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Social Support and Service Use Among Homeless Persons With Serious Mental Illness

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  • Julie A. Lam
  • Robert Rosenheck

Abstract

It has been widely hypothesized that persons with greater social support use fewer health care services, although previous studies have shown variable results. This study examines the relationship between levels of social support and formal service use among clients entering 18 community treatment programs for homeless persons with serious mental illness as part of the ACCESS demonstration project of the U.S. Center for Mental Health Services. Baseline and follow-up data on 1,828 clients entering the ACCESS program were used to evaluate the relationship between individual client socio-demographic and clinical characteristics, seven measures of social support, and levels of formal service use in this population. Three measures of social support were positively related to the use of outpatient medical services and one each to the use of substance abuse services and the total days of service use. Six out of seven measures of social support were positively related to the receipt of multiple services. It appears that social support is most strongly associated with improved access to an array of different services - a very important need among this population.

Suggested Citation

  • Julie A. Lam & Robert Rosenheck, 1999. "Social Support and Service Use Among Homeless Persons With Serious Mental Illness," International Journal of Social Psychiatry, , vol. 45(1), pages 13-28, March.
    • Handle: RePEc:sae:socpsy:v:45:y:1999:i:1:p:13-28
    DOI: 10.1177/002076409904500103
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    References listed on IDEAS

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    1. Lehman, Anthony F., 1988. "A quality of life interview for the chronically mentally ill," Evaluation and Program Planning, Elsevier, vol. 11(1), pages 51-62, January.
    2. Wood, D. & Haldez, B. & Hayashi, T. & Shen, A., 1990. "Homeless and housed families in Los Angeles: A study comparing demographic, economic, and family function characteristics," American Journal of Public Health, American Public Health Association, vol. 80(9), pages 1049-1052.
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    1. Fernando Fajardo-Bullón & Jesús Pérez-Mayo & Igor Esnaola, 2021. "The Association of Interpersonal Relationships and Social Services with the Self-Rated Health of Spanish Homelessness," IJERPH, MDPI, vol. 18(17), pages 1-18, September.
    2. Valérie Dauriac-Le Masson & Alain Mercuel & Marie Jeanne Guedj & Caroline Douay & Pierre Chauvin & Anne Laporte, 2020. "Mental Healthcare Utilization among Homeless People in the Greater Paris Area," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
    3. Tobin, Karin E. & Winiker, Abigail & Moran, Marybeth & Felsher, Marisa & Owczarzak, Jill, 2023. "No one runs alone: Combining community-based program evaluation with photo elicitation interviewing among people experiencing homelessness," Evaluation and Program Planning, Elsevier, vol. 97(C).
    4. Krishnakshi Dutt & Martin Webber, 2010. "Access to Social Capital and Social Support Among South East Asian Women With Severe Mental Health Problems: a Cross-Sectional Survey," International Journal of Social Psychiatry, , vol. 56(6), pages 593-605, November.
    5. Barbara Straaten & Gerda Rodenburg & Jorien Laan & Sandra N. Boersma & Judith R. L. M. Wolf & Dike Mheen, 2018. "Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(1), pages 291-311, January.

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