Community Mental Health Journal

, Volume 26, Issue 5, pp 463–480 | Cite as

Some clinical approaches to the homeless mentally ill

  • Ezra Susser
  • Stephen M. Goldfinger
  • Andrea White


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.


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Copyright information

© Human Sciences Press 1990

Authors and Affiliations

  • Ezra Susser
    • 1
    • 2
  • Stephen M. Goldfinger
    • 3
    • 4
  • Andrea White
    • 5
  1. 1.Statistical Sciences and Epidemiology DivisionNathan Kline Institute for Psychiatric ResearchOrangeburgUSA
  2. 2.Department of PsychiatryNew York University School of MedicineNew YorkUSA
  3. 3.Mass. Mental Health CenterMassachusetUSA
  4. 4.Department of PsychiatryHarvard Medical SchoolUSA
  5. 5.Columbia University Community ServicesColumbiaUSA

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