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Published on: February 16, 2011
Caring for homeless persons with serious mental illness in general hospitals
Leah K Bauer1, Travis P Baggett, Theodore A Stern
1Massachusetts General Hospital, Boston, MA, USA. lbauer@partners.org
Background:
The care of homeless persons with serious mental illness remains a common and challenging problem in general hospital settings.
Objective:
This article aims to review data on homelessness and its psychiatric comorbidities, and to expand the skills of providers who encounter homeless individuals in general hospital settings.
Results:
Literature review reveals patient, provider, and systems factors that contribute to suboptimal health outcomes in homeless individuals.
Conclusions:
Diagnostic rigor, integrated medical and psychiatric care, trauma-informed interventions, special considerations in capacity evaluations, and health care reform initiatives can improve the treatment of homeless persons with serious mental illness.
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