Are the mentally ill homeless a distinct homeless subgroup ?
The question has been raised whether it is useful or meaningful to dichotomize the homeless population by mental illness - i.e., to consider the mentally ill homeless as distinct from other homeless people.
The current article presents evidence from a single data set to address this question empirically.
Data from a randomly sampled population of 900 homeless men and women systemically interviewed using the Diagnostic Interview Schedule were examined to determine associations of mental illness with the problems of homelessness, controlling for the presence of substance abuse in the analyses.
Although a few clinically meaningful associations with mental illness were found that might suggest directions for appropriate interventions, mental illness did not differentiate individuals in many important demographic and biographical respects.
Individual diagnoses did not perform much better in differentiating the homeless by mental illness.
Schizophrenia and bipolar mania showed a few significant associations not identified by the « major mental illness » construct.
Major depression, constituting the majority of nonsubstance Axis I disorder in the homeless, provided no association beyond that obtained with the « major mental illness » category.
The data provide little support for conceptualizing homeless subgroups or homelessness in general on the basis of mental illness alone. (...)
Mots-clés Pascal : Sans domicile fixe, Trouble psychiatrique, Alcoolisme, Toxicomanie, Démographie, Statut professionnel, Aide financière, Réseau social, Revenu individuel, Antécédent, Milieu familial, Homme
Mots-clés Pascal anglais : Homeless, Mental disorder, Alcoholism, Drug addiction, Demography, Professional status, Financial assistance, Social network, Personal income, Antecedent, Family environment, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0478143
Code Inist : 002B18C14. Création : 10/04/1997.