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https://www.readbyqxmd.com/read/29352399/predictors-of-retention-in-an-alcohol-and-risky-sex-prevention-program-for-homeless-young-adults
#1
Eric R Pedersen, Brett A Ewing, Elizabeth J D'Amico, Jeremy N V Miles, Ann C Haas, Joan S Tucker
Homeless young adults are at risk for alcohol and other drug (AOD) use and risky sexual behavior. Interventions are needed to help these young people reduce their risky behavior, but this population is often difficult to engage and retain in services. We offered a four-session AOD and risky sex reduction program to 100 participants and examined if retention in the program was predicted by a number of factors: demographics, homelessness severity, other service use, AOD behaviors, mental health symptoms, sexual risk behaviors, and readiness to change AOD and condom use...
January 20, 2018: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/29351886/self-harm-among-the-homeless-population-in-ireland-a-national-registry-based-study-of-incidence-and-associated-factors
#2
Peter Barrett, Eve Griffin, Paul Corcoran, Mary T O'Mahony, Ella Arensman
BACKGROUND: Self-harm is a strong predictor of future suicide, but little is known about self-harm among the homeless population. The study aim was to estimate the incidence of self-harm among the homeless population and to assess factors associated with self-harm. METHODS: Data on self-harm presentations to 34 hospital emergency departments in Ireland were collected by the National Self-Harm Registry Ireland (NSHRI). Index presentations between 2010 and 2014 were included for the homeless and fixed residence populations...
December 27, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29346636/tuberculosis-among-the-homeless-in-chennai-city-south-india
#3
Chandrakumar Dolla, C Padmapriyadarsini, A Pradeep Menon, M Muniyandi, Srividya Adinarayanan, Gomathi Sekar, D Kavitha, Srikanth Prasad Tripathy, Soumya Swaminathan
Background: In India from a national perspective, the incidence/prevalence of active tuberculosis (TB) among the homeless are unknown. Methods: Homeless individuals, aged 15 years and above, were screened for TB by radiography and smear examination in Chennai city. Results: 301 individuals were enrolled and screened for TB; 8% (24/301) had chest symptoms; 5.6% (17/301) found X-ray abnormalities. The overall prevalence of TB was 1661/100 000; prevalence of culture-positive TB was 997/100 000 and smear-positive TB was 664/100 000 population...
January 16, 2018: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29338739/interventions-for-preventing-or-treating-malnutrition-in-homeless-problem-drinkers-a-systematic-review
#4
REVIEW
Sharea Ijaz, Helen Thorley, Katie Porter, Clare Fleming, Tim Jones, Joanna Kesten, Loubaba Mamluk, Alison Richards, Elsa M R Marques, Jelena Savović
BACKGROUND: Excessive drinking leads to poor absorption of nutrients and homeless problem-drinkers often have nutritionally inadequate diets. Depletion of nutrients such as vitamin B1 can lead to cognitive impairment, which can hinder efforts to reduce drinking or engage with services. This review aimed to assess effectiveness of interventions designed to prevent or treat malnutrition in homeless problem-drinkers. METHODS: We systematically searched nine electronic databases and 13 grey literature sources for studies evaluating interventions to improve nutrition in homeless populations, without regional or language restrictions...
January 16, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29335329/relocating-patients-from-a-specialist-homeless-healthcare-centre-to-general-practices-a-multi-perspective-study
#5
Kathrine Gibson Smith, Vibhu Paudyal, Katie MacLure, Katrina Forbes-McKay, Carol Buchanan, Liz Wilson, Joan MacLeod, Ann Smith, Derek Stewart
BACKGROUND: The relocation of formerly homeless patients eligible to transfer from a specialist homeless healthcare centre (SHHC) to mainstream general practices is key to patient integration in the local community. Failure to transition patients conferring eligibility for relocation may also negatively impact on SHHC service delivery. AIM: To explore barriers and facilitators of relocation from the perspectives of formerly homeless patients and healthcare staff involved in their care...
