Profiles of Quality of Life in a Homeless Population

Gentil, Lia; Grenier, Guy; Bamvita, Jean‐Marie; Dorvil, Henri; Fleury, Marie‐Josée

doi:10.3389/fpsyt.2019.00010

Cited by 44 publications

(40 citation statements)

References 58 publications

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“…44 Cluster analysis has been used to identify several types of profiles among people with MD-SUD who use diverse health services; for example, patients admitted to hospital for the first time, 45 patients who frequently use in-patient mental health services, 46 people with schizophrenia receiving health services in the community, 47 people with MD-SUD treated in addiction rehabilitation centers, 48 those receiving help from general mental health services, 49 people who use antidepressants 50 and homeless individuals with MD-SUD who use health services. 51 The present study aimed to develop a typology based on the frequency of emergency department visits for MD-SUD among a sample of 320 people in Quebec (Canada).…”

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confidence: 99%

Typology of patients who use emergency departments for mental and substance use disorders

2020

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Background Identifying profiles of people with mental and substance use disorders who use emergency departments may help guide the development of interventions more appropriate to their particular characteristics and needs. Aims To develop a typology for the frequency of visits to the emergency department for mental health reasons based on the Andersen model. Method Questionnaires were completed by patients who attended an emergency department (n = 320), recruited in Quebec (Canada), and administrative data were obtained related to sociodemographic/socioeconomic characteristics, mental health diagnoses including alcohol and drug use, and emergency department and mental health service utilization. A cluster analysis was performed, identifying needs, predisposing and enabling factors that differentiated subclasses of participants according to frequency of emergency department visits for mental health reasons. Results Four classes were identified. Class 1 comprised individuals with moderate emergency department use and low use of other health services; mostly young, economically disadvantaged males with substance use disorders. Class 2 comprised individuals with high emergency department and specialized health service use, with multiple mental and substance use disorders. Class 3 comprised middle-aged, economically advantaged females with common mental disorders, who made moderate use of emergency departments but consulted general practitioners. Class 4 comprised older individuals with multiple chronic physical illnesses co-occurring with mental disorders, who made moderate use of the emergency department, but mainly consulted general practitioners. Conclusions The study found heterogeneity in emergency department use for mental health reasons, as each of the four classes represented distinct needs, predisposing and enabling factors. As such, interventions should be tailored to different classes of patients who use emergency departments, based on their characteristics.

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Typology of patients who use emergency departments for mental and substance use disorders

2020

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“…These factors are especially crucial for rehabilitation. One study by Gentilet al (61) found that the quality of life and social integration of homeless individuals were not significantly different between various PHS types. However, there is still a need for more research comparing different types of PHS services to identify their different effects on their users and to identify these users' characteristics.…”

Section: Permanent Housing With Supportmentioning

confidence: 97%

Models of Housing in the Quebec Setting for Individuals With Mental Illness

Dorvil

Tousignant-Groulx

2019

Front. Psychiatry

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The World Health Organization (WHO) defines mental health as "a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community". A person's mental health is shaped by various social, economic, physical, and environmental factors, at different stages of life. Risk factors are heavily associated with social inequalities in the domains of employment, housing, and education. Theories of social determinants of health postulate the beneficial effects of factors exterior to medicine (regarding income, housing, education, and employment) on the health of individuals and populations. Recognition of the effect of social determinants on the health of vulnerable populations has been at the core of the intervention models and housing services developed by social service professionals in Québec. This article offers a review of housing services provided to psychiatric patients living in the community, over the last 50 years in Quebec. Different models of housing with social support which contribute to the autonomy, the security, and the empowerment of psychiatric patients are presented.

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“…Salvia divinorum : 2017 LC-MS/MS analysis of 40 Salvia species for screening their psychoactive constituents of salvinorin A and salvinorin B and genomic characterization [ 847 ]; 2019 review [ 848 ]; review of salvinorin A and some of its analogues [ 849 ].…”

Section: Routine and Improved Analyses Of Abused Substancesmentioning

confidence: 99%