Psychiatry and the homeless

  title={Psychiatry and the homeless},
  author={Carl I Cohen and Kenneth Thompson},
  journal={Biological Psychiatry},

Differential patterns of mental disorders among the homeless in Madrid (Spain) and Los Angeles (USA)

The Madrid sample showed higher 12-month prevalence rates of dysthymia and cognitive impairment as compared to the LA sample, and most subjects across both cities first experienced symptoms of their mental disorders before first becoming homeless.

Mental Health Problems of the Edinburgh ‘Roofless’

The roofless have multiple severe medical, social, and psychiatric problems that must be addressed when considering the provision of services.

Outcomes for the mentally ill in a program for older homeless persons.

A generic service program for older homeless persons can successfully improve the well-being of mentally ill clients, although outcomes are less favorable for such clients than for clients who are not mentally ill.



A Time For Action

A decade of research and services for homeless mentally ill persons. Where do we stand

: Over the past decade, researchers have documented the range of needs and devised new methods for increasing our understanding of the homeless severely mentally ill population. Clinicians have

Primary prevention in perspective.

Except for a few specific conditions there is little evidence that primary prevention has been effective and the authors feel that research and program evaluation in prevention is sorely needed but should be funded separately and with discretion.

Homelessness as psychological trauma. Broadening perspectives.

The authors of this article argue that homelessness itself is a risk factor for emotional disorder and use the construct of psychological trauma--focusing on social disaffiliation and learned helplessness--to understand the potential effects of homelessness.

The new mendicancy: homeless in New York City.

It is argued that in the absence of safe and accessible shelter, rehabilitation efforts are doomed to failure and suggested that clinicians could play a critical advocacy role for an approach that sees therapeutic and social needs as intimately linked.

An evaluation of a mental health program for homeless men.

The authors report the results of a before-and-after evaluation of an on-site mental health day treatment program for homeless men, finding living on the street was virtually eliminated, use of shelters decreased sevenfold, aftercare utilization tripled, and contacts with the criminal justice system were halved.

Homeless mentally ill or mentally ill homeless?

Data is presented indicating that recent socioeconomic and political shifts contributed greatly to homelessness among all groups, regardless of mental illness; that those with and without mental illness have similar biographical and demographic profiles; and that high levels of mental distress are common to all homeless persons.

Homelessness and Mental Illness

  • Jan Scott
  • Psychology
    British Journal of Psychiatry
  • 1993
This review outlines the research, highlights current views on the definition and classification of homeless populations, and offers some guidelines on avenues which need to be explored.

Psychiatry and the homeless mentally ill: a reply to Dr. Lamb.

The authors offer an alternative understanding of the plight of the homeless mentally ill which places their problems within a larger context of social trends and domestic issues that society has been reluctant to confront.