Abstract
Patients treated in a Department of Veterans Affairs (VA) emergency room were evaluated to delineate the differences in use of services between homeless and domiciled veterans who have mental disorders. Data were obtained and compared on DSM-III-R diagnoses, number of hospitalizations, lengths of stay, and outpatient visits in the preceding year. Homeless veterans with mental disorders were significantly more likely to have emergency visits and psychiatric admissions in the preceding 12 months than were the domiciled veterans. However, the average length of stay was shorter for the homeless group. These differences must be accounted for in the design of programs targeting homeless veterans with mental illness.
References
Bachrach LL: What we know about homelessness among mentally ill persons: An analytical review and commentary.Hospital and Community Psychiatry 1992; 43:453–464.
Breakey WR, Fischer P, Kramer M, et al.: Health and mental health problems of homeless men and women in Baltimore.Journal of the Americal Medical Association 1989; 262:1352–1357.
Rosenheck R, Leda C, Gallup P: Combat stress, psychological adjustment and service use among homeless Vietnam veterans.Hospital and Community Psychiatry 1992; 43:145–149.
Rosenheck R, Koegel P: Characteristics of veterans and non-veterans in three samples of homeless men.Hospital and Community Psychiatry 1993; 44:858–863.
Szuster R: Characteristics of psychiatric emergency room patients with alcohol and drug induced disorders.Hospital and Community Psychiatry 1990; 41:1342–1344.
Padgett D, Struening E: Influence of substance abuse and mental disorders on energency room use by homeless adults.Hospital and Community Psychiatry 1991; 42:834–837.
Goodpastor W, Hare B: Factors associated with multiple readmissions to an urban psychiatric hospital.Hospital and Community Psychiatry 1991; 42:85–87.
Holloway JJ, Medendorp SV, Bromber J: Risk factors for early readmission among veterans.Health Services Research 1990; 25:213–237.
Zook CJ, Savickis SF, Moore FD: Repeated hospitalization for the same disease: A multiplier of national health cost.Milbank Memorial Fund Quarterly 1980; 58:454–471.
Neff JA, McFall SL: Explaining trends in use of VA inpatient psychiatric service.Health Services Research 1990; 25:257–268.
Appleby L, Desai P: Documenting the relationship between homelessness and psychiatric hospitalization.Hospital and Community Psychiatry 1985; 36:732–737.
Hartz D, Banys P, Hall S: Correlates of homelessness among substance abuse patients at a VA Medical Center.Hospital and Community Psychiatry 1994; 45:491–493.
Wenzel S, Gelberg L, Bakhtiar L, et al.: Indicators of chronic homelessness among veterans.Hospital and Community Psychiatry 1993; 44:1172–1176.
Rosenheck R, Gallup P, Frisman L: Health care utilization and costs after entry into an outreach program for homeless mentally ill veterans.Hospital and Community Psychiatry 1993; 44:1116–1171.
Rosenheck R, Leda C: Initial assessment data from a 43 site program for homeless, chronic mentally ill veterans.Hospital and Community Psychiatry 1989; 40:937–942.
Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., rev. Washington, DC: American Psychiatric Association, 1987.
Lamb H, Lamb D: Factors contributing to homelessness among the chronically and severely mentally ill.Hospital and Community Psychiatry 1990; 41:301–310.
Appleby L, Slagg N, Desai P: The urban nomad: A psychiatric problem?Current Psychiatric Therapies 1982; 43:453–464.
Susser E, Conover S, Struening E: Problems of epidemiologic method in assessing the type and extent of mental illness among homeless adults.Hospital and Community Psychiatry 1989; 40:261–265.
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Stovall, J., Flaherty, J.A., Bowden, B. et al. Use of psychiatric services by homeless veterans. The Journal of Behavioral Health Services & Research 24, 98–102 (1997). https://doi.org/10.1007/BF02790485
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DOI: https://doi.org/10.1007/BF02790485