Homeless Mentally Research Articles

Wait for Me: Chronic Mental Illness and Experiences of Time During the Pandemic.

As someone diagnosed with severe chronic mental illness early in my adolescence, I have spent over half of my life feeling out of step with the rest of the world due to hospitalizations, treatment programs, and the disruptions caused by anxiety, anorexia, depression, and obsessive-compulsive disorder. The effect of my mental health conditions compounded by these treatment environments means I often feel that I experience time passing differently, which results in sensations of removal and isolation from those around me. The global shutdown caused by the COVID-19 pandemic seemed a way for normative bodies to experience the passing of time the way I always have. In this paper, I extend Dr. Sara Wasson's analysis of the ways in which chronic pain resists narrative coherence to my own temporal experience of chronic mental illness, specifically my embodied experience of the pandemic. I use that embodied experience as a case study for examining how the reciprocal nature of time and narrativity, as outlined by Dr. Paul Ricoeur, can create isolation for those struggling with their temporality due to chronic mental illness. To acknowledge and grapple with the ramifications of discursive and material privilege involved in such situations, I include an analysis of Robert Desjarlais's 1994 article "Struggling Along: The Possibilities for Experience among the Homeless Mentally Ill," in which he investigates a similar phenomenon of being outside ofstructured sequential narrative timein the residents of a Boston shelter for the mentally ill.

Role of Indian Legislation in Rehabilitation of Homeless Mentally Ill Females: A Series of Three Cases

Role of Indian Legislation in Rehabilitation of Homeless Mentally Ill Females: A Series of Three Cases

Prevalence of Homeless Mentally Ill Patient along with their Clinical Presentation at Government Setup in Western Uttar Pradesh State of India

Context: Homeless persons lack socioeconomic support which is instrumental in affecting both their physical as well as psychological health. A number of destitute persons are often brought to specialized psychiatric centres in view of their dilapidating physical and psychological health.Aim: To study the prevalence and clinical presentation among the destitute persons admitted to a specialized psychiatric care centre.Materials & Methods: A total of 100 destitute persons admitted to a specialized psychiatric care centre were included in the study as a retrospective chart review. Demographic profile and clinical presentations were noted. The classification of psychiatric illnesses was done as per international classification of diseases (ICD)-10 classification. Data has been represented in frequencies (number) and percentages.Results: Age of patients ranged from 15 to 75 years. Mean age of patients was 40.70 ± 13.99 years. Majority (62%) were males and Hindus (57%). Poor personal hygiene (79%), abnormal behavior (52%) and self-muttering (44%) were the most common presenting complaints. On mental status examination, irrelevant speech (85%), restricted/perplexed affect (93%), impaired judgement (98.8%), impaired attention and concentration (90.7%) and impaired memory (80%) were the major findings. CNS and GI abnormalities were seen in 9% and 2% patients. Almost all (99%) had non-cooperative attitude, inadequate skin/nail care (94%). Majority (56%) had thin to very thin built and psychomotor agitation (55%). Unspecified nonorganic psychosis (44%) was the most common psychiatric illness followed by paranoid schizophrenia (10%) and organic delirium (6%). In 28% cases, the psychiatric illness could not be established clearly, and were kept under observation.Conclusion: Destitute persons have a huge burden of psychiatric illness that had affected their physical health too.

Psychopharmacologists and the Medical, Legal, and Societal Problems of the Homeless Mentally Ill: An Opinion.

Psychopharmacologists and the Medical, Legal, and Societal Problems of the Homeless Mentally Ill: An Opinion.

Array of Services for Homeless Mentally Ill in Six Canadian Cities: Non-Governmental Organizations’ Contributions and Perspectives

During the period 2010–2011, when the At Home project was conducted, a questionnaire was sent to 420 non-governmental organization (NGO) key managers in six Canadian cities to enquire about their collaboration with public services and their perspective on the services for homeless people with serious mental illness (SMI). NGOs constituted a dense network of collaboration among themselves. With regard to public services, housing and shelters were two services that NGOs had frequent contact with, followed by the healthcare addiction sectors and, to a lesser extent, social service and the justice sectors. Education and employment were both located in the network periphery. In general, NGOs viewed housing availability and accessibility to health services as largely unsatisfactory. They called for better public support, coordination, and funding.

