.M. & White, A. Community Ment Health J (1990) 26: 463. doi:10.1007/BF00761072 Abstract
Clinicians who work with homeless people are likely to encounter a very broad spectrum of mental disorders and residential patterns. As with any other patient population, the particulars of clinical interventions must be guided by the specific constellations of biological, psychological, and social needs. However, for individuals who not only suffer from serious psychiatric disorders, but are also homeless, effective approaches may require significant modifications of traditional techniques and changes in the prioritization, timing, and framing of specific interventions. In this article we will focus on people who are severely and persistently mentally ill and who have been sleeping for months or years in shelters or in public spaces such as parks, streets, and bus terminals.
Anthony WA, Liberman RP. The Practice of Psychiatric Rehabilitation: Historical, Conceptual, and Research Base. Schizophrenia Bulletin, 12:542, 1986.
Chafetz, L, Goldfinger SM. Residential instability in a psychiatric emergency setting. Psychiatric Quarterly, 56: 20–34, 1984.
Frances A, Goldfinger SM. “Treating” a homeless mentally ill patient who cannot be managed in a shelter system, Hospital and Community Psychiatry, 37: 577–579, 1986.
Goldfinger SM, Chafetz L. Designing a better service system for the homeless mentally ill, in Lamb HR (Ed.). The Homeless Mentally Ill: A Task Force Report of the American Psychiatric Association, Washington, DC, 1984.
Goldman CR, Quinn FL. Effects of a patient education program in the treatment of Schizophrenia. Hospital and Community Psychiatry, 39: 282–286, 1988.
Gounis K, Conover S, Susser E, Drucker E. First timers at the Franklin Men's Shelter: A program to prevent shelterization of newly homeless men. Report to New York City Department of Health, 1987.
Gounis K, Susser E. Shelterization and its implications for mental health services. In Cohen N (ed.) Psychiatry takes to the streets. New York: Guilford Press (1990).
Harris M and Bachrach LL. Clinical Case Management. New Directions for Mental Health Services. No. 40, San Francisco: Jossey-Bass, 1988.
Hopper K, Susser E, Conover S. Economies of makeshift: deindustrialization and homelessness in New York City. Urban Anthropology, 14: 183–236, 1985.
Kanter JS. Clinical Issues in Treating the Chronically Mentally Ill. New directions for Mental Health Services, No. 27 San Francisco: Jossey-Bass, 1985.
Lamb HR. Therapist-Case Managers: More than brokers of services. Hospital and Community Psychiatry, 1980, 762–764.
Lamb HR (Ed.) The Homeless Mentally Ill: A Task Force Report of the American Psychiatric Association. American Psychiatric Association, Washington, D.C., 1984.
Segal S and Baumohl J. The Community Living Room. Social Casework, 111–116, Feb. 1985.
Susser E. The med-psych consumers group. Unpublished report to Columbia University Community Services, New York, 1988.
Susser E. Working with people who are homeless and mentally ill: the role of a psychiatrist. In Jahiel R (Ed.) Homelessness: A Preventative Approach. John Hopkins Press, (in press).
Susser E, Lovell A, Conover S. Unraveling the causes of homelessness, and of its association with mental illness. In Copper B and Helgasson T (Eds.) Epidemiology and the Prevention of Mental Disorders. London: Routledge, (1989).
Susser E, Struening E, Conover S. Psychiatric Problems in Homeless Men. Archives of General Psychiatry, 46: 845–850, 1989.
White A: Triple-trouble-Homelessness, Substance Abuse and Mental Illness. Community Psychiatrist, 3: 7–8, 1988.
Google Scholar Copyright information
© Human Sciences Press 1990