Assessing homeless mentally ill persons for permanent housing: Screening for safety
- 1 June 1996
- journal article
- Published by Springer Nature in Community Mental Health Journal
- Vol. 32 (3), 275-288
- https://doi.org/10.1007/bf02249428
Abstract
Although placement in community housing is a frequent intervention with populations of seriously mentally ill homeless individuals, there has been little formal investigation of the criteria used by clinicians in screening individuals for such placement. In this paper, we describe screening a population of 303 homeless people with severe mental illness for placement in independent apartments. We assess subjects' level of risk along multiple dimensions and determine the contribution of each risk dimension to the final safety decision. In addition, we evaluate the validity of the risk measures with other measures of clinical condition. Two-thirds of the sample were judged as safe for independent living. Assaultiveness was the most frequent risk identified, followed by self-destructiveness, substance abuse, and medication non-compliance. The final safety decision was associated most strongly with assaultiveness, self-destructiveness, and medication non-compliance. We conclude that it is possible to assess risk with measures that are available from shelter and medical records, and call for more research on the role of medication non-compliance in safety decisions and for longitudinal research to validate risk assessments.Keywords
This publication has 11 references indexed in Scilit:
- The Structured Clinical Interview for DSM-III-R (SCID)Archives of General Psychiatry, 1992
- Housing satisfaction, preference and need among the chronically mentally disabled in Hamilton, OntarioSocial Science & Medicine, 1990
- Will we save the homeless mentally ill?American Journal of Psychiatry, 1990
- Major mental illness, housing, and supports: The promise of community integration.American Psychologist, 1990
- The Life Skills Profile: A Measure Assessing Function and Disability in SchizophreniaSchizophrenia Bulletin, 1989
- Civil Commitment in the Psychiatric Emergency RoomArchives of General Psychiatry, 1988
- Normal housing with specialized supports: A psychiatric rehabilitation approach to living in the community.Rehabilitation Psychology, 1988
- A study of Expatients’ perspectives on their housing experiences and options∗Smith College Studies in Social Work, 1987
- The Well-being of Chronic Mental PatientsArchives of General Psychiatry, 1983
- An Improved Diagnostic Evaluation Instrument for Substance Abuse PatientsJournal of Nervous & Mental Disease, 1980