nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.07.2007 | Original Paper

Healthcare Barriers among Severely Mentally Ill Homeless Adults: Evidence from the Five-site Health and Risk Study

verfasst von: Mimi M. Kim, Jeffrey W. Swanson, Marvin S. Swartz, Daniel W. Bradford, Sarah A. Mustillo, Eric B. Elbogen

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2007

Einloggen, um Zugang zu erhalten

Abstract

Few studies have examined barriers to physical and mental healthcare among homeless mentally adults. Methods This study examined physical and mental healthcare barriers reported by 154 recently homeless mentally ill persons. Results Practical concerns (e.g. transportation and cost) were key components of barriers to accessing general medical care among uninsured men with poorer overall mental health, PTSD, and STD infections. Perceived stigma was an important component of mental healthcare barriers reported most frequently by those with greater psychiatric symptoms. Conclusion Focusing on individual characteristics underlying barriers to healthcare may lead to better interventions for improving access to needed care.

Association, A. P. (2000). (DSM-IV-TR) Diagnostic and statistical manual of mental disorders (4th ed., text revision ed.). Washington, DC: American Psychiatric Press, Inc.

Bachrach, L. L. (1992). What we know about homelessness among mentally illy persons: An analytical review and commentary. Hospital and Community Psychiatry, 43, 453–464.PubMed

Bassuk, E. L., Buckner, J. C., Perloff, J. N., & Bassuk, S. S. (1998). Prevalence of mental health and substance use disorders among homeless and low-income housed mothers. American Journal of Psychiatry, 155(11), 1561–1564.PubMed

Bender, E. (2006). Hepatitis, TB rates found `Alarming’ among state hospital patients. Psychiatric News, 41(3), 5-a-27.

Blanchard, E., Jones-Alexander, J., Buckley, T., & Forneris, C. (1996). Psychometric properties of the PTSD Checklist (PCL). Behavioral Research Therapy, 34, 669–673.CrossRef

Bourgois, P., Prince, B., & Moss, A. (2004). The everyday violence of Hepatitis C among young women who inject drugs in San Francisco. Human Organization, 63(3), 253–265.PubMed

Bradford, D. W., Gaynes, B. N., Kim, M. M., Kaufman, J. S., & Weinberger, M. (2005). Can shelter-based interventions improve treatment engagement in homeless individuals with psychiatric and/or substance misuse disorders? A randomized controlled trial. Medical Care August, 43(8), 763–768.CrossRef

Clarke, P. N., Williams, C. A., Percy, M. A., & Kim, Y. S. (1995). Health and life problems of homeless men and women in the Southeast. Journal of Community Health Nursing, 12(2), 101–110.PubMedCrossRef

D’Amore, J., Hung, O., Chiang, W., & Goldfrank, L. (2001). The Epidemiology of the homeless population and its impact on an urban emergency department. Acad Emerg Med, 8(11), 1051–1055.PubMed

Faustman, W. (Ed.). (1999). Overall J. Brief Psychiatric Rating Scale (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates Inc.

Fischer, P. J., & Breakey, W. R. (1991). The Epidemiology of Alcohol, Drug, and Mental Disorders Among Homeless Persons. American Psychologist November, 46(11), 1115–1128.CrossRef

Folsom, D., Hawthorne, W., Lindamer, L., Gilmer, G., Bailey, A., & Golshan, S., et al. (2005). Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. The American Journal of Psychiatry, 162(2), 370.PubMedCrossRef

Folsom, D., & Jeste, D. (2002). Schizophrenia in homeless persons: a systematic review of the literature. Acta Psychiatrica Scandinavica, 105(6), 404.PubMedCrossRef

Gaba, R.J. (1997). Psychometric properties of the survey of children’s exposure to community violence: Screening version. Dissertation Abstracts International, 57, 4774.

