Prevalence of Bipolar Disorder and Schizophrenia in Houston Outreach Medicine, Education, and Social Services (HOMES) Clinic Patients

Abstract

The high prevalence of these mental illnesses combined with the increased burden of medical comorbidity among HOMES Clinic patients has implications for student-managed free clinics, which often operate on limited budgets. Strategies for providing care for these patients in this setting include integrated care, street medicine, and case management.

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

“… 21 , 30 , 54 Other concepts that were used interchangeably with student-run included student-created ; student-developed , student-directed , student-driven , student-initiated , student-managed , student-operated , student-organized , student nurse-delivered , student pharmacist-led , student pharmacist-run , and student-volunteer . 6 , 7 , 29 , 55 - 63 In some cases, more than one term was used interchangeably within the same article, such as student-run and student-led . 6 , 62 - 67 …”

“… 6 , 7 , 29 , 55 - 63 In some cases, more than one term was used interchangeably within the same article, such as student-run and student-led . 6 , 62 - 67 …”

“…Many literature sources where volunteerism was described were in reference to students who volunteered without any expectation of credit toward their education program and usually were connected to a desire for experiences outside the normal curricula of their program. 22 , 29 , 35 , 61 , 62 , 68 , 81 , 82 , 85 However, there were situations where students were identified as volunteers and there was either a connection to program credit or fulfillment of some other obligation, such as service-learning hours or interprofessional care experience. 51 , 71 , 72 , 74 , 90 , 96 , 97 Volunteerism also extended to practitioners, particularly where there was a requirement for professional oversight in services being delivered or need for alternative service, such as interpretation and laboratory skills.…”

“…Consistency and continuity of care was one aspect of quality, particularly when there was dependence on volunteerism or when initiatives ran concurrent with the semesters of the academic institution where there was high turnover of both students and mentors, as well as interruptions or lack of follow-up in service delivery. 4 , 8 , 19 , 34 , 35 , 50 , 61 , 62 , 82 , 90 , 91 , 104 , 111 , 116 Ensuring adequate preparation of students before participation in initiatives was also identified as essential to quality of care given variation in knowledge/skill sets, limited time to develop clinical skills, and teaching done by medical students. 1 , 36 , 42 , 50 , 54 , 104 , 111 As well, adequate resources that included limited access to specialty services, diagnostics, medications, or inpatient hospital care were noted as a challenge.…”

Illness and drug modifiable factors associated with violent behavior in homeless people with severe mental illness: results from the French Housing First (FHF) program

“…A recent meta-analysis has concluded that reduced new depressive episodes may be achieved by long-term antidepressant treatment with no significantly increased risk of new manic/hypomanic episodes in BD (Liu et al, 2017). While SZ and BD remain highly prevalent in homeless people (Ayano et al, 2019;Welsh et al, 2012), little is known about MDD in this specific population, its prevalence and the effectiveness of psychotropic drugs. Additional factors including alcohol and substance use disorders that are highly prevalent in homeless subjects may also play a major role in depression diagnosis and remission under treatment (Lim et al, 2016).…”