Subtle Neurological Deficits and Psychopathological Findings in Substance-Abusing Homeless and Non-Homeless Veterans

Douyon, Richard; Guzman, Paul; Romain, Gerard; Ireland, Susan J.; Mendoza, Lourdes M.; Lopez-Blanco, Marino; Milanes, Fernando

doi:10.1176/jnp.10.2.210

Cited by 13 publications

(8 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The majority of participants in these studies were currently or previously justice-involved and/or their criminal justice involvement was a primary or secondary factor in the study. Often these veterans were recruited from VHA clinical settings, such as addiction treatment programs (Benda, Rodell, & Rodell, 2003a) or mental health inpatient care (e.g., Douyon et al, 1998), or were from VHA homeless programs (e.g., Cusack & Montgomery, 2017; Gabrielian et al, 2016; Tsai, O'Connell, Kasprow, & Rosenheck, 2011), although four studies were conducted in non-VHA settings (e.g., Montgomery, Szymkowiak, Marcus, Howard, & Culhane, 2016; Williams et al, 2010). Mental health and substance use disorders were the most commonly addressed issues among these studies, though some studies also examined medical conditions.…”

Section: Resultsmentioning

confidence: 99%

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

et al. 2019

View full text Add to dashboard Cite

Background In the criminal justice system, special populations, such as older adults or patients with infectious diseases, have been identified as particularly vulnerable to poor health outcomes. Military veterans involved in the criminal justice system are also a vulnerable population warranting attention because of their unique healthcare needs. This review aims to provide an overview of existing literature on justice-involved veterans’ health and healthcare to identify research gaps and inform policy and practice. Methods A systematic search was conducted to identify research articles related to justice-involved veterans’ health and healthcare that were published prior to December 2017. Study characteristics including healthcare category, study design, sample size, and funding source were extracted and summarized with the aim of providing an overview of extant literature. Results The search strategy initially identified 1830 unique abstracts with 1387 abstracts then excluded. Full-text review of 443 articles was conducted with 252 excluded. There were 191 articles included, most related to veterans’ mental health (130/191, 68%) or homelessness (24/191, 13%). Most studies used an observational design (173/191, 91%). Conclusions Knowledge gaps identified from the review provide guidance on future areas of research. Studies on different sociodemographic groups, medical conditions, and the management of multiple conditions and psychosocial challenges are needed. Developing and testing interventions, especially randomized trials, to address justice-involved veterans care needs will help to improve their health and healthcare. Finally, an integrated conceptual framework that draws from diverse disciplines, such as criminology, health services, psychology, and implementation science is needed to inform research, policy and practice focused on justice-involved veterans. Electronic supplementary material The online version of this article (10.1186/s40352-019-0086-9) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In one sample of 10,000 veterans seen in a national VA program, one-third of whom had served in combat, over 50% had significant criminal histories. Studies which capture data on legal status, and have included or focused on veterans, have found the following types of criminal justice involvement to be associated with homelessness: (a) history of arrests (Caton et al 2005); (b) having been jailed (Rosenheck and Koegel 1993); and (c) criminal behavior (Douyon et al 1998). Duration of homelessness was associated with criminal history in one of two samples of veterans surveyed in a VA Domiciliary program (Wenzel et al 1993).…”

Section: Homelessness Risk Among Incarcerated Veteransmentioning

confidence: 99%

Closing a Front Door to Homelessness among Veterans

McGuire

2007

J Primary Prevent

View full text Add to dashboard Cite

The U.S. Department of Veterans Affairs (VA) has been identified as a mainstream institution to help prevent homelessness among America's veterans. The large numbers of incarcerated veterans with serious mental illnesses and substance abuse disorders who are at risk for homelessness support the need for expanded VA outreach to this population. Since 2002, the VA has contacted almost 6,500 veterans in prison or jail. Its leadership role in affording comprehensive health, mental health, social resources, corrections outreach, and current policy and planning strategies positions the VA to provide system wide service to veterans leaving correctional institutions. As this VA outreach program proceeds, examining the links among program assumptions, veteran needs and outcomes, and existing evaluation processes can help to maintain focus on homelessness prevention strategies.

show abstract

“…Studies using a variety of methodologies have found that between 3% and 80% of various homeless samples show signs of cognitive impairment (e.g., Douyon et al, 1998;Gonzalez et al, 2001;Menendez et al, 1995;Seidman et al, 1997). Many homeless people have demonstrated impairment in their ability to organize, integrate, and execute complex goal-directed behaviors, which can affect their ability to interact effectively with service providers and benefit from traditional psychosocial interventions and educational and vocational programming (US Federal Task Force on Homelessness and Severe Mental Illness, 1992).…”

Section: Neuropsychological Functioning Of Homeless Peoplementioning

confidence: 99%

Neuropsychological Functioning of Homeless Men

Solliday-McRoy¹,

Campbell²,

Melchert³

et al. 2004

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

Numerous biological and psychological factors associated with impaired neurological functioning have been identified as common among the homeless, but there has been relatively little systematic examination of the cognitive functioning of homeless people. This study explored the neuropsychological functioning of 90 homeless men. There was great variability in their test scores, but the presence of possible cognitive impairment was detected in 80% of the sample. Average general intellectual functioning and reading abilities were found to be relatively low, and the incidence of impairments in reading, new verbal learning, memory, and attention and concentration was high. These findings suggest that the homeless men in this study had considerable assessment and treatment needs that were not being met by most of the health and social services offered to them.

show abstract

Subtle Neurological Deficits and Psychopathological Findings in Substance-Abusing Homeless and Non-Homeless Veterans

Cited by 13 publications

References 30 publications

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

Closing a Front Door to Homelessness among Veterans

Neuropsychological Functioning of Homeless Men

Contact Info

Product

Resources

About