Treating Homeless People With Psychiatric Disorders

被引：1

作者：

Casavola, Vita ^{[1
]}

Giampieri, Emanuela ^{[2
]}

Paggi, Elisabetta ^{[3
]}

Scialo, Chiara ^{[1
]}

Possenti, Consuelo ^{[1
]}

Stefano, Bianchi ^{[1
]}

Lorusso, Ottavia ^{[2
]}

di Giacomo, Ester ^{[2
,4
]}

Clerici, Massimo ^{[2
]}

机构：

[1] Casa Car Fdn A Abriani ONLUS, Milan, Italy

[2] IRCCS S Gerardo Tintori, Mental Hlth & Addict Dept, Monza, Italy

[3] Univ Milan, Sch Med & Surg, Milan, Italy

[4] Via Pergolesi 33, I-20090 Monza, MB, Italy

来源：

JOURNAL OF NERVOUS AND MENTAL DISEASE | 2023年 / 211卷 / 11期

关键词：

Homelessness; treatment of mental disorders; social isolation; SERIOUS MENTAL-ILLNESS; PHYSICAL HEALTH; RISK-FACTORS; PREVALENCE; ADULTS; POPULATION; CHILDHOOD; OUTREACH; URBAN; YOUTH;

D O I：

10.1097/NMD.0000000000001709

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The aim of the "Diogene Project" is to recruit, evaluate, and treat homeless people affected by psychiatric disorders. Three multidisciplinary street units patrolled the streets in Milan, Italy, two/three evenings per week to recruit participants. A sociodemographic questionnaire, the HoNOS, and the GAF were administered at recruitment (T0), 1 year (T1), and 2 years (T2) after the first evaluation. Personalized treatment (none, social support, psychiatric treatment + social support) was tailored to each patient's needs. One hundred twelve homeless people participated. Forty-six users dropped out after the first assessment. The highest percentage of dropouts was registered among those who did not receive any kind of treatment (67.4%). Time spent on the street was not significantly correlated to adherence and outcome. Interestingly, the greatest improvement in psychopathological symptoms was recorded among patients under both treatments. This study confirms the validity of our model in approaching such vulnerable patients through specific interventions.

引用

页码：870 / 875

页数：6

共 44 条

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