Abstract
This process evaluation study examined what variables moderate and mediate treatment effects on days in stable housing and client satisfaction for homeless mentally ill clients. In general, demographic characteristics did not moderate either outcome variable. Housing contacts, entitlement contacts, mental health contacts, and supportive services were significant mediators of the treatment effect on days in stable housing. Program contacts, mental health contacts, and supportive services were significant mediators of client satisfaction.
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Baron, R., & Kenny, D. A. (1986). The moderator-mediator distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology, 51, 1173–1182.
Berger, M. (1983). Toward maximizing the utility of consumer satisfaction as an outcome. In M. J. Lambert, E. R. Christensen, & S. S. DeJulio (Eds.),The assessment of psychotherapy outcome (pp. 56–80). New York: Wiley.
Brekker, J. (1988). What do we really know about Community Support Programs?Hospital and Community Psychiatry, 39, 946–952.
Calsyn, R. J., & Morse, G. A. (1990). Homeless men and women: Commonalities and a service gender gap.American Journal of Community Psychology, 18, 597–608.
Calsyn, R. J., & Morse, G. A. (1991). Predicting chronic hopelessness.Urban Affairs Quarterly, 27, 155–164.
Calsyn, R. J., & Roades, L. (1994). Predictors of past and current homelessness.Journal of Community Psychology, 22, 272–278.
Ciarlo, J., Brown, T., Edwards, D., Kiresuk, T., & Newman, F. (1986).Assessing mental health treatment outcome measurement techniques (DHHS Publication No. ADM 86-1301). Washington, DC: U.S. Government Printing Office.
Corrigan, P. W. (1990). Consumer satisfaction with institutional and community care.Community Mental Health Journal, 26, 151–165.
Davis, L. E., & Proctor, E. K. (1989).Race, gender, & class: Guidelines for practice with individuals, families, and groups. Englewood Cliffs, NJ: Prentice-Hall.
Derogatis, L., & Spencer, P. (1984).Administration and procedures: BSI Manual I. Available from NCS Assessments, P.O. Box 1416, Minneapolis, MN).
Fischer, P., & Breakey, W. (1991). The epidemiology of alcohol, drug, and mental disorders among homoless persons.American Psychologist, 446, 1115–1128.
Judd, C. M., & Kenny, D. A. (1981). Process analysis: Estimating mediation in treatment evaluations.Evaluation Review, 5, 602–619.
Larsen, D., Attkisson, C. C., Hargreaves, L., & Nguyen, T. (1979). Assessment of client/patient satisfaction: Development of a general scale.Evaluation and Program Planning, 2, 197–207.
Lebow, J. L. (1982). Consumer satisfaction with mental helath treatment.Psychological Bulletin, 91, 244–259.
Lebow, J. L. (1983). Client satisfaction with mental health treatment.Evaluation Review, 7, 729–752.
Morse, G. A. (1987).Community Advocacy and Support Alliance (CASA) Project: Program description. Unpublished manuscript.
Morse, G. A., & Calsyn, R. J. (1986). Mentally ill homeless people in St. Louis: Needy, willing, but underserved.International Journal of Mental Health, 14(4), 74–94.
Morse, G. A., Calsyn, R. J., & Burger, G. K. (1992). Development and cross-validation of a system for classifying homeless people.Journal of Community Psychology, 20, 228–242.
Morse, G., Calsyn, R., Allen, G., Tempelhoff, B., & Smith, R. (1992). Experimental comparison of the effects of three treatment programs for homeless mentally ill people.Hospital and Community Psychiatry, 43, 1005–1010.
Morse, G., Shields, N., Hanneke, C., Calsyn, R., Burger, R., & Nelson, B. (1986). St. Louis' homeless: Mental health needs, services, and policy implications.Psychosocial Rehabilitation Journal, 9, 39–50.
Patton, M. Q. (1978).Utilization- focused evaluation. Newbury Park, CA: Sage.
Piliavan, I., Sosin, M. & Westerfelt, H. (1989). Conditions contributing to long-term homelessness, Madison, WI: University of Wisconsin.
Robertson, M. (1986). Mental disorder among homeless persons in the United States: An overview of recent empirical literature.Administration in Mental Health, 4, 14–27.
Rog, D., (1988, June).Engaging homeless people with mental illness into treatment. Alexandria, VA: National Mental Health Association.
Rosenfeld, S. (1991). Homeless and rehospitalization: The importance of housing for the chronic mentally ill.Journal of Community Psychology, 19, 60–69.
Rossi, P. H. (1989).Down and out in America: The origins of hopelessness. Chicago: University of Chicago Press.
Sabourin, S., Laferriera, N., Sicuro, F., Coalker, J., Cournoyer, L., & Gendreau, P. (1989). Social desirability, psychological distress, and consumer satisfaction with mental health treatment.Journal of Counseling Psychology, 36, 352–356.
Shinn, M. (1992). Homelessness: What is a psychologist to do?American Journal of Community Psychology, 20, 1–24.
Sosin, M., Colson, P., & Grogsman, S. (1988). Homelessness in Chicago: Poverty and pathology, social institutions and social change. Chicago: University of Chicago, School of Social Service Administration.
Sosin, M. R., & Grossman, S. (1991). The mental health system and the etiology of homelessness: A comparison study.Journal of Community Psychology, 19, 337–350.
Spitzer, R., Williams, J., & Gibbon, M. (1988).Structured clinical interview for DSM-III-R. New York: New York State Psychiatric Institute, Biometrics Research Department.
Stein, L. J., & Test, M. A. (Eds.), (1985).The training in community living model: A decade of experience, new directions for mental health services (No. 26). San Francisco: Jossey-Bass.
Tanzman, B. (1993). An overview of surveys of mental health consumers' preferences for housing and support services.Hospital and Community Psychiatry, 44, 450–455.
Tessler, R. C., & Dennis, D. L. (1989, August). A synthesis of NIMH-funded research concerning persons who are homeless and mentally ill (draft report). Rockville, MD: National Institute of Mental Health.
Torrey, E. F. (1986). Continuous treatment teams in the care of the chronic mentally ill.Hospital and Community Psychiatry, 37, 1243–1247.
Wright, J. D. (1989).Address unknown: The homeless in America. New York: Aldine de Gruyter.
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The authors thank the National Institute of Mental Health for their financial support (MH43248, MH42357) for this project, Dorothy Gano for word processing and editorial assistance, and Gitry Heydebrand, Melissa Dannelet, Betty Tempelhoff, Ruth Smith, and Laeeq Ahmad for assisting in the interviews of clients. We are also appreciative of the cooperation given to us by the staffs of Malcolm Bliss Mental Health Center, St. Patrick's Center, the Community Advocacy and Support Alliance Program, and the St. Louisemergency shelters. Finally, we thank all of the participants in this study; we hope that their homelessness has now ended. (The conclusions presented in this paper are the sole responsibility of the authors and do not necessarily reflect official National Institute for Mental Health policy.)
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Morse, G.A., Calsyn, R.J., Allen, G. et al. Helping homeless mentally Ill people: What variables mediate and moderate program effects?. Am J Commun Psychol 22, 661–683 (1994). https://doi.org/10.1007/BF02506898
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DOI: https://doi.org/10.1007/BF02506898