Gallagher, T. C., Andersen, R. M., Koegel, P., & Gelberg, L. (1997). Determinants of regular source of care among homeless adults in Los Angeles. Medical Care, 35(8), 814–830.PubMedCrossRef

Gillis, L., & Singer, J. (1997). Breaking through the barriers: Healthcare for the homeless. Journal of Nursing Administration, 27(6), 30–34.PubMedCrossRef

Goodman, L. A., Thompson, K. M., Weinfurt, K., Corl, S., Acker, P., & Mueser, K. T., et al. (1999). Reliability of reports of violent victimization and posttraumatic stress disorder among men and women with serious mental illness. Journal of Traumatic Stress October, 12(4), 587–599.CrossRef

Guydish, J., Bucardo, J., Clark, G., & Bernheim, S. (1998). Evaluating needle exchange: A description of client characteristics, health status, program utilization, and HIV risk behavior. Substance Use & Misuse, 33(5), 1173–1196.CrossRef

Hahm, H. C., & Segal, S. P. (2005). Failure to seek health care among the mentally ill. American Journal of Orthopsychiatry, 75(1), 54–62.PubMedCrossRef

Hwang, S. (2001). Mental illness and mortality among homeless people. Acta Psychiatrica Scandinavica June 2002;105(6):404–413, 103, 81–82.

Josephson, D. M., McDonell, M. B., & Anderson, S. A. (1996). Application of the SF36 and SF12 physical and mental health component summary scores in the VA outpatient setting. Journal of General Internal Medicine April, 1, 75.

Kaiser, H. F. (1974). An index of factorial simplicity. Psychomtrica, 39, 31–36.CrossRef

Koenker, R. (2003). Quantile regression for longitudinal data. Journal of Multivariate Analysis, 91, 74–89.CrossRef

Kushel, M., Gupta, R., Gee, L., & Haas, J. (2005). Housing instability and food insecurity as barriers to health care: results from the national survey of American families. Journal of General Internal Medicine, 20(Supplement 1), 116–117.

Lam, J. A., & Rosenheck, R. A. (1998). The effects of victimization on clinical outcomes of homeless persons with serious mental illness. Psychiatric Services, 49, 678–683.PubMed

Langenbucher, J. W., Labouvie, E., Martin, C. S., Sanjuan, P. M., Bavly, L. & Kirisci, L., et al. (2004). An application of item response theory analysis to alcohol, cannabis, and cocaine criteria in DSM-IV. Journal of Abnormal Psychology, 113(1), 72–80.PubMedCrossRef

Lewis, J. H., Andersen, R. M., & Gelberg, L. M. D. M. (2003). Health care for homeless women: Unmet needs and barriers to care. Journal of General Internal Medicine, 18(11), 921–928.PubMedCrossRef

Mojtabai, R. M. (2005). Perceived reasons for loss of housing and continued homelessness among homeless persons with mental illness. Psychiatric Services, 56(2), 172–178.PubMedCrossRef

Muthen, B., & Muthen, L. (1998). MPlus. Los Angeles: Muthen & Muthen.

North, C., & Smith, E. (1993). A systematic study of mental health services utilization by homeless men and women. Social Psychiatry and Psychiatric Epidemiology, 28, 77–83.PubMedCrossRef

Padgett, D., & Streuning, E. (1990). Factors affecting the use of medical, mental health, alcohol, and drug treatment services by homeless adults. Medical Care, 28, 805–821.PubMedCrossRef

Padgett, D., Streuning, E., Andrews, H., & Pittman, J. (1995). Predictors of emergency room use by homeless adults in New York City: The influence of predisposing, enabling and need factors. Social Science & Medicine, 41(4), 547.CrossRef

Pirl, W. F., Greer, J. A., Weissgarber, C. R., Liverant, G. M., & Safren, S. A. (2005). Screening for infectious diseases among patients in a state psychiatric hospital. Psychiatric Services, 56(12), 1614–1616.PubMedCrossRef

Robertson, M. J. (1986). Mental disorder among homeless persons in the United States: An overview of recent empirical literature. Administration and Policy in Mental Health and Mental Health Services Research, 14(1), 14–27.

