Engaging Persons with Substance Use Disorders: Lessons from Homeless Outreach
Engaging Persons with Substance Use Disorders: Lessons from Homeless Outreach
复制标题
让患有药物滥用障碍的人参与进来：无家可归者外展活动的经验教训
DOI：
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发表时间：
2004
影响因子：
2.6
通讯作者：
L. Davidson
中科院分区：
文献类型：
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作者：
M. Rowe;D. Fisk;J. Frey;L. Davidson
20世纪80年代初，当临床医生和研究人员了解到许多人与临床医生一起吃饭时，自信的心理健康外展个体在汤厨房吃饭和保持预约之间做出选择（Dennis，Buckner，Lipton，& Levine，1991; Koegel，1992）。无家可归的人和有精神疾病的人避开社区精神健康中心（外展）是一个有效的方法，从事ters的原因有很多，包括（1）中心的要求，精神病患者无家可归的人进入治疗和个案管理（Lam & Roheless承认在接受帮助之前患有精神疾病（Segal，Bausenheck，1999），并与几个领域的良好客户结果相关（Romohl，&约翰逊，1977），（2）耻辱和药物副作用的缺点，森赫克，2000）。然而，外展并不是一种廉价的做法（Rosenheck，可以治疗，以及（3）无家可归者生活的紧急情况，这可能会迫使盖洛普，& Frisman，1995; Rosenheck，2000），因为它的做法跨越了信任建立，逐步参与以及个人接受心理健康和其他社会服务的过程（Swayze，Michael Rowe，Ph.D.，是临床副教授1992; Brickner，1992; Susser，Goldfessor of Sociology in the Department of Psychifinger，&白色1990;莫尔斯等人，1996年）。政策制定者和研究人员将在康涅狄格州的纽哈耶鲁医学院进行研究。德博拉菲斯克，M. S.W.，本文继续对耶鲁大学医学院精神病学系公共精神病院精神卫生中心病例管理临床主任的地位和价值进行评价。当其他拥有seFrey博士学位的人时，詹妮弗的医疗保健耶鲁大学医学院精神病学系的兼职教授愿意到诊所接受治疗。然而，我们的电影。拉里·戴维森博士，这篇文章的副标题是研究耶鲁大学医学院精神病学系的两种心理学。相关问题。首先，如何能够自信的通信地址：迈克尔罗，心理健康外展适应博士，贫困、残疾和乌尔班计划有效地与禁止健康的人一起工作;惠特尼大道205号，306套房;“只有”物质成瘾？第二，如何纽黑文，CT 06511。电子邮件：迈克尔。外展团队能否成功地成为rowe@yale.edu。
Assertive mental health outreach individuals to choose between eating at a soup kitchen and keeping an appointment emerged in the early 1980s as clinicians and researchers learned that many individwith a clinician (Dennis, Buckner, Lipton, & Levine, 1991; Koegel, 1992). uals who are homeless and have a mental illness shun community mental health cenAssertive mental health outreach (outreach) is an effective method of engaging ters for a number of reasons, including (1) the requirement of the centers that the mentally ill homeless persons into treatment and case management (Lam & Rohomeless acknowledge having a mental illness before receiving help (Segal, Bausenheck, 1999) and is associated with good client outcomes in several domains (Romohl, & Johnson, 1977), (2) the drawbacks of stigma and medication side effects that senheck, 2000). Outreach is not an inexpensive practice, however (Rosenheck, can come with treatment, and (3) the exigencies of homeless life, which may force Gallup, & Frisman, 1995; Rosenheck, 2000), since its practice spans the process of trust building, gradual engagement, and the individual’s acceptance of mental health and other social services (Swayze, Michael Rowe, Ph.D., is Associate Clinical Pro1992; Brickner, 1992; Susser, Goldfessor of Sociology in the Department of Psychifinger, & White 1990; Morse et al., 1996). atry at the Yale School of Medicine in New HaPolicy makers and researchers will conven, Connecticut. Deborah Fisk, M.S.W., is tinue to evaluate the place and worth of Clinical Director of Case Management, Conoutreach-based work in public mental necticut Mental Health Center, Department of Psychiatry, Yale School of Medicine. Jennifer health care when other individuals with seFrey, Ph.D., is Adjunct Professor in the Departrious mental illness are willing to come ment of Psychiatry at the Yale School of Mediinto clinics for treatment. However, our cine. Larry Davidson, Ph.D., is Associate Profesinterest in this article is to examine two sor of Psychology in the Department of Psychiatry at the Yale School of Medicine. related questions. First, how can assertive Address for correspondence: Michael Rowe, mental health outreach be adapted to Ph.D., Program on Poverty, Disability, and Urwork effectively with persons who have ban Health; 205 Whitney Avenue, Suite 306; “only” substance addictions? Second, how New Haven, CT 06511. E-mail: michael. can outreach teams make a successful rowe@yale.edu.