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Will we save the homeless mentally ill?

¹Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.

The American Journal of Psychiatry

|May 1, 1990

Summary

Addressing the needs of homeless individuals with mental illness requires immediate action. Implementing comprehensive case management and utilizing involuntary treatment options are crucial for timely and effective care.

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Area of Science:

Public Health
Psychiatry
Social Work

Background:

The plight of homeless individuals with mental illness remains a significant and persistent societal challenge.
Progress in providing adequate support and treatment for this population has been notably slow and unsatisfactory.

Purpose of the Study:

To review the critical needs of homeless individuals with mental illness.
To propose actionable recommendations for immediate intervention and improved care.

Main Methods:

Review of existing challenges and needs assessments for homeless mentally ill individuals.
Formulation of policy and service delivery recommendations based on the review.

Main Results:

Current approaches to assisting homeless mentally ill persons are insufficient.
There is a critical need for enhanced case management, structured alternatives to hospitalization, and judicious use of involuntary treatment mechanisms.

Conclusions:

Immediate implementation of extensive case management services is essential.
Involuntary hospitalization, conservatorship, and outpatient commitment are necessary tools for managing incompetent, dangerous, or gravely disabled individuals.
Prioritizing timely transfer to appropriate treatment and living situations over achieving an idealized outcome is paramount for effective care.

Keywords:

Health Care and Public Health Mental Health Therapies Professional Patient Relationship

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