Factors predicting arrest for homeless persons receiving integrated residential treatment for co‐occurring disorders

Barrett, Blake; Young, M. Scott; Moore, Kathleen A.; Borum, Randy; Ochshorn, Ezra

doi:10.1002/cbm.742

Cited by 8 publications

(2 citation statements)

References 9 publications

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“…In recent years, COD has been being increasingly recognized as a contributing factor to poor physical and mental health [ 13 , 14 ]. However, most studies on COD among the homeless population have focused on treatment interventions or case management [ 15 – 22 ], or health outcomes that are not specific to veterans [ 21 – 25 ]. Studies examining the prevalence of COD and associated health status among homeless veterans are urgently needed to inform community organizations, so that effective services can be developed accordingly.…”

Section: Introductionmentioning

confidence: 99%

History of co-occurring disorders and current mental health status among homeless veterans

2018

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BackgroundHomeless veterans are at high risk for co-occurring disorders (COD), defined as mental illnesses that include at least one alcohol or other drug use disorder and at least one non-drug related mental disorder. However, epidemiological studies examining the prevalence of COD and associated mental health status in this population are limited. The objectives of the study were: (1) to describe a history of diagnosed mental disorders among homeless veterans admitted to a transitional housing program, and (2) to examine the associations of the prior diagnosed COD and other mental disorders with current mental health status.MethodsStudy participants were male homeless veterans admitted to a transitional housing program from July 2015 to September 2017 in a large municipal area in Northeast Ohio, the United States. Cross-sectional, self-reported data from the admission assessment were included and analyzed. History of mental disorder diagnoses were aggregated into five categories for the purpose of this study: no mental disorders, only alcohol or other drug use disorder(s), one non-drug related mental disorder, two or more non-drug related mental disorders, and COD. Current mental status were measured as empowerment, mental component summary score (MCS) and physical component summary score (PCS) of health related quality of life (VR-12), and perceived overall well-being. Sample distribution of the five categories and their associations with current mental status were examined using Generalized Linear Model test.ResultsOf all participants, 76.7% had at least one prior diagnosed mental disorder, including 47.4% with any drug-related disorders. Over one-third (37.2%) reported having COD. Compared to those with no mental disorder history, those with COD scored significantly lower on MCS and empowerment scores; those with any prior diagnosed non-drug related mental disorders also scored significantly lower on MCS. No significant differences, however, were found in current mental health status between those with COD and those with mental disorders but not COD.ConclusionsCOD prevalence among homeless veterans was within the parameter of other literature reports. Veterans with COD compared to veterans with no history of mental disorders tended to have lower MCS and empowerment scores. Veterans with COD had the same mental health status as those with other mental disorders.

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Section: Introductionmentioning

confidence: 99%

History of co-occurring disorders and current mental health status among homeless veterans

2018

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“…Duration of homelessness is a strong predictor of being arrested for any offense (Roy et al, 2016) and for a violent offense (Fischer et al, 2008) among adults with SMI. This association has been attributed to the greater experience of street culture and familiarity with illegal survival strategies (Fischer et al, 2008), the increased visibility of individuals with SMI living on the street which is more likely to increase contact with police, and to barriers accessing medical services resulting in using re-arrest as a route to obtaining necessary medical attention (Barrett et al, 2009; Roy et al, 2016). Conversely, CJI is a predictor of duration of homeless among newly homeless adults (Caton et al, 2005) and of chronic homelessness (Levitt et al, 2009).…”

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confidence: 99%

Examining the need profile of supportive housing applicants with and without current justice involvement: A cross-sectional study.

Sirotich¹,

Rakhra²

2021

Psychiatric Rehabilitation Journal

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Objective: Permanent supportive housing has been identified as a possible intervention which could reduce the risk of criminal justice involvement (CJI) among people with serious mental illness who are experiencing residential instability and homelessness. However, the evidence evaluating the impact of supportive housing on CJI is mixed. Increasing understanding of the specific needs of people with justice involvement entering supportive housing may inform interventions which improve their criminal justice outcomes. Toward this end, this study compared the characteristics and need profiles of applicants to supportive housing with and without current CJI. Methods: Secondary analyses were conducted of archival databases of 12,277 individuals applying for supportive housing in Toronto, Canada between 2009 and 2015. The characteristics and support needs of applicants with current CJI were compared to applicants with no current justice involvement. Results: Of the applicants, 2,894 (23.6%) reported having justice involvement at the time of referral to supportive housing services. The strongest predictors of having justice involvement were a history of physical assaults, homelessness, problematic substance use, male gender, and younger age. Conclusions and Implications for Practice: Criminological factors rather than functional or mental health needs were most predictive of having current justice involvement at referral. Development of justice-focused supportive housing models may be considered which supplement traditional supportive housing approaches with empirically based interventions targeting the criminogenic needs of people with mental illness and justice involvement.

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Profiles of criminal justice system involvement of mentally ill homeless adults

Roy

Crocker

Nicholls

et al. 2016

International Journal of Law and Psychiatry

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Factors predicting arrest for homeless persons receiving integrated residential treatment for co‐occurring disorders

Cited by 8 publications

References 9 publications

History of co-occurring disorders and current mental health status among homeless veterans

History of co-occurring disorders and current mental health status among homeless veterans

Examining the need profile of supportive housing applicants with and without current justice involvement: A cross-sectional study.

Profiles of criminal justice system involvement of mentally ill homeless adults

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