Effects of comorbid substance use disorders on outcomes in a Housing First intervention for homeless people with mental illness

Addiction ◽  
2017 ◽  
Vol 113 (1) ◽  
pp. 137-145 ◽  
Author(s):  
Karen Urbanoski ◽  
Scott Veldhuizen ◽  
Michael Krausz ◽  
Christian Schutz ◽  
Julian M. Somers ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Homeless People ◽  
Housing First ◽  
People With Mental Illness

Psychology and public policy: The story of a Canadian Housing First project for homeless people with mental illness.

2020 ◽  
Vol 61 (3) ◽  
pp. 257-268
Author(s):  
Geoffrey Nelson ◽  
Tim Aubry ◽  
Sam Tsemberis ◽  
Eric Macnaughton
Keyword(s):  
Public Policy ◽  
Mental Illness ◽  
Homeless People ◽  
Housing First ◽  
People With Mental Illness

A whole-of-population study of the prevalence and patterns of criminal offending in people with schizophrenia and other mental illness

2012 ◽  
Vol 43 (9) ◽  
pp. 1869-1880 ◽  
Author(s):  
V. A. Morgan ◽  
F. Morgan ◽  
G. Valuri ◽  
A. Ferrante ◽  
D. Castle ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Illness ◽  
Diagnostic Category ◽  
Epidemiological Studies ◽  
Case Register ◽  
People With Mental Illness ◽  
Increased Risk ◽  
History Of

BackgroundLarge epidemiological studies are needed to better understand the prevalence and profile of offending by people with mental illness. This study used a whole-of-population design to examine the prevalence, type and pattern of offending across all psychiatric diagnoses, including schizophrenia, compared to the general population.MethodWe used whole-of-population longitudinal record-linked data for a cohort of all Western Australians born 1955–1969 to determine arrest history over the period 1985–1996 and to ascertain recorded history of psychiatric illness. Of the cohort, 116 656 had been arrested and 40 478 were on the psychiatric case register.ResultsThe period prevalence of arrest for people with any psychiatric illness was 32.1%. The highest arrest prevalence, by diagnostic category, was for substance use disorders (59.4%); the prevalence for schizophrenia was 38.7%. Co-morbid substance use disorders significantly increased risk of arrest in people with schizophrenia. The prevalence of mental illness among offenders was 11.1%: 6.5% of offenders had substance use disorders and 1.7% had schizophrenia. For the majority of offenders with a psychiatric illness, first arrest preceded first contact with mental health services; for schizophrenia only, this proportion was increasing over time. The mean percentage annual change in the number of arrests during 1985–1996 rose significantly for offenders with a psychiatric illness other than schizophrenia and dropped significantly for those with no mental illness. Compared to non-psychiatric offenders, offenders with schizophrenia were more likely to offend alone, to offend in open places and to target strangers.ConclusionsOur findings open the way to an informed approach to the management of offenders with mental illness.

Multi-morbidity: Psychosis early childhood adversity and substance use within homeless people

2016 ◽  
Vol 33 (S1) ◽  
pp. S21-S21
Author(s):  
M. Krausz
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Risk Factor ◽  
Homeless People ◽  
Childhood Adversity ◽  
Housing First ◽  
Persistent Mental Illness ◽  
History Of ◽  
Competing Interest ◽  
Early Trauma

Homelessness is the most visible indicator for social marginalization and vulnerability. It is a risk factor for subsequent health threats and especially individuals with a history of trauma, substance use and severe persistent mental illness are at high risk to loose their homes, jobs and social networks.The Canadian At Home/Chez Soi study aimed to better understand the entanglement of homelessness and mental illness and possible strategies to provide care to the most vulnerable. In 5 Canadian centers, over 2000 patients were included and randomized to different intervention arms based on a housing first approach.Early trauma and foster care were as rampant as poly substance use, which explains a significant increase in mortality too.Disclosure of interestThe author has not supplied his declaration of competing interest.

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