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.
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.
Authors: Joshua P Aquin; Leslie E Roos; Jino Distasio; Laurence Y Katz; Jimmy Bourque; James M Bolton; Shay-Lee Bolton; Jacquelyne Y Wong; Dan Chateau; Julian M Somers; Murray W Enns; Stephen W Hwang; James C Frankish; Jitender Sareen Journal: Can J Psychiatry Date: 2017-01-01 Impact factor: 4.356
Authors: Elise D Riley; Eric Vittinghoff; Rose M C Kagawa; Maria C Raven; Kellene V Eagen; Alison Cohee; Samantha E Dilworth; Martha Shumway Journal: J Urban Health Date: 2020-02 Impact factor: 3.671
Authors: Sonya Gabrielian; Audrey L Jones; April E Hoge; Aerin J deRussy; Young-Il Kim; Ann Elizabeth Montgomery; John R Blosnich; Adam J Gordon; Lillian Gelberg; Erika L Austin; David Pollio; Sally K Holmes; Allyson L Varley; Stefan G Kertesz Journal: J Prim Care Community Health Date: 2021 Jan-Dec