Change in neurocognition by housing type and substance abuse among formerly homeless seriously mentally ill persons

Caplan, Brina; Schutt, Russell K.; Turner, Winston M.; Goldfinger, Stephen M.; Seidman, Larry J.

doi:10.1016/j.schres.2005.11.013

Cited by 38 publications

(53 citation statements)

References 33 publications

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“…The presented register facility will make it possible for us to investigate prescription patterns in this complicated patient group. Moreover, Caplan et al [16] have shown that structured activities in supported housing facilities can improve the level of cognitive function among the residents, which emphasizes the need for improving competences among staff members in these facilities. As stressed by Fakhoury et al [17], there is a need for more conceptual and practical efforts in order to ensure that housing facilities become places where residents receive specific interventions.…”

Section: Discussionmentioning

confidence: 99%

The new asylums in the community: severely ill psychiatric patients living in psychiatric supported housing facilities. A Danish register-based study of prognostic factors, use of psychiatric services, and mortality

Nordentoft¹,

Pedersen

et al. 2011

Soc Psychiatry Psychiatr Epidemiol

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Section: Discussionmentioning

confidence: 99%

The new asylums in the community: severely ill psychiatric patients living in psychiatric supported housing facilities. A Danish register-based study of prognostic factors, use of psychiatric services, and mortality

Nordentoft¹,

Pedersen

et al. 2011

Soc Psychiatry Psychiatr Epidemiol

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“…52 At 48-month follow-up, the mean number of perseverations among nonsubstance users living in a group home setting significantly decreased. 57 This improvement was not observed in those living in independent apartments, nor among substance-using participants. This sample also completed the Visual Verbal Test.…”

Section: Executive Functionmentioning

confidence: 96%

A Systematic Review of Cognitive Deficits in Homeless Adults: Implications for Service Delivery

2009

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Objective: The primary goals of this systematic review were to assess studies of homeless adults and cognitive functioning, and to explore the clinical implications and potential impacts on social functioning of these cognitive deficits. Method:The MEDLINE, CINAHL, EMBASE, PsycINFO, Applied Social Sciences Index and Abstracts, ERIC, Social Sciences Abstracts, Social Sciences Citation Index, Social Services Abstracts, and Sociological Abstracts databases were searched from 1970 (or their inception) to October 2007. Abstracts from 582 studies were screened and 22 studies were found to meet inclusion criteria (published in the English language, reported results of neuropsychological tests, or screening tests for cognitive dysfunction in homeless people aged 18 years or older). Two investigators independently reviewed each study and rated its quality based on well-defined criteria.Results: Ten studies were of good or fair quality. Studies that administered the Mini Mental State Examination indicate about 4% to 7% of homeless people exhibit global cognitive deficits. Focal deficits in verbal and visual memory, attention, speed of cognitive processing, and executive function were also apparent. No studies of the functional implications of cognitive deficits were found.

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“…People with mental illness and its inherent impact on cognitive functioning can benefit from proactive personalized interventions, practical assistance with daily activities, and skills training to improve their ability to retain housing (Caplan, Schutt, Turner, Goldfinger, & Seidman, 2006). Life skills training must be accessible and provided in a flexible manner that can be generalized to a variety of settings.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Residential stability has been shown to benefit people by providing an environment that increases executive functioning skills-specifically, sustained attentionwhich allows people to use their life skills (Caplan et al, 2006). The cognitive reserves needed to adapt to a new setting and manage the chaos of moving with little social support and the increased social demands of moving, adjusting to new services, setting up utilities, and so forth may have diminished cognitive functioning (Fox, 2001).…”

Section: Association Between the Acls-2000 And The Pstsmentioning

confidence: 99%

Cognitive Predictors of Life Skill Intervention Outcomes for Adults With Mental Illness at Risk for Homelessness

Helfrich

Chan

Sabol

2011

The American Journal of Occupational Therapy

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OBJECTIVE. We investigated the effectiveness of a life skills intervention for people with mental illness who have been homeless. METHOD. In this longitudinal outcomes study, we used Situated Learning Theory (Lave & Wenger, 1991) to provide group and individual sessions to 38 participants from two housing programs after completing baseline Allen Cognitive Level Screen–2000 (ACLS–2000; Allen Conferences, 2000) and Practical Skills Tests (PSTs). Data were analyzed using linear mixed-effects regression models. RESULTS. The PST scores of participants with higher ACLS–2000 scores significantly increased over time (food management, p = .021; money management, p = .039; safe community participation, p = .02). Participants with lower ACLS–2000 scores demonstrated an even greater change over time. CONCLUSION. Most participants, including those with lower ACLS–2000 scores, improved and retained life skills knowledge over time, challenging the premise that people with mental illness should be excluded from mixed-level group interventions.

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Change in neurocognition by housing type and substance abuse among formerly homeless seriously mentally ill persons

Cited by 38 publications

References 33 publications

The new asylums in the community: severely ill psychiatric patients living in psychiatric supported housing facilities. A Danish register-based study of prognostic factors, use of psychiatric services, and mortality

The new asylums in the community: severely ill psychiatric patients living in psychiatric supported housing facilities. A Danish register-based study of prognostic factors, use of psychiatric services, and mortality

A Systematic Review of Cognitive Deficits in Homeless Adults: Implications for Service Delivery

Cognitive Predictors of Life Skill Intervention Outcomes for Adults With Mental Illness at Risk for Homelessness

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