The 2009 Schizophrenia PORT Psychosocial Treatment Recommendations and Summary Statements

Dixon, Lisa B.; Dickerson, Faith; Bellack, Alan S.; Bennett, Melanie E.; Dickinson, Dwight; Goldberg, Richard W.; Lehman, Anthony F.; Tenhula, Wendy N.; Calmes, Christine; Pasillas, Rebecca M.; Peer, Jason E.; Kreyenbuhl, Julie

doi:10.1093/schbul/sbp115

Cited by 690 publications

(589 citation statements)

References 239 publications

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“…We captured each consumer's number of supported housing social worker contacts between admission and housing (stayers) or discharge (exiter) dates. We noted (at the time of admission to supported housing) whether consumers were enrolled in outpatient substance use disorder treatment or assertive community treatment (ACT)-which offers intensive, interdisciplinary, field-based case management (26).…”

Section: Methodsmentioning

confidence: 99%

Factors Associated With Premature Exits From Supported Housing

Gabrielian¹,

Burns²,

Nanda³

et al. 2016

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Objective-Many homeless consumers who enroll in supported housing programs-which offer subsidized housing and supportive services-disengage prematurely, before placement in permanent community-based housing. This study explored factors associated with exiting a supported housing program before achieving housing placement.Methods-With the use of administrative data, a roster was obtained for consumers enrolled in the Veterans Affairs (VA) Greater Los Angeles supported housing program from 2011 to 2012. Fewer (4%) consumers exited this program before achieving housing ("exiters") compared with consumers described in national VA figures (18%). Exiters with available demographic data (N=51) were matched 1:1 on age, gender, marital status, and race-ethnicity with consumers housed through this program ("stayers," N=51). Medical records were reviewed to compare diagnoses, health care utilization, housing histories, vocational history, and criminal justice involvement of exiters versus stayers. Exiters' housing outcomes were identified. Recursive partitioning identified variables that best differentiated exiters from stayers.Results-Several factors were associated with premature exits from this supported housing program: residing in temporary housing on hospital grounds during program enrollment, poor adherence to outpatient care, substance use disorders, hepatitis C, chronic pain, justice involvement, frequent emergency department utilization, and medical-surgical admissions. The first of these factors and poor adherence to outpatient medical-surgical care best differentiatedThe contents of this article are those of the authors and do not represent the views of the U.S. Department of Veterans Affairs or the U.S. government.Dr. Young reports receipt of compensation for participating on a scientific advisory board for Ameritox, Ltd. The other authors report no financial relationships with commercial interests. U.S. Department of Veterans Affairs VA Author ManuscriptVA Author Manuscript VA Author Manuscript exiters from stayers. Moreover, >50% of exiters became street homeless or incarcerated after leaving the program.Conclusions-In that diverse social factors, diagnoses, and health care utilization patterns were associated with premature disengagement from supported housing, future research is needed to implement and evaluate rehabilitative services that address these factors, adapted to the context of supported housing.Homeless persons have high rates of illness and fragmented health care utilization (1-3). Supported housing programs, which offer permanent, community-based housing with supportive services, improve the health and housing of homeless consumers (4-7). Yet many consumers who enroll in supported housing programs disengage prematurely, before receiving permanent housing. We know little about factors associated with such disengagement.This population is of interest to the U.S. Department of Veterans Affairs (VA), which aims to end homelessness among veterans (2,8). Toward this aim, the VA partners wit...

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Section: Methodsmentioning

confidence: 99%

Factors Associated With Premature Exits From Supported Housing

Gabrielian¹,

Burns²,

Nanda³

et al. 2016

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“…Clinical trials have shown IPS to be associated with higher CE rates, shorter time to entering CE, greater numbers of hours worked per week, and more weeks worked per year among individuals diagnosed with SMI [13,[16][17][18][19][20][21][22][23][24][25][26] and, most recently, among veterans with posttraumatic stress disorder (PTSD) [27]. The program is most effective when fidelity to the model is high [28][29][30].…”

Section: Supported Employmentmentioning

confidence: 99%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

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Abstract-Supported employment, specifically individual placement and support (IPS), improves competitive employment (CE) rates for individuals with serious mental illness, but has not shown greater improvement in non-vocational outcomes than other rehabilitation approaches. The Department of Veterans Affairs offers two types of vocational services, IPS and transitional work experience (TWE), but no study has compared the effectiveness of these approaches. This secondary analysis of data from a study of homeless veterans compared 6 mo improvement in diverse outcomes for five employment patterns: never worked, worked only in TWE, worked in TWE followed by CE, worked in CE without IPS, and worked in CE with IPS referral. Veterans referred to IPS were more likely to be competitively employed. Those who worked in CE (whether following TWE or with or without IPS referral) showed the greatest increase in days worked, employment income, and total income and the greatest decrease in public support income when compared with those who worked only in TWE or not at all. Veterans in TWE showed the greatest increase in residential treatment days, but there were no other differences in nonvocational outcomes between groups. There are multiple paths to CE, but few differences in non-vocational outcomes across employment experiences.

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“…Pasientene blir stimulert og støttet til å trene mellom de ulike behandlingsmøtene, slik at det kan bli mulig å generalisere de nye laerte ferdighetene og atferden fra behandlingssituasjonen til reelle sosiale situasjoner (277). Den sosiale ferdighetstreningen bør ledes av erfarne behandlere, ha en strukturert plan for de ulike gruppemøtene samt bruke materiell (video og arbeidsbøker for pasientene) for at effekten av den sosiale ferdighetstreningen skal bli størst mulig (278).…”

Section: Sosial Ferdighetstreningunclassified

Psykisk syke mangler rettssikkerhet

Thowsen¹,

Overrein²

2017

Tidsskriftet

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The 2009 Schizophrenia PORT Psychosocial Treatment Recommendations and Summary Statements

Cited by 690 publications

References 239 publications

Factors Associated With Premature Exits From Supported Housing

Factors Associated With Premature Exits From Supported Housing

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Psykisk syke mangler rettssikkerhet

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