Although data suggest that homelessness among persons with severe mental disorders is both distressing and common, several important epidemiologic questions remain unanswered.
This study reports on the occurrence of homelessness in a quasi-representative sample of persons newly hospitalized with psychotic disorders.
The authors also compared rates of homelessness in different diagnostic groups and among groups with differing symptom profiles.
The study was based on data from 237 first-admission patients hospitalized at 10 of the 12 impatient facilities in eastern Long Island, N.Y. Consensus diagnoses were derived from multiple sources of information, including the Structured Clinical Interview for DSM-III-R.
Patients were followed over a 24-month period after initial interview.
Homelessness histories were based on subject self-reports.
Fifteen percent of the patients had experienced at least one episode of homelessness before or within 24 months of their first psychiatric hospitalization.
In more than two-thirds of these cases, the initial homeless episode had occurred before the first hospitalization.
There were no significant differences in the risk of homelessness among diagnostic groups.
Among subjects diagnosed with schizophrenia and related disorders, those with high levels of negative symptoms had a significantly greater risk of prehospitalization homelessness than those with low symptom levels. (...)
Mots-clés Pascal : Psychose, Hospitalisation, Prévalence, Sans domicile fixe, Epidémiologie, New York, Etats Unis, Amérique du Nord, Amérique, Santé mentale, Homme
Mots-clés Pascal anglais : Psychosis, Hospitalization, Prevalence, Homeless, Epidemiology, New York, United States, North America, America, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0097795
Code Inist : 002B18C06B. Création : 22/06/1998.