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Related Experiment Videos

The hostel outreach program: assertive case management for homeless mentally ill persons

D A Wasylenki1, P N Goering, D Lemire

  • 1Clarke Institute of Psychiatry, Toronto, Ontario, Canada.

Hospital & Community Psychiatry
|September 1, 1993
PubMed
Summary

Assertive case management significantly improved residential stability and reduced psychiatric symptoms for homeless individuals with psychiatric disabilities. This program offers a humane approach to helping this challenging population.

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Area of Science:

  • Psychiatry
  • Social Work
  • Public Health

Background:

  • Homelessness and psychiatric disabilities present complex challenges.
  • Effective interventions are needed for this vulnerable population.
  • Assertive case management is a potential strategy.

Purpose of the Study:

  • To evaluate an assertive case management program for homeless individuals with psychiatric disabilities in Toronto.
  • To assess the program's impact on residential stability, psychiatric symptoms, social functioning, social networks, and service utilization.

Main Methods:

  • A cohort of 59 clients admitted to the program was assessed.
  • Data were collected for the nine months preceding program entry and nine months after.
  • The Brief Psychiatric Rating Scale and Scale for Level of Functioning were primary outcome measures.

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Main Results:

  • Significant improvements were observed in residential stability and reductions in psychopathology.
  • Social functioning and social network size also showed significant positive changes.
  • Clients utilized basic support services during the initial nine months of the program.

Conclusions:

  • The assertive case management program proved successful in improving outcomes for psychiatrically disabled homeless individuals.
  • The findings highlight the importance of trained personnel in delivering effective care.
  • This approach offers a humane and effective method for treating a difficult-to-reach patient population.