Clinical Guide to the Treatment of the Mentally Ill Homeless Person

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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.

American Psychiatric Publishing

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Editorial Reviews


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.

Doody's Review Service
Reviewer: Raj Tummala, MD (Wyeth Pharmaceuticals)
Description: This is a compilation by expert community psychiatrists on the latest interventional strategies and programs for those who work with the mentally ill homeless population.
Purpose: The purpose is to provide a comprehensive, easy to read, quick reference on the strategies and options in the care of this population.
Audience: It is targeted at anyone working in the community who deal with psychiatric patients that are homeless such as residents, psychiatrists, social workers, case managers, etc.
Features: Homelessness among the mentally ill has increased, posing serious social, economic, and political problems. With a greater understanding of the epidemiology of homelessness, various aggressive psychosocial rehabilitation models have been proposed. The expert authors have taken a clinical approach to address the different homeless populations, available programs and models. Starting with the epidemiology, concepts of outreach and engagement are described addressing administrative, legal, and safety issues. Easy flowcharts outline the processes and models that are described throughout the book. Vignettes that follow the patient through the models are detailed that allow for easy understanding of the issues. Strategies that address singles as well as families in shelter propose interventions facilitating rehabilitation. Programs such as the FCTI in New York and the Baltimore ACT are used as models for implementation in different community settings. Sample treatment plans that are useful for adoption are provided. A review of crisis teams, emergency services, and inpatient hospitalization with after care planning for those patients who decompensate ensure early intervention and treatment. Of special interest are the sections on children, jails, and the veteran populations. Both urban and rural settings are explored with the problems encountered in both.
Assessment: The book is written in a very practical, user-friendly format providing strategies for those in community settings who deal with a very difficult population.
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Product Details

  • ISBN-13: 9781585622511
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 8/28/2006
  • Edition description: New Edition
  • Pages: 197
  • Sales rank: 1,320,013
  • Product dimensions: 6.00 (w) x 9.10 (h) x 0.40 (d)

Meet the Author

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.

American Psychiatric Publishing

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Table of Contents

Contributors. Acknowledgments. Foreword. Mental illness and homelessness: an introduction. General concepts of outreach and engagement. Single adults in shelters. Families in shelters. Assertive community treatment. Housing. Mobile crisis teams. Psychiatric emergency services. Psychiatric inpatient settings. Primary care settings. Homeless children. Jails and prisons. Homeless veterans. Rural settings. Afterword. Index.

American Psychiatric Publishing

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