Risk factors for homelessness among schizophrenic men: a case-control study.

Risk factors for homelessness among schizophrenic men: a case-control study. Risk factors for homelessness among schizophrenic men: a case-control study. C L Caton , P E Shrout , P F Eagle , L A Opler , A Felix and B Dominguez Department of Psychiatry and School of Public Health, College of Physicians and Surgeons, Columbia University, New York, NY 10032. OBJECTIVES. To identify risk factors for homelessness among the severely mentally ill, we conducted a case-control study of 100 indigent schizophrenic men meeting criteria for literal homelessness and 100 such men with no homeless history. METHODS. Subjects were recruited from shelter, clinic, and inpatient psychiatric programs in Upper Manhattan. Clinical interviewers employed standardized research instruments to probe three domains of risk factors: severity of mental illness, family background, and prior mental health service use. RESULTS. Homeless subjects showed significantly higher levels of positive symptoms, higher rates of a concurrent diagnosis of drug abuse, and higher rates of antisocial personality disorder. Homeless subjects experienced greater disorganization in family settings from birth to 18 years and less adequate current family support. Fewer homeless subjects than subjects in the never-homeless comparison group had a long-term therapist. These differences remained when demographic variables were adjusted statistically. CONCLUSIONS. Homeless schizophrenic men differed from their domiciled counterparts in all three domains we investigated; family background, nature of illness, and service use history. Findings are discussed in relation to policy and programs for the severely mentally ill. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

Risk factors for homelessness among schizophrenic men: a case-control study.

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Publisher
American Public Health Association
Copyright
Copyright © 1994 by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
D.O.I.
10.2105/AJPH.84.2.265
Publisher site
See Article on Publisher Site

Abstract

Risk factors for homelessness among schizophrenic men: a case-control study. C L Caton , P E Shrout , P F Eagle , L A Opler , A Felix and B Dominguez Department of Psychiatry and School of Public Health, College of Physicians and Surgeons, Columbia University, New York, NY 10032. OBJECTIVES. To identify risk factors for homelessness among the severely mentally ill, we conducted a case-control study of 100 indigent schizophrenic men meeting criteria for literal homelessness and 100 such men with no homeless history. METHODS. Subjects were recruited from shelter, clinic, and inpatient psychiatric programs in Upper Manhattan. Clinical interviewers employed standardized research instruments to probe three domains of risk factors: severity of mental illness, family background, and prior mental health service use. RESULTS. Homeless subjects showed significantly higher levels of positive symptoms, higher rates of a concurrent diagnosis of drug abuse, and higher rates of antisocial personality disorder. Homeless subjects experienced greater disorganization in family settings from birth to 18 years and less adequate current family support. Fewer homeless subjects than subjects in the never-homeless comparison group had a long-term therapist. These differences remained when demographic variables were adjusted statistically. CONCLUSIONS. Homeless schizophrenic men differed from their domiciled counterparts in all three domains we investigated; family background, nature of illness, and service use history. Findings are discussed in relation to policy and programs for the severely mentally ill.

Journal

American Journal of Public HealthAmerican Public Health Association

Published: Feb 1, 1994

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