Caring for Homeless Persons with Serious Mental Illness in General Hospitals

被引:16
|
作者
Bauer, Leah K. [2 ]
Baggett, Travis P. [3 ]
Stern, Theodore A. [1 ]
O'Connell, Jim J. [3 ]
Shtasel, Derri [1 ]
机构
[1] Massachusetts Gen Hosp, Boston, MA 02114 USA
[2] McLean Hosp, Belmont, MA 02478 USA
[3] Boston Hlth Care Homeless Program, Boston, MA USA
基金
美国国家卫生研究院;
关键词
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)
引用
收藏
页码:14 / 21
页数:8
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