Search results for ‘Subject term:"mental health problems"’ Sort:
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Homeless women in London: the hostel perspective
- Author:
- JAMES Adrian
- Journal article citation:
- Health Trends, 23(2), 1991, pp.80-83.
- Publisher:
- Office for National Statistics
Reviews studies of homeless mentally ill people and reports on a survey of women receiving psychiatric treatment while living in a hostel.
Implementing assertive community treatment in diverse settings for people who are homeless with co-occurring mental and addictive disorders: a series of case studies
- Authors:
- NEUMILLER Steven, et al
- Journal article citation:
- Journal of Dual Diagnosis, 5(3), July 2009, pp.239-263.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Assertive Community Treatment model (ACT), developed more than 30 years ago, was designed to treat individuals with serious mental illness. This qualitative study outlines issues encountered when establishing ACT teams in serving people who are homeless with co-occurring mental and addictive disorders (COD). Administrators from 9 programmes, in 7 states, completed a survey on implementation challenges, modifications to the ACT model, and programme successes. Difficulties related to staffing and funding limitations as well as to difficulties with implementing the ACT model without modifications - several modifications to the model were beneficial to recruiting and retaining consumers. These included an emphasis on housing, additional staff positions not included by ACT, implementing mini-teams within the programme, delivering in-office services in a group format, and placing time-limited services by transitioning consumers to less intensive settings. Successes included reduction in hospitalisations, psychiatric symptoms, and substance abuse. Stabilisation of consumers was attributed largely to housing assistance and maintenance; medication adherence; and delivery of intensive, multidisciplinary services including substance abuse treatment. The authors suggest the need to adapt the ACT model for people who are homeless with COD by tailoring staff and service delivery, and that there is a need for a measure capable of assessing ACT fidelity in the context of both housing models and integrated treatment for the homeless population.
Research into homelessness and substance misuse
- Author:
- Deloitte MCS
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2004
- Pagination:
- 212p.
- Place of publication:
- Belfast
The overall aim of the research is to provide a detailed account of substance misuse among homeless people that could be used to inform future prevention and treatment activities. The research leads to the conclusion that substance misuse is a significant issue among homeless people in terms of both prevalence of use and dependency. Risk behaviours were associated with substance use and the incidence of mental illhealth among the population was high. The research also indicates that substance use is a factor in becoming homeless on one or more occasions and remaining homeless. There is a requirement to address the range of services available to homeless people with problem substance use, both in terms of treatment and homelessness provision.
The Dartmouth Assertive community treatment Scale (DACTS): a generalizability study
- Authors:
- WINTER Joel P., CALSYN Robert J.
- Journal article citation:
- Evaluation Review, 24(3), June 2000, pp.319-338.
- Publisher:
- Sage
This article uses generalisability theory to assess the reliability of Dartmouth Assertive Community Treatment Scale (DACTS), which was developed to assess treatment reliability to assertive community treatment (ACT). The total scale scores for the DACTS demonstrated acceptable internal consistency and interrogator reliability. The generalisability analyses provide additional detail on the effects of site, occasion, and site by occasion interactions on the reliability of the DACTS.
Cost-effectiveness of assertive community treatment for homeless persons with severe mental illness
- Authors:
- LEHMAN Anthony F., et al
- Journal article citation:
- British Journal of Psychiatry, 174, April 1999, pp.346-352.
- Publisher:
- Cambridge University Press
Homelessness is a major public health problem among persons with severe mental illness. Evaluates the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in the USA. Concludes that ACT provides a cost effective approach to reducing homelessness among persons with severe and persistent mental illness.
ABC of mental health: mental health on the margins
- Authors:
- TIMMS Philip, BALAZ John
- Journal article citation:
- British Medical Journal, 30.8.97, 1997, pp.536-539.
- Publisher:
- British Medical Association
Discusses mental illness in the homeless population.
Homelessness and mental health
- Editor:
- BHUGRA Dinesh
- Publisher:
- Cambridge University Press
- Publication year:
- 1996
- Pagination:
- 343p.,bibliog.
- Place of publication:
- Cambridge
Brings together the experience of mental health care teams around the world in addressing the problems of mental illness among homeless people. Discusses difficulties in assessment and service delivery. Addresses social policy implications as well as clinical management, and models and definitions of homelessness in different cultures.
The impact of assertive community treatment on the social relationship of people who are homeless and mentally ill
- Authors:
- CALSYN Robert J., et al
- Journal article citation:
- Community Mental Health Journal, 34(6), December 1998, pp.579-593.
- Publisher:
- Springer
Two randomised experiments compared the effectiveness of the ssertive community treatment (ACT) team against other treatments (outpatient therapy, drop-in centre, and brokered case management) in improving the social relationships of individuals who were both homeless and suffered from severe and persistent mental illness. In both studies clients assigned to ACT teams reported having more professionals in their social networks than clients assigned to other treatments. Further attention to developing social skills and network interventions within ACT teams are recommended.
Focus on the North West
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Care, 2(3), November 1998, pp.83-85.
- Publisher:
- Pavilion
Discusses how trusts and health authorities in the North West region are breaking ground in mental health practice. The examples of good practice include user panels, treatment of personality disorder, homeless initiatives and an arts based therapy programme.