Cost Analysis of a High Support Housing Initiative for Persons with Severe Mental Illness and Long-Term Psychiatric Hospitalization [2018]

Objective: The objective of this article was to conduct a cost analysis comparing the costs of a supportive housing intervention to inpatient care for clients with severe mental illness who were designated alternative-level care while inpatient at the Centre for Addiction and Mental Health in Toronto. The intervention, called the

Homelessness, Mental Health and Suicidality Among LGBTQ Youth Accessing Crisis Services [2018]

LGBTQ youth experience increased risks of homelessness, mental health disorder symptoms, and suicidality. Utilizing data from LGBTQ youth contacting a suicide crisis services organization, this study examined: (a) rates of homelessness among crisis services users, (b) the relationship between disclosure of LGBTQ identity to parents and parental rejection and homelessness,

Peer support critical elements and experiences in supporting the homeless: A qualitative study [2018]

Peer supporters are individuals with lived experience and are an integral part of health care systems, providing support to those affected by various phenomena such as homelessness and addictions. However, little is known about the critical elements that underpin peer support interventions. This qualitative study sought to understand the critical

Clinical and cognitive correlates of unsheltered status in homeless persons with psychotic disorders [2018]

Homeless persons with psychosis are particularly susceptible to unsheltered homelessness, which includes living on the streets, in cars, and other places not meant for human habitation. Homeless persons with psychosis have distinct barriers to accessing care and comprise a high-need and hard-to-serve homeless subpopulation. Therefore, this study sought to understand

The Effect of Housing First on Housing Stability for People with Mental Illness and Low Intellectual Functioning [2018]

Objective: Housing First (HF) has been linked to increased tenure in housing for homeless people with mental illness, but the effect of HF on housing stability for people with borderline or lower intellectual functioning has not been examined. This study of homeless adults with mental illness in Toronto, Ontario assessed

Concurrent Disorders and Health Care Utilization Among Homeless and Vulnerably Housed Persons in Canada – 2018

Objective: Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having a mental health diagnosis and problematic substance use, compared to the general housed population. The study objective was to investigate the effect of having concurrent disorders on health care utilization among homeless

The effect of Housing First on adherence to methadone maintenance treatment – 2018

Background Opioid overdose deaths have become a public health crisis in North America, and those who are homeless are particularly vulnerable. Methadone maintenance treatment (MMT) may prevent overdose and death among homeless people with opioid dependence, but suboptimal medication adherence is a common limitation. Previous research found that Housing First

Concurrent Disorders and Health Care Utilization Among Homeless and Vulnerably Housed Persons in Canada – 2018

Objective: Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having a mental health diagnosis and problematic substance use, compared to the general housed population. The study objective was to investigate the effect of having concurrent disorders on health care utilization among homeless

Housing versus treatment first for supportive housing participants with substance use disorders: A comparison of housing and public service use outcomes – 2018

Background: Homeless persons with substance use disorders (SUD) have high disease risk, poor access to health care, and are frequent users of Medicaid and other social services. Low-demand supportive housing with no prerequisites for treatment or sobriety has been shown to improve housing stability and decrease public service use for

Homeless Men Living in Transitional Housing: The BrainWise Program and Improvements in Executive Functions and Coping Self-Efficacy – 2018

We describe an innovative approach to teaching homeless men the critical thinking skills underlying adaptive decision making and self-regulation needed to bolster resilience in the face of multiple and complex personal challenges. Single men living in a transitional housing facility for the homeless were taught the BrainWise curriculum (n =

Health Care Utilization and Expenditures of Homeless Family Members Before and After Emergency Housing – 2018

Objectives. To describe longitudinal health service utilization and expenditures for homeless family members before and after entering an emergency shelter. Methods. We linked Massachusetts emergency housing assistance data with Medicaid claims between July 2008 and June 2015, constructing episodes of health care 12 months before and 12 months after families

Determinants of Unmet Mental Healthcare Needs of Single Adults Who Are Homeless or Vulnerably Housed – 2018

Persons who are homeless experience higher levels of mental illness, unmet mental healthcare needs, and physical healthcare needs than the general population. This study aimed (1) to determine the reasons contributing to having unmet mental healthcare needs (UMHCN) and (2) to examine the determinants of UMHCN among a representative sample

The prevalence of autistic traits in a homeless population – 2018

Anecdotal evidence suggests that autistic people experience an elevated risk of homelessness, but systematic empirical research on this topic is lacking. As a step towards filling this gap in knowledge, we conducted a preliminary investigation of the prevalence of Diagnostic and Statistical Manual of Mental Disorders (5th ed.) autism symptoms

Perspectives of a tailored lifestyle program for people with severe mental illness receiving housing support – 2018

Abstract 1 Purpose The purpose of the present study was to describe the acceptability of the lifestyle program PHYS/CAT and to get information about the tools used for assessment of functional exercise capacity, cognitive performance, and self‐health‐related quality of life. 2 Design and Methods The findings are based on focus

Explaining excess morbidity amongst homeless shelter users: A multivariate analysis for the Danish adult population – 2018

Aims: This article analyses excess morbidity amongst homeless shelter users compared to the general Danish population. The study provides an extensive control for confounding and investigates to what extent excess morbidity is explained by homelessness or other risk factors. Methods: Data set includes administrative micro-data for 4,068,926 Danes who were