January 15, 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29334514/monitoring-depression-rates-in-an-urban-community-use-of-electronic-health-records
#6
Arthur J Davidson, Stanley Xu, Carlos Irwin A Oronce, M Josh Durfee, Emily V McCormick, John F Steiner, Edward Havranek, Arne Beck
OBJECTIVES: Depression is the most common mental health disorder and mediates outcomes for many chronic diseases. Ability to accurately identify and monitor this condition, at the local level, is often limited to estimates from national surveys. This study sought to compare and validate electronic health record (EHR)-based depression surveillance with multiple data sources for more granular demographic subgroup and subcounty measurements. DESIGN/SETTING: A survey compared data sources for the ability to provide subcounty (eg, census tract [CT]) depression prevalence estimates...
January 12, 2018: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29332553/understanding-trauma-normativeness-normalization-and-help-seeking-in-homeless-mothers
#7
Barbara L Brush, Laura E Gultekin, Elizabeth B Dowdell, Denise M Saint Arnault, Katherine Satterfield
Although trauma-informed approaches guide services to families experiencing homelessness, more emphasis is placed on securing housing than addressing underlying trauma contributing to housing instability. Examining the stories of 29 homeless and/or unstably housed mothers within the broader literature on family trauma and violence, chronic illness, and cultural aspects of family functioning, we define the process of trauma normativeness and normalization that may occur with repeated trauma experiences and argue that rehousing efforts must include concomitant attention to trauma and to understanding how individual, family, community, and cultural factors influence help-seeking behaviors in this vulnerable and growing population...
November 1, 2017: Violence Against Women
https://www.readbyqxmd.com/read/29331601/predictors-of-length-of-stay-in-psychiatric-inpatient-units-does-their-effect-vary-across-countries
#8
Giorgia Dimitri, Domenico Giacco, Michael Bauer, Victoria Jane Bird, Lauren Greenberg, Antonio Lasalvia, Vincent Lorant, Jacek Moskalewicz, Pablo Nicaise, Andrea Pfennig, Mirella Ruggeri, Marta Welbel, Stefan Priebe
BACKGROUND: Previous studies in individual countries have identified inconsistent predictors of length of stay (LoS) in psychiatric inpatient units. This may reflect methodological inconsistencies across studies or true differences of predictors. In this study we assessed predictors of LoS in five European countries and explored whether their effect varies across countries. METHODS: Prospective cohort study. All patients admitted over 14 months to 57 psychiatric inpatient units in Belgium, Germany, Italy, Poland and United Kingdom were screened...
December 7, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/29329065/factors-associated-with-depression-among-homeless-mothers-results-of-the-enfams-survey
#9
M Roze, S Vandentorren, J Van-Der-Waerden, M Melchior
PURPOSE: Women are disproportionately likely to suffer from depression. This is especially true for those who experience socioeconomic hardship, such as homelessness. In France, among homeless mothers many are migrant. However, it is not clear whether risk factors associated with depression are specific for this group or the same as in the general population. Our objective was to describe socio-demographic, relational, living and housing conditions and health factors associated with depression among homeless mothers...
January 6, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29328508/serologic-responses-and-effectiveness-of-hepatitis-a-vaccination-among-hiv-positive-individuals-during-the-outbreak-of-acute-hepatitis-a
#10
Kuan-Yin Lin, Szu-Min Hsieh, Hsin-Yun Sun, Yi-Chun Lo, Wang-Huei Sheng, Yu-Chung Chuang, Aristine Cheng, Sung-Ching Pan, Guan-Jhou Chen, Chien-Ching Hung, Shan-Chwen Chang
Outbreaks of hepatitis A virus (HAV) infection have been occurring among men who have sex with men (MSM) in Asia-Pacific region, the United States, and several European countries since June 2015, and recently among persons who are homeless and use illicit drugs in the US. We evaluated the serologic responses and effectiveness of HAV vaccination in HIV-positive individuals during the outbreak in Taiwan. From June 1, 2015 to September 30, 2016, anti-HAV IgG was prospectively determined among all HIV-positive individuals...
January 12, 2018: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/29327631/the-association-between-adverse-childhood-experiences-and-adult-traumatic-brain-injury-concussion-a-scoping-review
#11
Zechen Ma, Mark T Bayley, Laure Perrier, Priya Dhir, Lana Dépatie, Paul Comper, Lesley Ruttan, Christine Lay, Sarah E P Munce
BACKGROUND: Adverse childhood experiences are significant risk factors for physical and mental illnesses in adulthood. Traumatic brain injury/concussion is a challenging condition where pre-injury factors may affect recovery. The association between childhood adversity and traumatic brain injury/concussion has not been previously reviewed. The research question addressed is: What is known from the existing literature about the association between adverse childhood experiences and traumatic brain injury/concussion in adults? METHODS: All original studies of any type published in English since 2007 on adverse childhood experiences and traumatic brain injury/concussion outcomes were included...
January 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29327358/opioid-medication-use-in-patients-with-gastrointestinal-diagnoses-vs-unexplained-gastrointestinal-symptoms-in-the-us-veterans-health-administration
#12
G S Sayuk, N Kanuri, C P Gyawali, B M Gott, B D Nix, R A Rosenheck
BACKGROUND: While opioid prescriptions have increased alarmingly in the United States (US), their use for unexplained chronic gastrointestinal (GI) pain (eg, irritable bowel syndrome) carries an especially high risk for adverse effects and questionable benefit. AIM: To compare opioid use among US veterans with structural GI diagnoses (SGID) and those with unexplained GI symptoms or functional GI diagnoses (FGID), a group for whom opioids have no accepted role. METHODS: Veterans Health Administration (VHA) administrative data from fiscal year 2012 were used to identify veterans with diagnostic codes recorded for SGID and FGID...
January 12, 2018: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/29324393/changing-students-perceptions-of-the-homeless-a-community-service-learning-experience
#13
Janet Gardner, Jan Emory
The homeless are an underserved, local vulnerable population that can benefit from a service learning clinical practicum experience for baccalaureate prepared nursing students. Negative attitudes and disrespect among healthcare workers has been identified by the homeless as a barrier to healthcare. A service learning experience with a vulnerable population has been shown to change nursing students' attitudes and beliefs. A large university in a southern city partnered with a community based organization that provided services to the homeless to educate senior nursing students in a service learning experience...
January 5, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29323412/microsystems-of-recovery-in-homeless-services-the-influence-of%C3%A2-service-provider-values-on-service-users-recovery-experiences
#14
Rachel M Manning, Ronni Michelle Greenwood
There is still much to learn about how aspects of the ecology of homelessness shape homeless adults' recovery experiences. In the present mixed-methods study, the relationship of service providers' work-related values to their service users' recovery experiences in the microsystem of homelessness were examined. Service providers completed semi-structured qualitative interviews about their service users, daily work activities, and work-related goals. At three time points, their service users completed quantitative measures of choice, mastery, and recovery in four life domains: physical health, psychiatric symptoms, substance use, and community integration...
January 11, 2018: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29322361/homelessness-mental-health-and-suicidality-among-lgbtq-youth-accessing-crisis-services
#15
Harmony Rhoades, Joshua A Rusow, David Bond, Amy Lanteigne, Anthony Fulginiti, Jeremy T Goldbach
LGBTQ youth experience increased risks of homelessness, mental health disorder symptoms, and suicidality. Utilizing data from LGBTQ youth contacting a suicide crisis services organization, this study examined: (a) rates of homelessness among crisis services users, (b) the relationship between disclosure of LGBTQ identity to parents and parental rejection and homelessness, and (c) the relationship between homelessness and mental health disorder outcomes and suicidality. A nationwide sample of LGBTQ youth was recruited for a confidential online survey from an LGBTQ-focused crisis services hotline...