Deinstitutionalization and The Homeless Mentally Ill

According to the Oxford dictionary “Institution” is an important public body, a home providing care for people with special needs and ‘institutionalise’ is placing such persons in a residential institution. In the context of the topic being discussed, institution is a home for persons with special needs and similarly institutionalisation is placing the persons with serious mental illness, whether acute, subacute or chronic. Deinstitutionalisation is increasingly being projected as the most needed reform in the mental health care by many experts in our country, but the implications of this merit’s critical evaluation.

Deinstitutionalization and The Homeless Mentally Ill

According to the Oxford dictionary “Institution” is an important public body, a home providing care for people with special needs and ‘institutionalise’ is placing such persons in a residential institution. In the context of the topic being discussed, institution is a home for persons with special needs and similarly institutionalisation is placing the persons with serious mental illness, whether acute, subacute or chronic. Deinstitutionalisation is increasingly being projected as the most needed reform in the mental health care by many experts in our country, but the implications of this merit’s critical evaluation.

Transgender Women with Severe Mental Illness and Homelessness: A Retrospective Case Series

Transgender women (TW) with Severe Mental Illness (SMI) are one of the most vulnerable and most difficult to engage in order to receive medical attention population, raising major challenges in their treatment of adverse health conditions. A retrospective chart review was carried out to identify TW with SMI attended by the “Programme for the Psychiatric Care of the Homeless Mentally Ill” in Spain from June 2015 to June 2018. During the study period, 235 patients with SMI received psychiatric care, of which only 3 (1.3%) were TW. Sociodemographic and clinical variables of these patients are described. We conclude that TW with SMI suffer significant levels of discrimination, stigma, and physical violence. This stigma plays an important role in limiting the opportunities and access to resources in a number of critical domains (e.g., medical care, disability certificate, accommodation in shelters) while continuously having a detrimental effect on their mental health. Forced migration in TW with SMI, must be specially considered. In addition homelessness and social exclusion are structural risk factors for HIV in TW with SMI. Social, health and psychiatric care may moderate the effect of stressors on mental health, reduce social isolation, and build social networks.

Addressing the Homeless Mentally Ill in San Francisco

Addressing the Homeless Mentally Ill in San Francisco

Accommodating and Including the Homeless Mentally Ill

Accommodating and Including the Homeless Mentally Ill

Clinical outcome and rehabilitation of homeless mentally ill patients admitted in mental health institute of South India: "Know the Unknown" project.

Homeless Mentally Ill (HMI) patients represent a unique global problem and pose a challenge in treatment, management and rehabilitation services. There is sparse data on HMI patients in India. The objective of this paper is to study the clinical outcome and rehabilitation of HMI patients. We performed a retrospective chart review of 'HMI' patients from 1st January 2002 to 31st December 2015, who were admitted under Department of Psychiatry at National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India. Clinical outcomes were analysed by descriptive statistics and predictors of family reintegration were analysed by logistic regression model. Seventy-eight HMI (unknown) patients were admitted in fourteen years period. 64(82%) were improved at discharge, 40(51.3%) were reintegrated to the family; 15(19.2%) were sent to state home for women, and 17(21.8%) were sent to Non-Governmental Organization (NGO)/Rehabilitation Centre and 6 (7.8%) required multispecialty care in general hospital or absconded from the hospital during inpatient care. The logistic regression model showed that mental retardation (B=-2.204, P=0.002) was negatively correlated with family reintegration and clinical improvement at discharge (B=2.373, P=<0.001) was positively correlated with family reintegration. In our study majority of HMI patients improved at the time of discharge. Family reintegration was possible in about half of HMI patients after treatment. Mental retardation and clinical improvement are important predictors of family reintegration of HMI patients.

