Abstract
This article presents an in-depth analysis of the changes observed in 25 homeless women with drug and alcohol abuse problems participating in a case management program. Participation in the program ranged from 6 to 44 months. Thirty-two percent of all participants' situations were considered to have improved, while 20% remained stable. Less improvement was noted in the situations of women followed for 3 years or more (14.3% improved, 28.6% stable). Domains showing the most improvement were housing, financial situation, and substance abuse. Deterioration was primarily attributable to physical and mental health problems. These findings could indicate that although a case management program can initially contribute to improving the living conditions of its clients, acquisitions are difficult to maintain over an extended period. Health and substance abuse play a crucial role in the deterioration process.
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References
Bachrach, L. L. (1984a). The homeless mentally ill and mental health services: An analytical review of the literature. In H. Lamb (Eds.),The homeless mentally ill (pp. 11–54). Washington, D.C.: American Psychiatric Association.
Bachrach, L. L. (1984b). Interpreting research on the homeless mentally ill. Some caveats.Hospital and Community Psychiatiy, 35(9), 914–916.
Bachrach, L. L. (1984c). Research on services for the homeless mentally ill.Hospital and Community Psychiatry, 35(9), 910–913.
Bissel, L., & Sweeney, G. (1981). Alcoholism outreach in single room occupancies.American Journal of Drug and Alcohol Abuse, 8(2), 215–224.
Blumberg, L. U., Shipley, T. E. J., & Shandler, I. W. (1973).Skid row and its alternatives. Research and recommendations from Philadelphia.Philadelphia. PA: Temple University Press.
Bonham, G. S., Hague, D. E., Abel, M. H., Cummings, P., & Deutsch, R. S. (1990). Louisville's Project Connect for the homeless alcohol and drug abuser.Alcoholism Treatment Quarterly, 7(1), 57–75.
Centre d'accueil Préfontaine (1986).Proposition de programmation des services aux femmes itinérantes alcooliques et toxicomanes. Montréal, Centre d'accueil Préfontaine.
Fagan, R. W., & Mauss, A. L. (1986). Social margin and social reentry: An evaluation of a rehabilitation program for skid row alcoholics.Journal of Studies on Alcohol, 47(5), 413–425.
Finn, P. (1985). Decriminalization of public drunkenness: Response of the health care system.Journal of Studies on Alcohol, 46, 7–16.
Fischer, G., Landis, S., & Clark, K. (1988). Case management service provision and client change.Community Mental Health Journal, 24(2), 134–142.
Goldman, H. H., Morissey, J. P., & Ridgely, S. (1990). The Robert Wood Johnson Foundation on chronic mental illness: Preliminary observations from the site level evaluation.Hospital and Community Psychiatry, 41, 1222–1230.
Graham, K., Zeidman, A., Flower, M. C. Saunders, S. J., & White-Campbell, M. (1989).Case Study Analyses of Elderly Persons Who Have Alcohol Problems. Final Report to NHRDP, Project No. 6606-3414-43DA, Addiction Research Foundation, London, Ontario.
Lamb, H. R. (1984a). Deinstitutionalization and the homeless mentally ill. In H. R. Lamb (Eds.),The homeless mentally ill (pp. 55–74). Washington, D.C.: American Psychiatric Association.
Lamb, H. R. (1984b). Deinstitutionalization and the homeless mentally ill.Hospital and Community Psychiatry, 35(9), 899–907.
Levine, I. S., & Huebner, R. B. (1991). Homeless persons with alcohol, drug, and mental disorders.Journal of the American Psychologist Association, 46(11), 1113–1114.
Lubran, B. (1990). Alcohol and drug abuse among the homeless population: A national response.Alcoholism Treatment Quarterly, 7(1), 11–20.
McCarty, D. (1990). Nine demonstration grants: Nine approaches.Alcoholism Treatment Quarterly, 7(1), 1–8.
Mercier, C. (November, 1991). A Process Study of Case Management with Homeless Women. Paper presented at the Meeting of the American Evaluation Association, Chicago, IL.
Mercier, C., Péladeau, N., & Fournier, L. (1992). Program evaluation of services to the homeless: Challenges and strategies.Evaluation and Program Planning, 15(4), 417–426.
National Institute of Mental Health (1987).Synopses of CSP demonstration projects for homeless adults. Rockville, MD: NIMH.
National Institute of Mental Health (1988).Synopses of NIMH-funded mental health services demonstration projects for the homeless mentally ill. Rockville, MD: NIMH.
National Institute of Mental Health (1991).Two generations of NIMH-funded research on homelessness and mental illness: 1982–1990. Rockville, MD: NIMH.
National Institute on Alcohol Abuse and Alcoholism (1987). Homelessness.Alcohol Health & Research World, 11(3).
National Institute on Alcohol Abuse and Alcoholism (1988).Synopses of community demonstration projects for alcohol and drug abuse treatment of homeless individuals. Washington, D.C.: U.S. Department of Health and Human Services.
Ogborne, A. C., & Wilmot, R. (1979). Evaluation of an experimental counseling service for male skid row alcoholics.Journal of Studies on Alcohol, 40(1), 129–133.
Rodin, M. B., Pickup, L., Morton, D. R., & Keatinge, C. (1986). Gimme shelter: Perspectives on chronic inebriates in detoxification centers. In D. L. Strug, S. Priyadarsini, & M. M. Hyman (Eds.),Alcohol interventions. Historical and socio-cultural approaches (pp. 81–96). New York: Haworth Press.
Turner, S. (1979). Community residential treatment for skid row alcoholics.Health and Social Work, 4(4), 163–180.
Willenbring, M. L., Whelan, J. A., Dahlquist, J. S., & O'Neal, M. E. (1990). Community treatment of the chronic public inebriate I: Implementation.Alcoholism Treatment Quarterly, 7(1), 79–94.
Wright, J. D. (1987). The national health care for the homeless program. In R. D. Bingham, R. E. Green, & S. B. White,The homeless in contemporary society (pp. 150–169). Sage Publications.
Wright, J. D., & Weber, E. (1988). Determinants of benefit-program participation among the urban homeless: Results from a 16-city study.Evaluation Review, 12(4), 376–395.
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Mercier, C., Racine, G. A follow-up study of homeless women. J Soc Distress Homeless 2, 207–222 (1993). https://doi.org/10.1007/BF01066149
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DOI: https://doi.org/10.1007/BF01066149