Community Integration of Formerly Homeless Men and Women With Severe Mental Illness After Hospital Discharge
Objective:This exploratory study examined the impact of critical time intervention (CTI), a time-limited care coordination model, on community integration among formerly homeless adults with severe mental illness after discharge from inpatient psychiatric treatment. Methods:Data were from a randomiz...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2012-05, Vol.63 (5), p.435-437 |
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| container_title | Psychiatric services (Washington, D.C.) |
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| creator | Baumgartner, Joy Noel Herman, Daniel B |
| description | Objective:This exploratory study examined the impact of critical time intervention (CTI), a time-limited care coordination model, on community integration among formerly homeless adults with severe mental illness after discharge from inpatient psychiatric treatment.
Methods:Data were from a randomized trial that enrolled 150 participants, 95 of whom completed 18-month outcome measures. Relationships between two components of community integration (social and physical) and demographic characteristics, symptom ratings, housing status, and treatment condition were examined.
Results:Neither assignment to CTI nor housing stability was associated with integration outcomes. General and negative symptoms were inversely associated with both physical and social integration.
Conclusions:Although CTI and similar community support models may improve housing stability and reduce rehospitalization, they may not, by themselves, improve community integration. Future studies should focus on improving measurement of community integration so that it can be effectively studied as an important outcome of mental health interventions for this population. (Psychiatric Services 63:435–437, 2012; doi: 10.1176/appi.ps.201100392) |
| doi_str_mv | 10.1176/appi.ps.201100392 |
| format | Article |
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Methods:Data were from a randomized trial that enrolled 150 participants, 95 of whom completed 18-month outcome measures. Relationships between two components of community integration (social and physical) and demographic characteristics, symptom ratings, housing status, and treatment condition were examined.
Results:Neither assignment to CTI nor housing stability was associated with integration outcomes. General and negative symptoms were inversely associated with both physical and social integration.
Conclusions:Although CTI and similar community support models may improve housing stability and reduce rehospitalization, they may not, by themselves, improve community integration. Future studies should focus on improving measurement of community integration so that it can be effectively studied as an important outcome of mental health interventions for this population. (Psychiatric Services 63:435–437, 2012; doi: 10.1176/appi.ps.201100392)</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.201100392</identifier><identifier>PMID: 22549529</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject>Adult ; Female ; Homeless people ; Homeless Persons - psychology ; Humans ; Intervention ; Male ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental Disorders - rehabilitation ; Outcome Assessment (Health Care) - statistics & numerical data ; Patient admissions ; Patient Discharge ; Psychiatric Status Rating Scales - statistics & numerical data ; Quality of Life ; Randomized Controlled Trials as Topic ; Residence Characteristics ; Social Adjustment ; Social integration ; Social Participation - psychology ; Time Factors</subject><ispartof>Psychiatric services (Washington, D.C.), 2012-05, Vol.63 (5), p.435-437</ispartof><rights>Copyright © 2012 by the American Psychiatric Association. 2012</rights><rights>Copyright © 2012 by the American Psychiatric Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a466t-1c985337b777e27e5499adb1aeeca96e9af71aaa0b3abaa68cdba3c7fd0191113</citedby><cites>FETCH-LOGICAL-a466t-1c985337b777e27e5499adb1aeeca96e9af71aaa0b3abaa68cdba3c7fd0191113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.201100392$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.201100392$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>230,314,780,784,885,2855,21626,21627,21628,27924,27925,77794,77799</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22549529$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baumgartner, Joy Noel</creatorcontrib><creatorcontrib>Herman, Daniel B</creatorcontrib><title>Community Integration of Formerly Homeless Men and Women With Severe Mental Illness After Hospital Discharge</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Objective:This exploratory study examined the impact of critical time intervention (CTI), a time-limited care coordination model, on community integration among formerly homeless adults with severe mental illness after discharge from inpatient psychiatric treatment.
Methods:Data were from a randomized trial that enrolled 150 participants, 95 of whom completed 18-month outcome measures. Relationships between two components of community integration (social and physical) and demographic characteristics, symptom ratings, housing status, and treatment condition were examined.