An Evaluation of Psychosocial Rehabilitation Facilities for Homeless Mentally Ill in India

Homelessness due to chronic mental illness has become amajor burden for most of the resource poor countries. TheKerala State in India has witnessed the efforts from thefaith based organizations and religiously oriented familiesin the care and rehabilitation of the homeless mentally ill.This paper explores the processes used by these facilitiesfor the care and rehabilitation of homeless mentally ill.Data were collected from the chief functionary ofrehabilitation facilities, persons with mental illnessresiding in the rehabilitation centers, and volunteer careproviders using interview schedules for the study ofrehabilitation processes and profile of chief functionaryand care providers. Otehre tools were, WHO QoL tomeasure the quality of life and level of functioning scaleand Global Assessment of Functioning Scale formeasuring the functioning. The care providers’orientation to mental illness was assessed usingOrientation to Mental Illness Scale (Prabhu, 1983). 65% ofthe centers displayed above average patient care serviceswhereas 25% had poor overall quality of patient careservices. The residents showed moderate level of qualityof life in the area of physical health, psychological health,social relationships and high level of quality of life in the domain of environment. The research has also identifiedseveral gaps in functioning of the facilities.

Attributions of Autonomy and Competence of Older and Younger Homeless Mentally Ill

This study investigated attributions of autonomy and competence. Respondents completed items following one of four vignettes in which a character was identified as an older male, younger male, older female, or younger female with a history of hallucinations, substance abuse, and living on the street. Respondents viewed the vignette character as suffering from malnutrition, alcoholism, depression, and likely to commit suicide. A General Linear Model revealed harsher perceptions toward the older vignette characters. When controlling for educational exposure to aging and psychopathology, there were significant differences in eight of 37 items (F = 116.270, df = 37, p < .001).

Are the Homeless Mentally Ill?

In Australia, it is widely believed that most homeless people have mental health issues and that mental illness is a primary cause of homelessness. This paper uses information from a study of 4,291 homeless people in Melbourne to investigate these propositions. The research found that 15 per cent of the homeless had mental health issues prior to becoming homeless. This challenges the community perception that mental illness is the primary cause of homelessness. The research also found that 16 per cent of the sample developed mental health issues after becoming homeless. Homelessness causes mental health issues for some people, particularly anxiety and depression. The claim that most homeless people are mentally ill sends the wrong message to policy makers about the services that are needed to assist homeless people.

Special Tracks Invite You to Customize Your Meeting

Back to table of contents Previous article Next article APA InstituteFull AccessSpecial Tracks Invite You to Customize Your MeetingJacqueline Maus Feldman, M.D.Jacqueline Maus FeldmanSearch for more papers by this author, M.D.Published Online:4 Jul 2008https://doi.org/10.1176/pn.43.13.0023Chicago skylinePhoto courtesy of Chicago Convention and Tourism BureauGo for the razzle dazzle. Go for the pizza. Go for the jazz poetry. But most of all, go for APA's Institute on Psychiatric Services, which is being held in—you guessed it—Chicago from October 2 to 5.As chair of the institute's Scientific Program Committee, I want to extend an invitation for you to join us at APA's smaller, more intimate meeting. The beautiful (and newly renovated) Palmer House Hilton will serve as the backdrop for what is shaping up to be the best psychiatric meeting of the year, with CME credits and CEUs available for many disciplines (physicians, psychologists, nurses, social workers, and counselors).The Art Institute of ChicagoPhoto courtesy of Chicago Convention and Tourism BureauFollowing our theme of “From Patient to Partner: Transforming Systems of Care,” we have fashioned an incredible program. Just to give you a taste of the curriculum: a debate between proponents for single-payer medicine versus the AMA's point of view; lectures, workshops, and symposia covering a broad range of topics sure to answer your clinical questions; a Recovery Celebration to interface with consumers; an APA-community outreach to offer clinical updates by renowned scientific leaders; a new format called“ Practical Pearls” with leading clinicians ready to discuss those things that throw us for a loop in our day-to-day practice—for example, how to publish a paper, how to prepare for court, what to do if the media call, how to teach public psychiatry, DBT and CBT with patients who are psychotic—and poster sessions that will knock your socks off! Child psychiatry? Got it covered (adolescents will be coming in to tell how they want to be treated). Advocacy? Come on down. Psychosocial rehabilitation and recovery models? They're here!The Chicago Theatre is one of many theaters in a city that offers some of the best and most varied entertainment choices outside of New York.Photo courtesy of Chicago Convention and Tourism BureauTracks have been designed to meet the needs of members-in-training (starting with the Lilly Chief Residents Leadership Track, ending with presentations by APA/Bristol-Myers Squibb Fellows). On Saturday morning, October 4, the “Career Counseling and Career Development” forum will allow residents, early career psychiatrists, and anyone who's thinking about changing the course of their career to meet one on one with national experts in public psychiatry. The Health Services Research track is planned, APA's OMNA (Office of Minority and National Affairs) on Tour will offer an innovative curriculum and a community depression education event, and the Association of Gay and Lesbian Psychiatrists has designed a full-day track. On Saturday evening, there will be a “Conversations” event sponsored by the American Psychiatric Foundation.On Sunday, October 5, there will be a full-day training session titled“ Working With Homeless Mentally Ill Individuals.”Our local representatives assure us that Chicago is easy to get to and is breathtaking in the fall. The area around the meeting will be replete with music, concerts, sports, shopping, and museums, and upon arrival you will get a “Best of Chicago Synopsis (like pizza and jazz) to get you started. With all this, and more, how can you resist? Come on! Learn, network, play, and earn CME credits and CEUs. I'll see you there. ▪Jacqueline Maus Feldman, M.D., is chair of APA's Scientific Program Committee for the Institute on Psychiatric Services. ISSUES NewArchived

