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Clinical Guide to the Treatment of the Mentally Ill Homeless Person
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03 October 2006

A case-based, clinical guide applicable to a variety of settings, this book offers evidence-based expert advice on the difficult challenges inherent in working with underserved homeless populations. The American Association of Community Psychiatrists' Clinical Guide to the Treatment of the Mentally Ill Homeless Person is a concise, practical work that gives busy clinicians the information they need; it not only is more up-to-date than existing publications, but also offers case- and site-based content that provides more hands-on, practical advice. Written by clinicians, for clinicians, it offers approaches to therapy and rehabilitation from the vantage point of the treatment environment, from street to housing and everything in between.
The book reflects
approaches to the clinical care of homeless people refined over two decades,
building not only on the work of academic research but more importantly on
the firsthand experience of clinicians. Its organization by treatment
setting or specific subpopulation allows readers quick access to the
chapters most relevant to their work. The first five chapters follow a
sequence of naturalistic settings—such as shelters and the work of Assertive
Community Treatment Teams—that demonstrate a model of engagement, intensive
care, and ongoing rehabilitation. Subsequent chapters define specific
scenarios that depict patients at various points on the
engagement-rehabilitation continuum. Each chapter contains a clinical case
example; guides to differential diagnosis, treatment planning, and accessing
entitlements; and a flow chart for rehabilitation, including opportunities
for student/resident or community involvement. The book emphasizes:
• A real-world orientation that provides a nuts-and-bolts approach to
such cases as families, homeless children, veterans—even individuals in
rural settings.
• Cases that enable readers to follow the progress of
individuals as they progress through the network of care.
• The
importance of Assertive Community Treatment and "housing first" models of
rehabilitation.
• Data supporting the importance of Critical Time
Intervention, particularly with regard to homeless families.
• Examples
of clinical interviewing techniques for engagement and treatment of
challenging individuals who are being seen in community settings. These
illustrated techniques can be incorporated into educational curricula.
This is an indispensable resource for any mental health professional working with homeless populations and is also useful for medical students' clinical rotation in community psychiatric settings. Its examples of clinically engaging the homeless person are equally instructive for teaching interviewing skills to any professionals—whether in law enforcement, social work, substance abuse treatment, or the clergy—who encounter these forgotten members of society.
MEDICAL / Psychiatry / General
Gillig, McQuistion, and colleagues offer a valuable reference, especially for students and professionals who are beginning their work with homeless populations. Undoubtedly (in fact, it is my hope) Clinical Guide will be used by many community psychiatry residents, psychiatric nursing students, and mental health professionals who are working with the homeless populations but are new in the field.
Paulette Marie Gillig, M.D., is Professor in the Department of Psychiatry at Boonshoft School of Medicine, Wright State University, Dayton, Ohio.
Hunter L. McQuistion, M.D., is Adjunct Associate Clinical Professor in the Department of Psychiatry at The Mount Sinai School of Medicine, New York, New York.
Contributors
Acknowledgments
Foreword
Chapter
1. Mental illness and homelessness: an introduction
Chapter 2. General
concepts of outreach and engagement
Chapter 3. Single adults in
shelters
Chapter 4. Families in shelters
Chapter 5. Assertive
community treatment
Chapter 6. Housing
Chapter 7. Mobile crisis
teams
Chapter 8. Psychiatric emergency services
Chapter 9.
Psychiatric inpatient settings
Chapter 10. Primary care
settings
Chapter 11. Homeless children
Chapter 12. Jails and
prisons
Chapter 13. Homeless veterans
Chapter 14. Rural
settings
Afterword
Index