Mental Health, Concurrent Disorders, and Health Care Utilization in Homeless Women

Strehlau, Verena; Torchalla, Iris; Li, Kathy; Schuetz, Christian; Krausz, Michael

doi:10.1097/01.pra.0000419819.60505.dc

Cited by 33 publications

(22 citation statements)

References 57 publications

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“…Past literature demonstrates that homeless adults have high rates of chronic physical (Beijer et al, 2012; Bernstein, Meurer, Plumb, & Jackson, 2015; Notaro et al, 2013) and mental (Fazel et al, 2008; Folsom et al, 2005; Lippert & Lee, 2015; Martens, 2001; Stergiopoulos, Dewa, Durbin, Chau, & Svoboda, 2010; Strehlau, Torchalla, Li, Schuetz, & Krausz, 2012) health conditions, and that there are disparities in homeless men’s and women’s health. In studies from the 1980s, homeless women were more likely than men to report a mental health condition (Breakey et al, 1989; Crystal & Ladner, 1985); however, there are discrepancies in the literature regarding gender differences in mental health symptoms, with one relatively recent study reporting no significant differences (Edens, Mares, & Rosenheck, 2011) and another study finding that women were significantly more likely to report mental health symptoms (Hwang et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing

Winetrobe

Wenzel

Rhoades

et al. 2017

Women's Health Issues

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Background Permanent supportive housing (PSH) is the leading intervention to end chronic homelessness. Little is known, however, about gender differences, including potential disparities in physical and mental health and social support, that might inform services available through PSH. Methods 421 homeless adults, at least 39 years old, English- or Spanish-speaking, who were moving into PSH through 26 different agencies in the Los Angeles area participated. Results Compared to men entering PSH, homeless women (28% of the sample) were younger (p<0.01), less likely to have achieved at least a high school education (p<0.05), and had lower incomes (p<0.01). Women had more chronic physical health conditions (p<0.01), were more likely to have any chronic mental health condition (OR: 2.5, p<0.01), and had more chronic mental health conditions than men (p<0.01). Women had more relatives in their social networks (Coef: 0.79, p<0.01) and more relatives who provided support (Coef: 0.38, p<0.05), but also more relatives with whom they had conflict (Coef: 0.19, p<0.01). Additionally, women were less likely to have caseworkers (Coef: −0.59, p<0.001) or physical and mental healthcare providers in their networks (Coef: −0.23, p<0.01; Coef: −0.37, p<0.001, respectively). However, after correcting for multiple testing, three outcomes lost significance: number of chronic physical health conditions, number of relatives who provided any support, and number of relatives with whom there was conflict. Conclusions There is evidence of gender differences in mental health and social support among homeless adults moving into PSH. PSH cannot be a one-size-fits-all approach. Supportive services within housing should be tailored based on gender and other individual needs.

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Section: Introductionmentioning

confidence: 99%

Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing

Winetrobe

Wenzel

Rhoades

et al. 2017

Women's Health Issues

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“…Individuals with concurrent disorders (CD) are overrepresented in forensic settings, regularly inhabit substandard housing [2,3] and constitute a significant percentage of the homeless population [4,5]. Individuals suffering from CD typically have difficulty engaging with traditional health care services and tend to rely heavily upon emergency care as their access point to the health care system [6].…”

Section: Introductionmentioning

confidence: 99%

The Burnaby treatment center for mental health and addiction, a novel integrated treatment program for patients with addiction and concurrent disorders: results from a program evaluation

Schütz

Linden

Torchalla

et al. 2013

BMC Health Serv Res

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BackgroundPatients with addictions and concurrent disorders constitute the most underserved population in the system of care. There are numerous reasons why this population has so much difficulty accessing services, including behavioural issues, criminal engagement, and non-compliance with outpatient services. To improve services to this population which is marked by multiple morbidities, high mortality and insufficient access to health care, the government of British Columbia, Canada developed a program for people with both substance use disorder and one or more mental disorders who have not benefited from previous therapies.MethodIn July 2008, the Burnaby Treatment Centre for Mental Health and Addiction (BCMHA), a specialized and integrated tertiary care facility, was opened. The current article provides a description of the treatment program and a clinical profile of the population.ResultsThe target population is being served, at intake clients present with high rates of psychopathology, childhood and adult trauma, and substance use.ConclusionWhile preliminary, these results indicate, that the novel approach of the Burnaby Centre may constitute a new path towards providing effective recovery for this population.

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“…Tailored programs are needed for homeless mothers who have been found to hold negative perceptions of service providers related to understanding, support, and fear (Sznajder-Murray & Slesnick, 2011). Homeless women use a variety of health services (Strehlau, Torchalla, Kathy, Schuetz, & Krausz, 2012) and mothers report a greater desire for treatment for substance use, depression, and sexual abuse in relation to the increasing severity of their symptoms (Slesnick & Guo, 2012).…”

Section: Ways Forward For Homeless Women With An Sud and Mental Healtmentioning

confidence: 99%

Mothering on the Margins: Homeless Women with an SUD and Complex Mental Health Co-Morbidities

Dawson

Jackson

Cleary

2013

Issues in Mental Health Nursing

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Mental Health, Concurrent Disorders, and Health Care Utilization in Homeless Women

Cited by 33 publications

References 57 publications

Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing

Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing

The Burnaby treatment center for mental health and addiction, a novel integrated treatment program for patients with addiction and concurrent disorders: results from a program evaluation

Mothering on the Margins: Homeless Women with an SUD and Complex Mental Health Co-Morbidities

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