Medical Comorbidity and Receipt of Medical Care by Older Homeless People With Schizophrenia or Depression

作者: David P. Folsom , Margaret McCahill , Stephen J. Bartels , Laurie A. Lindamer , Theodore G. Ganiats

DOI: 10.1176/APPI.PS.53.11.1456

关键词:

摘要: Objective: Few studies have examined medical comorbidity among middle-aged and older homeless people with schizophrenia. This study compared the number of physical health problems receipt care services schizophrenia those major depression. Methods: The was conducted at St. Vincent de Paul Village, a shelter in San Diego, California, an on-site free psychiatric clinic. Data from clinic log for one-year period were used to identify 47 users than age 45 age- gender-matched comparison group A physician reviewed patients’ charts obtain data between groups visits problems, various components examination preventive screening studies, chronic disorders. Results: patients had fewer documented They also less likely receive detailed examination, cholesterol level screening, colon cancer. rates several including diabetes, arthritis, hypertension, lower residents Conclusions: Middle-aged received primary treated (Psychiatric Services 53:1456–1460, 2002)

参考文章(27)
Lawrie Sm, Patrick J, Parsons C, Sussmann J, Masson S, Cumming D, Lewin J, Pickup S, A controlled trial of general practitioners' attitudes to patients with schizophrenia. Health bulletin. ,vol. 54, pp. 201- ,(1996)
Ming T. Tsuang, Kenneth Perkins, John C. Simpson, Physical diseases in schizophrenia and affective disorder. The Journal of Clinical Psychiatry. ,vol. 44, pp. 42- 46 ,(1983)
P. B. Mortensen, K. Juel, Mortality and causes of death in schizophrenic patients in Denmark Acta Psychiatrica Scandinavica. ,vol. 81, pp. 372- 377 ,(1990) , 10.1111/J.1600-0447.1990.TB05466.X
N. C. Babidge, N. Buhrich, T. Butler, Mortality among homeless people with schizophrenia in Sydney, Australia: a 10-year follow-up. Acta Psychiatrica Scandinavica. ,vol. 103, pp. 105- 110 ,(2001) , 10.1034/J.1600-0447.2001.00192.X
Monika Gierz, Dilip V. Jeste, Physical Comorbidity in Elderly Veterans Affairs Patients With Schizophrenia and Depression American Journal of Geriatric Psychiatry. ,vol. 1, pp. 165- 170 ,(1993) , 10.1097/00019442-199300120-00010
Dilip V. Jeste, Jürgen Unützer, Improving the delivery of care to the seriously mentally ill. Medical Care. ,vol. 39, pp. 907- 909 ,(2001) , 10.1097/00005650-200109000-00001
William R Breakey, Pamela J Fischer, Morton Kramer, Gerald Nestadt, Alan J Romanoski, Alan Ross, Richard M Royall, Oscar C Stine, Health and Mental Health Problems of Homeless Men and Women in Baltimore JAMA: The Journal of the American Medical Association. ,vol. 262, pp. 1352- 1357 ,(1989) , 10.1001/JAMA.1989.03430100086034
P J Fischer, S Shapiro, W R Breakey, J C Anthony, M Kramer, Mental health and social characteristics of the homeless: a survey of mission users. American Journal of Public Health. ,vol. 76, pp. 519- 524 ,(1986) , 10.2105/AJPH.76.5.519
D. Folsom, D. V. Jeste, Schizophrenia in homeless persons: a systematic review of the literature. Acta Psychiatrica Scandinavica. ,vol. 105, pp. 404- 413 ,(2002) , 10.1034/J.1600-0447.2002.02209.X