ASSERTIVE COMMUNITY TREATMENT;
CRITICAL TIME INTERVENTION;
HEALTH-CARE;
RANDOMIZED-TRIAL;
ACCESS PROGRAM;
SERVICE USE;
TRAUMA;
PEOPLE;
ADULTS;
MORTALITY;
D O I:
10.1016/j.psym.2012.10.004
中图分类号:
R749 [精神病学];
学科分类号:
100205 ;
摘要:
Background: The care of homeless persons with serious mental illness remains a common and challenging problem in general hospital settings. Objective: This article aims to review data on homelessness and its psychiatric comorbidities, and to expand the skills of providers who encounter homeless individuals in general hospital settings. Results: Literature review reveals patient, provider, and systems factors that contribute to suboptimal health outcomes in homeless individuals. Conclusions: Diagnostic rigor, integrated medical and psychiatric care, trauma-informed interventions, special considerations in capacity evaluations, and health care reform initiatives can improve the treatment of homeless persons with serious mental illness. (Psychosomatics 2013; 54:14-21)