Correlates of Protracted Homelessness in a Sample of Dually Diagnosed Psychiatric Inpatients

A review of research on residential programs for people with severe mental illness and co‐occurring substance use disorders

“…The relationship appears to be stronger in men with schizophrenia than in women [19,23], in people with co-occurring drug use disorders compared to those with alcohol use disorders [10,15,21,22,24], in those with less family support compared to those with more family support [10] and in people with more severe psychiatric symptoms compared to those with lower levels of symptoms [24]. People with dual disorders become homeless following loss of family support, absences due to institutionalization in hospitals and jails, and financial or money management problems-all of which can be due to substance abuse.…”

Sexual risk behavior among persons dually diagnosed with severe mental illness and substance use disorder

“…Extensive research have documented the adverse impact of substance abuse on the course of mental illness among persons with SMI, including symptom exacerbation and more frequent hospitalizations, poor adherence to prescribed treatments, and homelessness (Carey, Carey, & Meisler, 1991;Dickey & Azeni, 1996;Drake, Osher, & Wallach, 1991;Haywood et al, 1995;Leal, Galanter, Dermatis, & Westreich, 1999). Integrated treatment approaches, in which both mental health and substance abuse services are delivered within the same program, have demonstrated promising outcomes Donald, Dower, & Kavanagh, 2005;Drake, Mueser, Brunette, & McHugo, 2004).…”

Implementing the Comprehensive, Continuous, Integrated System of Care Model for Individuals with Co-Occurring Disorders: Preliminary Findings from a Residential Facility Serving Homeless Individuals

“…For homeless clients with CODs, obtaining employment is often difficult due to limited personal resources resulting in poor hygiene and other obstacles. Further, the greater the duration of homelessness, the less likely it is that a client will be employed (Leal, Galanter, Dermatis, & Westreich, 1999). Despite the numerous challenges and barriers, the Access to Community Care and Effective Services and Support program, offering integrated services, has had promising results providing vocational training for homeless individuals with CODs.…”