Back to Search
Start Over
Characteristics and treatment of homeless, mentally ill, chemical-abusing men.
- Source :
-
Journal of psychoactive drugs [J Psychoactive Drugs] 1995 Jan-Mar; Vol. 27 (1), pp. 93-103. - Publication Year :
- 1995
-
Abstract
- Comparing two types of treatment modalities in treating homeless, mentally ill, chemical-abusing (HMICAs) men and studying their characteristics, 723 HMICAs were interviewed on their childhood and family background and their psychiatric and substance abuse disorders, and then randomly assigned into either therapeutic community (TC) or community residence (CR) programs. The TC and CRs were found to differ from one another in their intake and admission procedures, their preadmission and postadmission dropout rates, and the effects of treatment on psychological status. The TC admitted their clients into treatment faster, tended to take more impaired clients, and had a lower preadmission dropout rate than the CRs did. The CRs had a lower postadmission dropout rate and were able to retain clients longer than the TC did. Comparing clients who stayed in treatment one year or longer, the TC appears to be more effective than the CRs in reducing depressive, psychotic, and functional symptoms. HMICAs' childhood and family background reveal severe parental deprivations and high prevalence of alcohol and other drug abuse, mental illness, and criminal behavior among the clients' parents. HMICAs' characteristics suggest that these men are completely outside mainstream society. They are severely impaired psychiatrically, chronically addicted, and often involved with the criminal system, thus occupying multiple deviant roles.
- Subjects :
- Adult
Alcoholism psychology
Alcoholism rehabilitation
Ethnicity
Humans
Male
Patient Dropouts psychology
Psychiatric Status Rating Scales
Residential Treatment
Therapeutic Community
Treatment Outcome
United States
Ill-Housed Persons psychology
Mental Disorders psychology
Mental Disorders rehabilitation
Substance-Related Disorders psychology
Substance-Related Disorders rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 0279-1072
- Volume :
- 27
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of psychoactive drugs
- Publication Type :
- Academic Journal
- Accession number :
- 7602445
- Full Text :
- https://doi.org/10.1080/02791072.1995.10471677