Abstract
The authors describe a sample of homeless mentally ill patients receiving extended psychiatric care on an intensive placement unit. Summaries of 246 discharges were reviewed to examine demographic and clinical factors associated with extended psychiatric care and postdischarge placement. It was found that homeless patients requiring extended care were often medically ill and substance abusing. Residential placements were accepted by most patients on discharge. It was determined that homeless psychiatric patients benefited from extended care on an inpatient unit designed to alleviate anxieties regarding living arrangements and psychiatric treatment systems historically rejected by this population.
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Cohen, N. L., Putnam, J., & Sullivan, A. M. (1984). The mentally ill homeless: Isolation and adaptation.Hospital and Community Psychiatry, 35, 922–924.
Drake, R. E., & Wallach, M. A. (1988). Mental patients' attitudes toward hospitalization: A neglected aspect of hospital tenure.American Journal of Psychiatry, 145, 29–34.
Drake, R. E., Wallach, M. A., & Hoffman, J. S. (1989). Housing instability and homelessness among aftercare patients of an urban state hospital.Hospital and community Psychiatry, 40, 46–51.
Fischer, P. J., & Breakey, W. R. (1986). Homelessness and mental health: An overview.International Journal of Mental Health, 14, 6–41.
Gelberg, L., & Linn, L. S. (1988). Social and physical health of homeless adults previously treated for mental health problems.Hospital and Community Psychiatry, 39, 510–516.
Koran, L. M., Sox, H. C., Marton, K. I., Moltzen, S., Sox, C. H., Kraemer, H. C., Imai, K., Kelsey, T. G., Rose, T. G., Levin, L. C., & Chandra, S. (1989). Medical evaluation of psychiatric patients: I. Results in a state mental health system.Archives of General Psychiatry, 46, 733–740.
Kroll, J., Carey, K., Hadgedorn, D., Fire Dog, P., & Benavides, E. (1986). A survey of homeless adults in urban emergency shelters.Hospital and Community Psychiatry, 37, 283–286.
Marcos, L. R., Cohen, N. L., Nardacci, D., & Brittain, J. (1990). Psychiatry takes to the streets: The New York City initiative for the homeless mentally ill.American Journal of Psychiatry, 147, 1557–1561.
Mowbray, C. T., Johnson, V. S., & Solarz, A. (1987). Homelessness in a state hospital population.Hospital and Community Psychiatry, 38, 880–882.
Smith, P. P. (1989). Moving forward: A national agenda to address homelessness in 1990 and beyond and a status report of homelessness in America.The Partnership for the Homeless, Inc., New York, N. Y.. 1–43.
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The authors wish to thank Charlotte Seltzer, CSW, for her cooperation on this project.
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Silver, M.A., McKinnon, K. Finding alternatives to the streets for the homeless mentally Ill: Efficacy at a state hospital intensive placement unit. J Psycholinguist Res 23, 67–73 (1994). https://doi.org/10.1007/BF02143176
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DOI: https://doi.org/10.1007/BF02143176