Caring for Homeless Persons with Serious Mental Illness in General Hospitals

被引：18

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

来源：

PSYCHOSOMATICS | 2013年 / 54卷 / 01期

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

页码：14 / 21

页数：8

共 43 条

[1] Hospitalized younger: A comparison of a national sample of homeless and housed inpatient veterans [J].