Rosenberg, S., Brunette, M., Oxman, T., Marsh, B., Dietrich, A. & Mueser, K., et al. (2004). The STIRR model of best practices for blood-borne diseases among clients with serious mental illness. Psychiatric Services, 55(6), 660–665.PubMedCrossRef

Rosenberg, S., Drake, R., Wolford, G., Mueser, K., Oxman, T. & Vidaver, R., et al. (1998). Dartmouth assessment of lifestyle instrument (DALI): A substance use disorder screen for people with severe mental illness. American Journal of Psychiatry February, 155(2), 232–238.

Rosenberg, S., Goodman, L., Osher, F., Swartz, M., Essock, S. & Butterfield, M., et al. (2001). Prevalence of HIV, Hepatitis B, and Hepatitis C in people with severe mental illness. American Journal of Public Health Chronic Disease. January, 91(1), 31–37.

Rosenheck, R. A., & Lam, J. A. (1997). Client and site characteristics as barriers to service use by homeless persons with serious mental illness. Psychiatric Services, 48(3), 387–390.PubMed

Ryan, S. (1993). Psychometric analysis of the sexual abuse exposure questionnaire. Dissertation Abstracts International, (54), 2268.

Salyers, M., Bosworth, H., Swanson, J., Lamb-Pagone, J., & Osher, F. (2000). Reliability and validity of the SF-12 health survey among people with severe mental illness. Medical Care, 38(11), 1141–1150.PubMedCrossRef

Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised Conflict Tactics Scale (CTS2): Development and Preliminary Psychometric Data. Journal of Family Issues, (17), 283–316.

Sullivan, G., Burnam, A., Koegel, P., & Hollenberg, J. (2000). Quality of life of homeless persons with mental illness: Results from the course-of-homelessness study. Psychiatric Services, 51(9), 1135–1141.PubMedCrossRef

Swanson, J., Holzer, C., Ganju, V., & Jono, R. (1990). Violence and psychiatric disorder in the community: Evidence from the epidemiologic catchment area surveys. Hospital and Community Psychiatry, 41, 761–770.PubMed

Swanson, J., Swartz, M., Essock, S., Osher, F., Wagner, H. & Goodman, L., et al. (2002). The social-environmental context of violent behavior in persons treated for severe mental illness. American Journal of Public Health INDIGENOUS HEALTH. September, 92(9), 1523–1531.

Swartz, M. S., Swanson, J. W., Hannon, M. J., Bosworth, H. S., Osher, F. C. & Essock, S. M., et al. (2003). Regular sources of medical care among persons with severe mental illness at risk of Hepatitits C Infection. Psychiatric Services, 54(6), 854–859.PubMedCrossRef

Tessler, R., Rosenheck, R., & Gamache, G. (2001). Comparison of homeless veterans with other homeless men in a large clinical outreach program. Psychiatric Quarterly, 73, 109–119.CrossRef

Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, B. (2002). How to Score Version 2 of the SF-12 Health Survey (With a Supplemental Documenting Version 1). Lincoln RI, Quality Metric Incorporated.

Titel: Healthcare Barriers among Severely Mentally Ill Homeless Adults: Evidence from the Five-site Health and Risk Study
verfasst von: Mimi M. Kim
Jeffrey W. Swanson
Marvin S. Swartz
Daniel W. Bradford
Sarah A. Mustillo
Eric B. Elbogen
Publikationsdatum: 01.07.2007
Verlag: Kluwer Academic Publishers-Plenum Publishers
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2007
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-007-0115-1

Neu im Fachgebiet Psychiatrie

23.04.2024 | Demenz | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Healthcare Barriers among Severely Mentally Ill Homeless Adults: Evidence from the Five-site Health and Risk Study

Abstract

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2007

Implementation of Evidence-based Practice in Child Welfare: Service Provider Perspectives

The Latino Mental Health Project: A Local Mental Health Needs Assessment

Persistence of Mental Health Service Use among Latino Children: A Clinical and Community Study

Corporate Speak and the Psychiatric Profession

Community-Level Risk Factors for Depression Hospitalizations

The Feasibility of Computerized Patient Self-assessment at Mental Health Clinics

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie