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https://www.readbyqxmd.com/read/28726549/homeless-veterans-experiences-with-substance-use-recovery-and-treatment-through-photo-elicitation
#1
Samuel F Sestito, Keri L Rodriguez, Shaddy K Saba, James W Conley, Michael A Mitchell, Adam J Gordon
BACKGROUND: Homeless Veterans often have addictions and comorbidities that complicate utilization of longitudinal healthcare services, such as primary care. An understanding of experiences of Veterans enrolled in a Homeless Patient Aligned Care Team (H-PACT) may improve addiction treatment engagement in these settings. We aimed to describe H-PACT Veterans' experiences with substance use (SU), substance use recovery (SUR), and substance use treatment (SUT). METHODS: Homeless Veterans were recruited from a Veteran primary care medical home clinic between September 2014 and March 2015...
July 20, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28724726/costs-of-services-for-homeless-people-with-mental-illness-in-5-canadian-cities-a-large-prospective-follow-up-study
#2
Eric A Latimer, Daniel Rabouin, Zhirong Cao, Angela Ly, Guido Powell, Tim Aubry, Jino Distasio, Stephen W Hwang, Julian M Somers, Vicky Stergiopoulos, Scott Veldhuizen, Erica E M Moodie, Alain Lesage, Paula N Goering
BACKGROUND: Limited evidence on the costs of homelessness in Canada is available. We estimated the average annual costs, in total and by cost category, that homeless people with mental illness engender from the perspective of society. We also identified individual characteristics associated with higher costs. METHODS: As part of the At Home/Chez Soi trial of Housing First for homeless people with mental illness, 990 participants were assigned to the usual-treatment (control) group in 5 Canadian cities (Vancouver, Winnipeg, Toronto, Montréal and Moncton) between October 2009 and June 2011...
July 18, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28724676/collaborating-for-community-health
#3
Brett Byerly, Josie Williams
The Greensboro Housing Coalition was founded 27 years ago to advocate for fair, safe, decent, and affordable housing for low- to moderate-income individuals. We advocate in 4 primary service areas: foreclosure prevention/homeowner counseling, homelessness prevention/ rental housing counseling, healthy homes, and our Community Centered Health Initiative.
July 2017: North Carolina Medical Journal
https://www.readbyqxmd.com/read/28722182/risk-and-adversity-parenting-quality-and-children-s-social-emotional-adjustment-in-families-experiencing-homelessness
#4
Madelyn H Labella, Angela J Narayan, Christopher M McCormick, Christopher D Desjardins, Ann S Masten
A multimethod, multi-informant design was used to examine links among sociodemographic risk, family adversity, parenting quality, and child adjustment in families experiencing homelessness. Participants were 245 homeless parents (Mage  = 31.0, 63.6% African American) and their 4- to 6-year-old children (48.6% male). Path analyses revealed unique associations by risk domain: Higher sociodemographic risk predicted more externalizing behavior and poorer teacher-child relationships, whereas higher family adversity predicted more internalizing behavior...
July 19, 2017: Child Development
https://www.readbyqxmd.com/read/28721344/exploring-patient-characteristics-and-barriers-to-hepatitis-c-treatment-in-patients-on-opioid-substitution-treatment-attending-a-community-based-fibro-scanning-clinic
#5
Des Crowley, Walter Cullen, Eamon Laird, John S Lambert, Tina Mc Hugh, Carol Murphy, Marie Claire Van Hout
BACKGROUND AND OBJECTIVES: Hepatitis C virus (HCV) infection is a major public health issue. There is substandard uptake in HCV assessment and treatment among people who inject drugs (PWID). Community fibroscanning is used to assess disease severity and target treatment. METHODS: A survey was administered to a cohort of chronically HCV infected patients attending a community fibroscanning clinic. Questions targeted diagnosis of HCV, suitability, willingness and barriers to engagement in treatment...
June 2017: Journal of Translational Internal Medicine
https://www.readbyqxmd.com/read/28718910/permanent-housing-for-child-welfare-involved-families-impact-on-child-maltreatment-overview
#6
Patrick J Fowler, Michael Schoeny
A longitudinal randomized controlled trial tested whether access to permanent housing reduces child maltreatment among inadequately housed families under investigation for child abuse and neglect. The study followed homeless and child welfare-involved families randomly assigned to receive a referral for housing subsidies plus housing case management (n = 75, 196 children) or housing case management alone (n = 75, 186 children). Latent growth models examined change in caregiver-reported frequencies of psychological aggression, physical abuse, and neglect toward children at five time points across 2...