January 10, 2018: Child Psychiatry and Human Development
https://www.readbyqxmd.com/read/29320892/the-effect-of-the-global-financial-crisis-on-preventable-hospitalizations-among-the-homeless-in-new-york-state
#16
Brandi White, Charles Ellis, Walter Jones, William Moran, Kit Simpson
Objective Periods of economic instability may increase preventable hospitalizations because of increased barriers to accessing primary care. For underserved populations such as the homeless, these barriers may be more pronounced due to limited resources in the health care safety net. This study examined the impact of the global financial crisis of 2007-2008 on access to care for the homeless in New York State. Methods Hospitalizations for ambulatory care sensitive conditions (ACSCs) were used as a proxy measure for primary care access...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29317223/cluster-analysis-of-vulnerable-groups-in-acute-tbi-rehabilitation
#17
Erkut N Kucukboyaci, Coralynn Long, Michelle Smith, Joseph F Rath, Tamara Bushnik
OBJECTIVE: To analyze the complex relationship between various social indicators that contribute to socioeconomic status and healthcare barriers. DESIGN: Cluster analysis of historical patient data obtained from inpatient visits. SETTING: Setting: Inpatient rehabilitation unit in a large, urban university hospital PARTICIPANTS: Adult patients receiving acute inpatient care, predominantly for closed head injury. INTERVENTIONS: Not applicable MAIN OUTCOME MEASURES: We examined the membership of TBI patients in various "vulnerable group" (VG) clusters (e...
January 6, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29316920/impact-of-a-new-york-city-supportive-housing-program-on-medicaid-expenditure-patterns-among-people-with-serious-mental-illness-and-chronic-homelessness
#18
Sungwoo Lim, Qi Gao, Elsa Stazesky, Tejinder P Singh, Tiffany G Harris, Amber Levanon Seligson
BACKGROUND: A rapid increase of Medicaid expenditures has been a serious concern, and housing stability has been discussed as a means to reduce Medicaid costs. A program evaluation of a New York City supportive housing program has assessed the association between supportive housing tenancy and Medicaid savings among New York City housing program applicants with serious mental illness and chronic homelessness or dual diagnoses of mental illness and substance use disorder, stratified by distinctive Medicaid expenditure patterns...
January 10, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29316523/gender-and-race-as-correlates-of-high-risk-sex-behaviors-among-injection-drug-users-at-risk-for-hiv-enrolled-in-the-hptn-037-study
#19
Mandy J Hill, Michael Holt, Brett Hanscom, Zhe Wang, Marylou Cardenas-Turanzas, Carl Latkin
BACKGROUND: Sexual contact has been shown to be a major mode of HIV transmission among people who inject drugs (PWID). This study examined gender and racial differences among PWID' sexual risk behaviors from the perspective of sexual scripts. METHODS: 696 PWID enrolled from Philadelphia on HPTN 037 were classified as engaging in high-risk sex behaviors if they reported having sex in the past 30 days and condomless sex with a non-primary partner, giving/receiving sex for money, or multiple partners...
January 4, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29314309/how-do-people-with-homelessness-and-alcohol-dependence-cope-when-alcohol-is-unaffordable-a-comparison-of-residents-of-canadian-managed-alcohol-programs-and-locally-recruited-controls
#20
Rebekah A Erickson, Tim Stockwell, Bernadette Pauly, Clifton Chow, Audra Roemer, Jinhui Zhao, Kate Vallance, Ashley Wettlaufer
INTRODUCTION AND AIMS: We investigated coping strategies used by alcohol-dependent and unstably housed people when they could not afford alcohol, and how managed alcohol program (MAP) participation influenced these. The aim of this study was to investigate potential negative unintended consequences of alcohol being unaffordable. DESIGN AND METHODS: A total of 175 MAP residents in five Canadian cities and 189 control participants from nearby shelters were interviewed about the frequency they used 10 coping strategies when unable to afford alcohol...
January 4, 2018: Drug and Alcohol Review
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