Outreach Efforts with Dually Diagnosed Homeless Persons

Blankertz, Laura; Cnaan, Ram A.; White, Kalma Kartell; Fox, Jim; Messinger, Karlyn W.

doi:10.1177/104438949007100701

Cited by 50 publications

(25 citation statements)

References 22 publications

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“…However, the number of descriptive reports in the literature greatly exceeds that for reported evaluations of these programs. Indeed, although general principles for serving persons who are homeless and mentally ill have been articulated Blankertz, Cnaan, White, Fox, & Messinger, 1990;Sheridan, Gowen, & Halpin, 1993;Susser, Goldfinger, & White, 1990) and agreed on-on the basis of clinical experience, values, or common sense-no one model with documented effectiveness in multisite replications has emerged so far from our public investments.…”

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confidence: 99%

“…However, the number of descriptive reports in the literature greatly exceeds that for reported evaluations of these programs. Indeed, although general principles for serving persons who are homeless and mentally ill have been articulated Blankertz, Cnaan, White, Fox, & Messinger, 1990;Sheridan, Gowen, & Halpin, 1993;Susser, Goldfinger, & White, 1990) Levine, 1991;Fischer, 1989;Johnson, 1989;Ribisl et al, 1996) (1989, 1991) Bybee, Mowbray, & Cohen, 1994). …”

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confidence: 99%

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The Importance of Context in Understanding Homelessness and Mental Illness: Lessons Learned From a Research Demonstration Project

Mowbray

Bybee

1998

Research on Social Work Practice

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Fischer, Drake, & Breakey, 1992). However, it is also clear that these individuals constitute a group with a multiplicity of problems-of critical intensity and requiring attention. A substantial amount of public funding from federal and state sources has been invested in attempted solutions to the problems of homelessness and mental illness. However, the number of descriptive reports in the literature greatly exceeds that for reported evaluations of these programs. Indeed, although general principles for serving persons who are homeless and mentally ill have been articulated Blankertz, Cnaan, White, Fox, & Messinger, 1990;Sheridan, Gowen, & Halpin, 1993;Susser, Goldfinger, & White, 1990) Levine, 1991;Fischer, 1989;Johnson, 1989;Ribisl et al., 1996) (1989, 1991) Bybee, Mowbray, & Cohen, 1994). Highlights of Program ResultsPreviously published studies have described the heterogeneity of the population served ). An implementation analysis conducted on the project indicated that in its fully operational period, it was serving the intended population by site and referral source (Mowbray, Cohen, & Bybee, 1991). The project achieved a relatively high success rate in engaging clients screened eligible for services, in that 73 % overall accepted some form of project assistance . This compares favorably to other reports in the literature (Barrow et al., 1989;Rife et al., 1991 . There were no significant differences in rates of engagement by recruitment source at the Collegetown site (see Table 2). For Factorytown, however, the interaction of engagement rate and recruitment source during the implementation period was significant, with marked differences across recruitment sources in the numbers served and in their successful engagement. Thus, we found that during the first screening period from March 1989 through December 1989 (see Table 2), nearly half (46.0%) of the project's eligible clients were recruited from the CMH caseload, and they were engaged with remarkable success (96.6% were fully engaged). However, only a small proportion of the total pool of those eligible were recruited from shelters (7.9%), and only 60% of those recruited were fully engaged. Although there was a good proportion of those eligible recruited from hospital units (46.0%), only 24.1 % of these were fully engaged. These results reflected marked deviations from agreed-on project expectations for 185

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confidence: 99%

“…However, the number of descriptive reports in the literature greatly exceeds that for reported evaluations of these programs. Indeed, although general principles for serving persons who are homeless and mentally ill have been articulated Blankertz, Cnaan, White, Fox, & Messinger, 1990;Sheridan, Gowen, & Halpin, 1993;Susser, Goldfinger, & White, 1990) Levine, 1991;Fischer, 1989;Johnson, 1989;Ribisl et al, 1996) (1989, 1991) Bybee, Mowbray, & Cohen, 1994). …”

mentioning

confidence: 99%

The Importance of Context in Understanding Homelessness and Mental Illness: Lessons Learned From a Research Demonstration Project

Mowbray

Bybee

1998

Research on Social Work Practice

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“…Many people who are chronically homeless may feel that their life on the streets is the only thing within their control and actually makes sense for them. Their state of homelessness may be an important source of self-esteem and personal Downloaded by [University of Connecticut] at 19:01 12 October 2014 identity as they have successfully created a lifestyle that most people could not survive (Blankertz, Cnaan, White, Fox, & Messinger, 1990). For that reason, there may be a sense of pride as they have proven that they can tolerate the toughest aspects of homelessness.…”

Section: Difficulty With Structured Environmentsmentioning

confidence: 97%

The Paradox of Chronic Homelessness: The Conscious Desire to Leave Homelessness and the Unconscious Familiarity of the Street Life

Farrell

2010

Journal of Human Behavior in the Social Environment

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“…In view of the CES intervention's intensity, a counselor's caseload is limited to 15 ''active'' patients. Another feature of intensive case management that CES draws upon is the focus on treatment engagement-establishing a trusting, respectful, therapeutic alliance between counselor and patient (Blankertz et al, 1990).…”

Section: Origins Of the Ces Modelmentioning

confidence: 99%

A New Work Placement Model for Unemployed Methadone Maintenance Patients

Blankertz

Magura

Staines

et al. 2004

Substance Use & Misuse

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Traditionally, methadone-maintained patients have made only limited progress in vocational rehabilitation programs, largely because they encounter multiple individual-level barriers to their employment. The Customized Employment Supports (CES) model is designed to help patients overcome these employment barriers and attain paid work as soon as possible. To facilitate this transition, the model assigns CES counselors small caseloads so that, using intensive interventions, they can engage patients in a working alliance and enhance patients' self-efficacy. Methods used to help patients increase their self-efficacy are derived from social psychological literature and include role modeling, persuasion, and minimizing emotional arousal. Because the transition to competitive work is a major change, many patients initially take smaller steps such as entering training programs and accepting informal employment. The CES model is being evaluated in a randomized clinical trial.

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Outreach Efforts with Dually Diagnosed Homeless Persons

Cited by 50 publications

References 22 publications

The Importance of Context in Understanding Homelessness and Mental Illness: Lessons Learned From a Research Demonstration Project

The Importance of Context in Understanding Homelessness and Mental Illness: Lessons Learned From a Research Demonstration Project

The Paradox of Chronic Homelessness: The Conscious Desire to Leave Homelessness and the Unconscious Familiarity of the Street Life

A New Work Placement Model for Unemployed Methadone Maintenance Patients

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