July 18, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28718874/everyday-territories-homelessness-outreach-work-and-city-space
#7
Robin James Smith, Tom Hall
This article develops a situational approach to understanding urban public life and, in particular, the production of urban territories. Our aim is to examine the ways in which city space might be understood as comprising multiple, shifting, mobile and rhythmed territories. We argue that such territories are best understood through attending to their everyday production and negotiation, rather than handling territory as an a priori construct. We develop this argument from the particular case of the street-level politics of homelessness and street care...
July 18, 2017: British Journal of Sociology
https://www.readbyqxmd.com/read/28715699/gambling-and-negative-life-events-in-a-nationally-representative-sample-of-uk-men
#8
Amanda Roberts, Stephen Sharman, Jeremy Coid, Raegan Murphy, Henrietta Bowden-Jones, Sean Cowlishaw, Jason Landon
INTRODUCTION: The links between gambling problems, trauma and life stressors are known to exist but understanding the extent of these relationships will allow for greater efficacy in early intervention and treatment. We investigated these relationships among men and sought to determine whether links were attenuated by alcohol and drug use problems. METHODS: A cross-sectional UK representative general population survey was conducted in 2009 with 3025 men aged 18-64years...
July 9, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28713877/the-impact-of-limited-housing-opportunities-on-formerly-incarcerated-people-in-the-context-of-addiction-recovery
#9
Dina Chavira, Leonard Jason
BACKGROUND: Formerly incarcerated individuals with substance use disorders encounter numerous obstacles following incarceration that threaten their sobriety. Obtaining safe and stable housing is a notoriously difficult task resulting in precarious housing that can increase the likelihood of relapse. The current study examined the relationship between substance use and 11 housing settings in a sample of 211 formerly incarcerated individuals with a history of substance abuse to identify the housing characteristics with the highest risk of use...
2017: J Addict Behav Ther
https://www.readbyqxmd.com/read/28713126/advance-care-planning-for-the-homeless-a-community-collaboration
#10
Delia M Cortez, Kylee Harding, Lori Koutouratsas, Christopher Pietras, Jeannette Meyer
No abstract text is available yet for this article.
2017: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/28709773/demographic-psychosocial-clinical-and-neurocognitive-baseline-characteristics-of-black-americans-in-the-raise-etp-study
#11
Arundati Nagendra, Nina R Schooler, John M Kane, Delbert G Robinson, Kim T Mueser, Sue E Estroff, Jean Addington, Patricia Marcy, David L Penn
This study compared baseline characteristics of Black Americans and Caucasians with first-episode psychosis in the Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE-ETP). Black American (N=152) and Caucasian (N=218) participants were compared on demographic, psychosocial, clinical, and neurocognitive measures. Results indicated several notable racial differences in baseline characteristics: a greater proportion of Black Americans than Caucasians were female, and Black Americans reported less personal and parental education than Caucasians...
July 11, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28708044/relationship-between-attachment-and-executive-dysfunction-in-the-homeless
#12
José M Rodríguez-Pellejero, Juan L Núñez
The executive functions of the homeless may be contributing to the success or failure of social integration processes. The goal of this study was to analyze the relationship between attachment and executive dysfunction in the homeless, specifically, to analyze the prevalence of adult attachment and executive dysfunction patterns, as well as the predictive power of different types of attachment for executive functioning. Participants were 107 homeless. Descriptive analysis revealed the prevalence of insecure attachment, and a high prevalence of clinically significant executive dysfunction...
July 14, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28707181/expanded-medicaid-provides-access-to-substance-use-mental-health-and-physician-visits-to-homeless-and-precariously-housed-persons
#13
R David Parker, Michael J Cima, Zachary Brown, Michael Regier
To describe the Medicaid costs associated with persons who are homeless or unstably housed. A retrospective secondary data analysis linked Medicaid recipient data with a statewide homeless management information system. A total of 19,950 persons received a housing service between 2012 and 2015 including 14,136 persons with Medicaid. Five of the most frequent diagnoses were substance abuse or mental health conditions in 42.83% of all diagnoses. The most frequent service was outpatient mental health and emergency department physician services...
July 13, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28704791/the-association-between-discharge-status-mental-health-and-substance-misuse-among-young-adult-veterans
#14
Stephanie Brooks Holliday, Eric R Pedersen
Although 85% of military service members are discharged honorably, veterans who engage in misconduct during military service may receive other types of administrative or punitive discharges. The discharge type not only affects eligibility for benefits, but is associated with negative downstream consequences (e.g., homelessness, criminal justice involvement). However, limited empirical research has examined the mental health and substance use-related needs of veterans who were not Honorably discharged, and the few that have only focus on veterans who received punitive discharges...
