Social support and psychopathology in homeless patients presenting for emergency psychiatric treatment

We compared homeless to domiciled psychiatric patients' symptomatology and perceived level of social support (PSS) within hours of psychiatric emergency service (PES) arrival. Homeless patients experienced less PSS and more negative symptoms, but not more psychosis, than their domiciled counter...

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Bibliographic Details
Published in:Journal of clinical psychology 1999-09, Vol.55 (9), p.1127-1133
Main Authors: Wu, Tina, Serper, Mark R.
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Emergency Services, Psychiatric
Female
Homeless people
Homeless Persons - psychology
Humans
Male
Medical sciences
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - psychology
Mental Disorders - therapy
Middle Aged
Miscellaneous
Psychiatric Status Rating Scales
Psychiatry
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotic Disorders - diagnosis
Psychotic Disorders - psychology
Psychotic Disorders - therapy
Risk Factors
Social Support
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Summary:We compared homeless to domiciled psychiatric patients' symptomatology and perceived level of social support (PSS) within hours of psychiatric emergency service (PES) arrival. Homeless patients experienced less PSS and more negative symptoms, but not more psychosis, than their domiciled counterparts. Domiciled patients' PSS was highly related to their clinical presentation: less support predicted increased psychopathology. Homeless patients' clinical symptoms, although as common and severe, were unassociated with PSS. These findings suggest that homeless psychiatric patients may be less reactive to positive environmental influences like social support and manifest more severe and refractory symptoms than domiciled patients presenting for emergency treatment. © 1999 John Wiley & Sons, Inc. J Clin Psychol 55: 1127–1133, 1999.
ISSN:0021-9762
1097-4679
DOI:10.1002/(SICI)1097-4679(199909)55:9<1127::AID-JCLP9>3.0.CO;2-M