Grants Will Improve Services for Homeless Mentally Ill

Grants Will Improve Services for Homeless Mentally Ill

Poetry and Prose: Telling the Stories of Formerly Homeless Mentally Ill People

This article discusses some of the possible advantages of a poetic representation of social experience through a selection of four poems based on the words and organized by the salience and time sequence “logic” of participants in a study of formerly homeless mentally ill men and women who are currently housed. The initial report was a qualitative evaluation of the perceptions of this sample of formerly homeless mentally ill people of the benefits of the housing currently provided. It offers a categorical analysis of personal, relationship, and resource issues across childhood, adulthood, and since supported/supportive housing. The present analysis, based on the same interviews, destabilizes the original findings and offers a different window into the lives of the study participants. It does this through prose poems that replicate the language, the central issues of the participants, and their braided logic-in-use among other things.

Effect of Social Security Payments on Substance Abuse in a Homeless Mentally Ill Cohort

To determine whether receipt of social supplemental security income (SSI) or Social Security disability income (SSDI) disability payments is associated with increased drug and alcohol use. Secondary analysis of data from 6,199 participants in the Access to Community Care and Effective Social Supports and Services demonstration for the homeless mentally ill. Observational, 12-month, cohort study completed over 4 years. Substance abuse and other outcomes were compared between the participants who did not receive SSI or SSDI during the 12-month study, those newly awarded benefits, and those without benefits throughout the 12 months. Social Security administrative records were used to corroborate Social Security benefit status. Drug and alcohol use were measured by self-report and clinician ratings. Participants who did not receive benefits significantly reduced their substance use over time. In generalized estimating equations models that adjusted for potentially confounding covariates, participants who newly received Social Security benefits showed no greater drug use than those without benefits but had significantly more days housed and fewer days employed. Participants whose benefits antedated the demonstration and continued during the 12 months had more clinician-rated drug use over time than those without benefits. In this vulnerable population, participants with newly awarded benefits did not have any different drug use changes than those without benefits, and had relatively more days housed. The hypothesis that Social Security benefits facilitate drug use was not supported by longitudinal data in this high-risk population.

VA Excels in Reaching Homeless Mentally Ill Vets

VA Excels in Reaching Homeless Mentally Ill Vets

Team Works the Streets Aiding Homeless Mentally Ill

Team Works the Streets Aiding Homeless Mentally Ill