July 5, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28701438/community-associated-methicillin-resistant-staphylococcus-aureus-infection-literature-review-and-clinical-update
#15
REVIEW
Kassandra Loewen, Yoko Schreiber, Mike Kirlew, Natalie Bocking, Len Kelly
OBJECTIVE: To provide information on the prevalence and treatment of methicillin-resistant Staphylococcus aureus (MRSA) infections and the distinction between community-associated MRSA and health care-associated MRSA. QUALITY OF EVIDENCE: The MEDLINE and EMBASE databases were searched from 2005 to 2016. Epidemiologic studies were summarized and the relevant treatment literature was based on level I evidence. MAIN MESSAGE: The incidence of community-associated MRSA infection is rising...
July 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28696434/when-should-governments-increase-the-supply-of-psychiatric-beds
#16
S Allison, T Bastiampillai, J Licinio, D A Fuller, N Bidargaddi, S S Sharfstein
Low numbers of hospital-based psychiatric beds create problems for people with severe mental illness (SMI), when they face extended emergency department (ED) waits, higher thresholds for admission to an acute bed, and short revolving-door stays with high rates of rehospitalisation. Limited access to inpatient treatment has been associated with higher suicide risk, premature mortality, homelessness, violent crime and incarceration. Ultimately, people with SMI can be transinstitutionalised to the criminal justice system...
July 11, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28692407/overdose-history-is-associated-with-post-detoxification-treatment-preference-for-persons-with-opioid-use-disorder
#17
Michael D Stein, Jessica N Flori, Megan M Risi, Micah T Conti, Bradley J Anderson, Genie L Bailey
BACKGROUND: Without aftercare treatment, persons discharged from short-term inpatient detoxification for opioid use disorder are at high risk of relapse. In previous work, those who were recently homeless or had pending legal problems were more likely to prefer residential treatment for aftercare. Here, based on clinical experience, we hypothesize that a particular clinical factor, surviving an opioid overdose, will be associated with aftercare preference. METHODS: Between May and December 2015, we surveyed consecutive persons seeking inpatient opioid detoxification...
July 10, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28687895/the-complexity-of-family-reactions-to-identity-among-homeless-and-college-lesbian-gay-bisexual-transgender-and-queer-young-adults
#18
Rachel M Schmitz, Kimberly A Tyler
Familial responses to lesbian, gay, bisexual, transgender, and queer (LGBTQ) young people's identities range on a spectrum from rejection to acceptance and these reactions strongly impact family relationships and young adult well-being. Less is known, however, about how family members' reactions may differ based on young people's contexts of socioeconomic status. Through a qualitative, life course analysis of in-depth interview data from 46 LGBTQ college students and LGBTQ homeless young adults, our study highlights the diverse, contextual nuances of young people's "linked lives" within their families...
July 7, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28686572/adolescent-suicide-as-a-global-public-health-issue
#19
Zebib K Abraham, Leo Sher
Youth suicide is a major global mental health problem. This review looks at the epidemiology, risk and protective factors associated with youth suicide, and global strategies to address this important issue. To better understand factors contributing to youth suicide, global gender differences in suicide were examined. Global rates of suicide amongst young men are higher than young women. However, there are anomalously higher rates of female youth suicide in India and China, and possible causes of this are examined further...
July 7, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28686473/improving-outcomes-for-homeless-people-with-alcohol-disorders-a-multi-program-community-based-approach
#20
Gary A Morse, Mary M York, Nathaniel Dell, Julie Blanco, Chelsea Birchmier
BACKGROUND: Relatively few community-based programs have been found to be helpful for homeless people with alcohol disorders, even though this group represents a high-risk, vulnerable population prone to poor outcomes. AIMS: This study sought to implement and evaluate intensive community-based programs for homeless people with alcohol disorders. METHOD: The project worked closely with a homeless outreach team for referrals, and then provided two different, intensive substance abuse treatment approaches matched to the needs of two subgroups: homeless individuals with alcohol disorders without severe mental illness received community reinforcement approach (CRA) and case management services, while those with alcohol and severe mental illness were assigned to assertive community treatment and integrated dual disorders (ACT/IDDT) services...
July 7, 2017: Journal of Mental Health
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