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Homelessness and dual diagnosis.
R E Drake1, F C Osher, M A Wallach
1New Hampshire-Dartmouth Psychiatric Research Center, Lebanon 03766.
The American Psychologist
|November 1, 1991
Summary
Dually diagnosed homeless individuals with severe mental illness and substance use disorders have complex needs. Effective interventions require integrated approaches to housing, social services, and treatment.
Area of Science:
- Public Health
- Psychiatry
- Social Work
Background:
- 10%-20% of homeless individuals have dual diagnoses of severe mental illness and substance use disorders.
- This population is highly vulnerable with complex, often poorly understood needs.
- Existing research presents challenges in understanding and addressing their unique circumstances.
Purpose of the Study:
- To review current research on the epidemiology, characteristics, and service needs of dually diagnosed homeless individuals.
- To discuss evolving approaches in social services, housing, and integrated treatment.
- To identify system, legal, and research challenges and future directions.
Main Methods:
- Literature review of recent research.
- Synthesis of epidemiological data and subject characteristics.
- Analysis of service provision models and system/legal issues.
Main Results:
- Dual diagnosis in the homeless population is significant and presents multifaceted challenges.
- A range of innovative social, housing, and treatment strategies are emerging.
- Distinguishing appropriate living environments from mental health treatment is crucial for effective care.
Conclusions:
- Integrated care models are essential for dually diagnosed homeless individuals.
- Addressing both housing and mental health needs is paramount.
- Further research is needed to refine interventions and understand long-term outcomes.