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Preventing recurrent homelessness among mentally ill men: A 'critical time' intervention after discharge from a shelter

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  • Susser, E.
  • Valencia, E.
  • Conover, S.
  • Felix, A.
  • Tsai, W.-Y.
  • Wyatt, R.J.

Abstract

Objectives. This study examined a strategy to prevent homelessness among individuals with severe mental illness by providing a bridge between institutional and community care. Methods. Ninety-six men with severe mental illness who were entering community housing from a shelter institution were randomized to receive 9 months of a 'critical time' intervention plus usual services or usual services only. The primary analysis compared the mean number of homeless nights for the two groups during the 18-month follow-up period. To elucidate time trends, survival curves were used. Results. Over the 18-month follow-up period, the average number of homeless nights was 30 for the critical time intervention group and 91 for the usual services group. Survival curves showed that after the 9-month period of active intervention, the difference between the two groups did not diminish. Conclusions. Strategies that focus on a critical time of transition may contribute to the prevention of recurrent homelessness among individuals with mental illness, even after the period of active intervention.

Suggested Citation

  • Susser, E. & Valencia, E. & Conover, S. & Felix, A. & Tsai, W.-Y. & Wyatt, R.J., 1997. "Preventing recurrent homelessness among mentally ill men: A 'critical time' intervention after discharge from a shelter," American Journal of Public Health, American Public Health Association, vol. 87(2), pages 256-262.
    • Handle: RePEc:aph:ajpbhl:1997:87:2:256-262_4
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    1. Martin Agrest & PhuongThao D Le & Lawrence H Yang & Franco Mascayano & Silvia Alves-Nishioka & Saloni Dev & Tanvi Kankan & Thamara Tapia-Muñoz & Samantha Sawyer & Josefina Toso-Salman & Gabriella A D, 2019. "Implementing a community-based task-shifting psychosocial intervention for individuals with psychosis in Chile: Perspectives from users," International Journal of Social Psychiatry, , vol. 65(1), pages 38-45, February.
    2. Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Simone Willis & Ben Hannigan & Robin J. Smith & Rhiannon Cordiner, 2023. "Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(2), June.
    3. Vitopoulos, Nina A. & Frederick, Tyler J. & Leon, Scott & Daley, Mardi & McDonald, Carol & Morales, Shaniah & Cerswell Kielburger, Leysa & Cohen, Sue & Eacott, Karen & Howes, Carol & Gutierrez, Rose &, 2018. "Development of a complex tertiary prevention intervention for the transition out of youth homelessness," Children and Youth Services Review, Elsevier, vol. 94(C), pages 579-588.
    4. Thompson, Sanna J. & Pollio, David E. & Eyrich, Karin & Bradbury, Emily & North, Carol S., 2004. "Successfully exiting homelessness: experiences of formerly homeless mentally ill individuals," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 423-431, November.
    5. David Ponka & Eric Agbata & Claire Kendall & Vicky Stergiopoulos & Oreen Mendonca & Olivia Magwood & Ammar Saad & Bonnie Larson & Annie Huiru Sun & Neil Arya & Terry Hannigan & Kednapa Thavorn & Anne , 2020. "The effectiveness of case management interventions for the homeless, vulnerably housed and persons with lived experience: A systematic review," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-21, April.
    6. Macia, Kathryn S. & Blonigen, Daniel M. & Shaffer, Paige M. & Cloitre, Marylène & Smelson, David A., 2021. "Trauma-related differences in socio-emotional functioning predict housing and employment outcomes in homeless veterans," Social Science & Medicine, Elsevier, vol. 281(C).
    7. Danielle A. M. Lako & Mariëlle D. Beijersbergen & Irene E. Jonker & Renée Vet & Daniel B. Herman & Albert M. Hemert & Judith R. L. M. Wolf, 2018. "The effectiveness of critical time intervention for abused women leaving women’s shelters: a randomized controlled trial," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 513-523, May.
    8. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    9. Lars Benjaminsen, 2018. "Housing First in Denmark: An Analysis of the Coverage Rate among Homeless People and Types of Shelter Users," Social Inclusion, Cogitatio Press, vol. 6(3), pages 327-336.
    10. O'Reilly, Michelle & Taylor, Helen C. & Vostanis, Panos, 2009. ""Nuts, schiz, psycho": An exploration of young homeless people's perceptions and dilemmas of defining mental health," Social Science & Medicine, Elsevier, vol. 68(9), pages 1737-1744, May.

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