Characteristics and treatment of homeless, mentally ill, chemical-abusing men.
Characteristics and treatment of homeless, mentally ill, chemical-abusing men.
复制标题
无家可归、患有精神病、滥用化学品的男性的特征和治疗。
DOI：
10.1080/02791072.1995.10471677
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Gross,B
中科院分区：
文献类型：
--
作者：
Rahav,M;Rivera,JJ;Nuttbrock,L;Ng-Mak,D;Sturz,EL;Link,BG;Struening,EL;Pepper,B;Gross,B
比较两种类型的治疗方式在治疗无家可归，精神病，化学品滥用（HMICAs）的男子和研究他们的特点，723 HMICAs进行了采访，他们的童年和家庭背景，他们的精神和物质滥用障碍。然后随机分配到治疗社区（TC）或社区居住（CR）计划。TC和CR被发现彼此不同的摄入量和入院程序，其入院前和入院后的辍学率，以及治疗对心理状态的影响。TC允许他们的客户更快地接受治疗，倾向于接受更多受损客户，并且比CR的入院前脱落率更低。CR的入院后辍学率较低，并且能够比TC更长时间地留住客户。比较治疗一年或更长时间的客户，TC似乎比CR在减少抑郁方面更有效。精神病和功能性症状这些儿童的童年和家庭背景表明，他们的父母严重剥夺他们的权利，酗酒和滥用其他药物的比例很高。精神疾病以及当事人父母的犯罪行为HMICA的特征表明，这些人完全脱离了主流社会。他们在精神上受到严重损害，长期上瘾，并经常参与犯罪系统，因此占据了多种异常角色。
Comparing two types of treatment modalities in treating homeless, mentally ill, chemical-abusing (HMICAs) men and studying their characteristics, 723 HMICAs were interviewed on their childhood and family background and their psychiatric and substance abuse disorders. and then randomly assigned intoeither therapeutic community (TC) or community residence (CR) programs. The TC and CRs were found to differ from one another in their intake and admission procedures, their preadmission and postadmission dropout rates, and the effects of treatment on psychological status. The TC admitted their clients into treatment faster, tended to take more impaired clients, and had a lower preadmission dropout rate than the CRs did. The CRs had a lower postadmission dropout rate and were able to retain clients longer than the TC did. Comparing clients who stayed in treatment one year or longer, the TC appears to be more effective than the CRs in reducing depressive. psychotic, and functional symptoms. HMICAs' childhood and family background reveal severe parental deprivations and high prevalence of alcohol and other drug abuse. mental illness, and criminal behavior among the clients' parents. HMICAs' characrcristics suggest that these men are completely outside main stream society. They are severely impaired psychiatrically, chronically addicted, and often involved with the criminal system, thus occupying multiple deviant roles.