Assessing homeless mentally ill persons for permanent housing : Screening for safety

Although placement in community housing is a frequent intervention with populations of seriously mentally ill homeless individuals, there has been little formal investigation of the criteria used by clinicians in screening individuals for such placement. In this paper, we describe screening a popula...

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Published in:Community mental health journal 1996-06, Vol.32 (3), p.275-288
Main Authors: GOLDFINGER, S. M, SCHUTT, R. K, TURNER, W, TOLOMICZENKO, G, ABELMAN, M
Format: Article
Language:English
Subjects:
Accommodation
Biological and medical sciences
Compliance
Group Homes
Homeless mentally ill people
Homeless people
Homeless Persons - psychology
Housing
Humans
Medical sciences
Mental disorders
Mental Disorders - rehabilitation
Mental health
Organization of mental health. Health systems
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regression Analysis
Risk assessment
Risk Factors
Safety
Screening
Self-Injurious Behavior
Social psychiatry. Ethnopsychiatry
Substance-Related Disorders
Treatment Refusal
USA
Violence
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cited_by cdi_FETCH-LOGICAL-c397t-40bdac6a5e48b9295cceb67ec353db843057bd381101b3c98448ac187496c5423
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container_title Community mental health journal
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creator GOLDFINGER, S. M
SCHUTT, R. K
TURNER, W
TOLOMICZENKO, G
ABELMAN, M
description Although placement in community housing is a frequent intervention with populations of seriously mentally ill homeless individuals, there has been little formal investigation of the criteria used by clinicians in screening individuals for such placement. In this paper, we describe screening a population of 303 homeless people with severe mental illness for placement in independent apartments. We assess subjects' level of risk along multiple dimensions and determine the contribution of each risk dimension to the final safety decision. In addition, we evaluate the validity of the risk measures with other measures of clinical condition. Two-thirds of the sample were judged as safe for independent living. Assaultiveness was the most frequent risk identified, followed by self-destructiveness, substance abuse, and medication non-compliance. The final safety decision was associated most strongly with assaultiveness, self-destructiveness, and medication non-compliance. We conclude that it is possible to assess risk with measures that are available from shelter and medical records, and call for more research on the role of medication non-compliance in safety decisions and for longitudinal research to validate risk assessments.
doi_str_mv 10.1007/BF02249428
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ispartof Community mental health journal, 1996-06, Vol.32 (3), p.275-288
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source Applied Social Sciences Index & Abstracts (ASSIA); Springer Online Journal Archives; Sociological Abstracts
subjects Accommodation
Biological and medical sciences
Compliance
Group Homes
Homeless mentally ill people
Homeless people
Homeless Persons - psychology
Housing
Humans
Medical sciences
Mental disorders
Mental Disorders - rehabilitation
Mental health
Organization of mental health. Health systems
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regression Analysis
Risk assessment
Risk Factors
Safety
Screening
Self-Injurious Behavior
Social psychiatry. Ethnopsychiatry
Substance-Related Disorders
Treatment Refusal
USA
Violence
title Assessing homeless mentally ill persons for permanent housing : Screening for safety
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