Mental health, concurrent disorders, and health care utilization in homeless women.

作者: VERENA STREHLAU , IRIS TORCHALLA , LI KATHY , CHRISTIAN SCHUETZ , MICHAEL KRAUSZ

DOI: 10.1097/01.PRA.0000419819.60505.DC

关键词:

摘要: Purpose. This study assessed lifetime and current prevalence rates of mental disorders concurrent substance use in a sample homeless women. Current suicide risk recent health service utilization were also examined order to understand the complex issues this population inform development new treatment strategies that better meet their specific needs. Methods. A cross-sectional survey 196 adult women three different Canadian cities was done. Participants using DSM-IV-based structured clinical interviews. diagnoses compared available female general population. Results. 63% for any disorder, excluding disorders; 17% depressive episode; 10% manic 7% psychotic disorder; 39% anxiety disorders, 28% posttraumatic stress 19% obsessive-compulsive 58% had dependence disorders. Lifetime notably higher. moderate or high found 22% used variety services, especially emergency rooms, practitioners, walk-in clinics. Conclusion. Prevalence among participants substantially higher than from The percentage with indicates severity symptomatology. Treatment housing programs need be accompanied by multidisciplinary, specialized interventions account conditions. (Journal Psychiatric Practice 2012;18:349-360). Language: en

参考文章(149)
Ronni Michelle Greenwood, Nicole J. Schaefer-McDaniel, Gary Winkel, Sam J. Tsemberis, Decreasing Psychiatric Symptoms by Increasing Choice in Services for Adults with Histories of Homelessness American Journal of Community Psychology. ,vol. 36, pp. 223- 238 ,(2005) , 10.1007/S10464-005-8617-Z
Adam O. Horvath, Leslie S. Greenberg, Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology. ,vol. 36, pp. 223- 233 ,(1989) , 10.1037/0022-0167.36.2.223
Deborah K. Padgett, Leyla Gulcur, Sam Tsemberis, Housing First Services for People Who Are Homeless With Co-Occurring Serious Mental Illness and Substance Abuse: Research on Social Work Practice. ,vol. 16, pp. 74- 83 ,(2006) , 10.1177/1049731505282593
Stephen W. Hwang, Maritt J. Kirst, Shirley Chiu, George Tolomiczenko, Alex Kiss, Laura Cowan, Wendy Levinson, Multidimensional Social Support and the Health of Homeless Individuals Journal of Urban Health. ,vol. 86, pp. 791- 803 ,(2009) , 10.1007/S11524-009-9388-X
Sela Barker, Nancy Barron, Bentson H. McFarland, Douglas A. Bigelow, Terry Carnahan, A community ability scale for chronically mentally Ill consumers: Part II. Applications Community Mental Health Journal. ,vol. 30, pp. 459- 472 ,(1994) , 10.1007/BF02189063
ROGER D. WEISS, STEVEN M. MIRIN, MARGARET L. GRIFFIN, Methodological considerations in the diagnosis of coexisting psychiatric disorders in substance abusers. Addiction. ,vol. 87, pp. 179- 187 ,(1992) , 10.1111/J.1360-0443.1992.TB02691.X
Ezra Susser, Sarah Conover, Elmer L Struening, Problems of epidemiologic method in assessing the type and extent of mental illness among homeless adults. Psychiatric Services. ,vol. 40, pp. 261- 265 ,(1989) , 10.1176/PS.40.3.261
Stef van Buuren, Multiple imputation of discrete and continuous data by fully conditional specification Statistical Methods in Medical Research. ,vol. 16, pp. 219- 242 ,(2007) , 10.1177/0962280206074463
Marianne Bernadette van den Bree, Katherine Helen Shelton, Pamela Jane Taylor, A. Bonner, Risk Factors for Homelessness: Evidence From a Population-Based Study Psychiatric Services. ,vol. 60, pp. 465- 472 ,(2009) , 10.1176/APPI.PS.60.4.465