Results:Neither assignment to CTI nor housing stability was associated with integration outcomes. General and negative symptoms were inversely associated with both physical and social integration.
Conclusions:Although CTI and similar community support models may improve housing stability and reduce rehospitalization, they may not, by themselves, improve community integration. Future studies should focus on improving measurement of community integration so that it can be effectively studied as an important outcome of mental health interventions for this population. (Psychiatric Services 63:435–437, 2012; doi: 10.1176/appi.ps.201100392)</description><subject>Adult</subject><subject>Female</subject><subject>Homeless people</subject><subject>Homeless Persons - psychology</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - rehabilitation</subject><subject>Outcome Assessment (Health Care) - statistics & numerical data</subject><subject>Patient admissions</subject><subject>Patient Discharge</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Quality of Life</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Residence Characteristics</subject><subject>Social Adjustment</subject><subject>Social integration</subject><subject>Social Participation - psychology</subject><subject>Time Factors</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9v1DAQxS1ERUvhA3BBlrhwyeKJN_H6glQtlK7UqoeCerQmyWQ3lWMHO6m03x6HLcsfiZMtz--9mfFj7A2IBYAqP-AwdIshLnIBIITU-TN2BkWhMq2EeJ7uQhVZrqQ4ZS9jfBBCgILyBTvN82Kpi1yfMbv2fT-5btzzjRtpG3DsvOO-5Zc-9BTsnl_5nizFyG_IcXQNv08Pjt93447f0SMFmisjWr6x1s3gRTtSSLo4dPPzpy7WOwxbesVOWrSRXj-d5-zb5eev66vs-vbLZn1xneGyLMcMar0qpFSVUopyRWlWjU0FSFSjLkljqwARRSWxQixXdVOhrFXbCNAAIM_Zx4PvMFU9NXWaLqA1Q-h6DHvjsTN_V1y3M1v_aGQhIDVOBu-fDIL_PlEcTZ92IGvRkZ-igfThoIoSyoS--wd98FNwaT0DUgm5hBJWiYIDVQcfY6D2OAwIM2dp5izNEM0xy6R5--cWR8Wv8BKwOAA_tb_b_tfxB0RyrOw</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Baumgartner, Joy Noel</creator><creator>Herman, Daniel B</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120501</creationdate><title>Community Integration of Formerly Homeless Men and Women With Severe Mental Illness After Hospital Discharge</title><author>Baumgartner, Joy Noel ; 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Methods:Data were from a randomized trial that enrolled 150 participants, 95 of whom completed 18-month outcome measures. Relationships between two components of community integration (social and physical) and demographic characteristics, symptom ratings, housing status, and treatment condition were examined.
Results:Neither assignment to CTI nor housing stability was associated with integration outcomes. General and negative symptoms were inversely associated with both physical and social integration.
Conclusions:Although CTI and similar community support models may improve housing stability and reduce rehospitalization, they may not, by themselves, improve community integration. Future studies should focus on improving measurement of community integration so that it can be effectively studied as an important outcome of mental health interventions for this population. (Psychiatric Services 63:435–437, 2012; doi: 10.1176/appi.ps.201100392)</abstract><cop>United States</cop><pub>American Psychiatric Association</pub><pmid>22549529</pmid><doi>10.1176/appi.ps.201100392</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; American Psychiatric Publishing Journals; EZB Electronic Journals Library |
| subjects | Adult Female Homeless people Homeless Persons - psychology Humans Intervention Male Mental disorders Mental Disorders - epidemiology Mental Disorders - psychology Mental Disorders - rehabilitation Outcome Assessment (Health Care) - statistics & numerical data Patient admissions Patient Discharge Psychiatric Status Rating Scales - statistics & numerical data Quality of Life Randomized Controlled Trials as Topic Residence Characteristics Social Adjustment Social integration Social Participation - psychology Time Factors |
| title | Community Integration of Formerly Homeless Men and Women With Severe Mental Illness After Hospital Discharge |
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