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Journal ArticleDOI

The epidemiology of alcohol, drug, and mental disorders among homeless persons.

Pamela J. Fischer, +1 more
- 01 Nov 1991 - 
- Vol. 46, Iss: 11, pp 1115-1128
TLDR
Current research on the prevalence of alcohol, drug, and mental (ADM) disorders and the characteristics of homeless substance abusers and persons with mental illness and methodological problems in homelessness research are reviewed.
Abstract
This article describes recent research on the prevalence of alcohol, drug, and mental (ADM) disorders and the characteristics of homeless substance abusers and persons with mental illness. Methodological problems in homelessness research are reviewed, particularly in relation to definitions of homelessness and sampling- and case-ascertainment methods. Prevalence rates of ADM disorders are much higher in homeless groups than in the general population. As is true of homeless people in general, homeless substance abusers and mentally ill persons are characterized by extreme poverty; underutilization of public entitlements; isolation from family, friends, and other support networks; frequent contact with correctional agencies; and poor general health. Knowledge of these disadvantages should be used to advocate for better services to prevent homelessness and support homeless people.

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Citations
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Homelessness and health

TL;DR: More research is needed to identify better ways to deliver care to this population of homeless people and to address barriers that impair their access to health care.
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Lifetime Prevalence, Demographic Risk Factors, and Diagnostic Validity of Nonaffective Psychosis as Assessed in a US Community Sample: The National Comorbidity Survey

TL;DR: Although results using computer algorithms were similar in the National Comorbidity Survey and Epidemiologic Catchment Area studies, diagnoses so obtained agreed poorly with clinical diagnoses.
Journal ArticleDOI

Factors Associated With the Health Care Utilization of Homeless Persons

TL;DR: In this nationally representative survey, homeless persons reported high levels of barriers to needed care and used acute hospital-based care at high rates and insurance was associated with a greater use of ambulatory care and fewer reported barriers.
Journal ArticleDOI

Housing instability and food insecurity as barriers to health care among low-income Americans

TL;DR: Housing instability and food insecurity are associated with poor access to ambulatory care and high rates of acute care and competing life demands may lead to delays in seeking care and predispose to acute care.
References
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Journal ArticleDOI

The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
Book

Harrison's Principles of Internal Medicine

TL;DR: In this article, Cardinal Manifestations of Disease Genetics and Disease Clinical Pharmacology Nutrition Infectious Disease Disorders Of The Cardiovascular System Disorders Of the Kidney And Urinary Tract Disorders Of Gastrointestinal System Disorders of The Immune System, Connective Tissue And Joints Hematology And Oncology Endocrinology And Metabolism Neurologic Disorders Environmental And Occupational Hazards.
Journal ArticleDOI

National Institute of Mental Health diagnostic interview schedule: Its history, characteristics, and validity.

TL;DR: In this article, a new interview schedule allows lay interviewers or clinicians to make psychiatric diagnoses according to DSM-III criteria, Feighner criteria, and Research Diagnostic Criteria.
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