Responding to the homeless policy and practice
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York u.a.
Plenum Press
1992
|
| Schriftenreihe: | Topics in social psychiatry
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
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MARC
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| 100 | 1 | |a Schutt, Russell K. |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Responding to the homeless |b policy and practice |c Russell K. Schutt and Gerald R. Garrett |
| 264 | 1 | |a New York u.a. |b Plenum Press |c 1992 | |
| 300 | |a XXI, 258 S. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 0 | |a Topics in social psychiatry | |
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| 650 | 7 | |a Gezondheidszorg |2 gtt | |
| 650 | 7 | |a Politieke aspecten |2 gtt | |
| 650 | 7 | |a Sans-abri - Politique publique - États-Unis |2 ram | |
| 650 | 7 | |a Sociale problemen |2 gtt | |
| 650 | 7 | |a Thuislozen |2 gtt | |
| 650 | 4 | |a Gesundheitswesen | |
| 650 | 4 | |a Politik | |
| 650 | 4 | |a Health Policy |z United States | |
| 650 | 4 | |a Health Services |z United States | |
| 650 | 4 | |a Homeless Persons |z United States | |
| 650 | 4 | |a Homeless persons |x Government policy |z United States | |
| 650 | 4 | |a Homeless persons |x Medical care |z United States | |
| 650 | 4 | |a Homeless persons |x Mental health services |z United States | |
| 650 | 4 | |a Homeless persons |x Services for |z United States | |
| 650 | 4 | |a Social Problems |z United States | |
| 650 | 4 | |a Social work with the homeless |z United States | |
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| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-003505660 | |
Datensatz im Suchindex
| _version_ | 1819588949810610176 |
|---|---|
| adam_text | xvi Contents
2. Shelters and Services 21
Introduction 21
Shelter Philosophy 22
Shelter Based Services 22
Funding Sources 22
Shelter Types 28
Emergency Municipal Shelters 28
Missions 30
Private Nonprofit Emergency Shelters 30
Service Oriented Shelters 30
Client Run Shelters 34
Shelter Staff 35
Case Management 36
The Service System 38
Outreach Programs 39
Day Programs 40
The Service Network 41
Conclusions 43
3. Counseling and Case Managing 45
Introduction 45
Are Homeless Persons Interested in Services? 46
Do Services Make a Difference? 47
Differences between Subgroups 49
The Process of Case Management 50
Case Management Alternatives 50
How to Approach and Assess Clients 53
How to Maintain Rapport with Clients 60
How to Refer Clients 61
How to Respond to Interpersonal Conflicts 64
Sources of Conflict between Shelter Guests 65
Managing Conflict between Guests 65
Sources of Conflict between Guests and Staff 66
Managing Guest Staff Conflict 66
Summary 68
How to Cope with Stress and Burnout 68
Conclusions 70
4. Mental Illness among the Homeless 71
Introduction 71
What Is Mental Illness ? 72
Homelessness and Mental Illness 73
How Common Is Mental Illness among the Homeless? 74
Types of Mental Illness 76
Contents xvii
Schizophrenia 76
Major Affective Disorders 77
Personality Disorders 80
Adjustment Reactions and Stress Disorders 82
Responding to Mental Illness 83
Problems in Mental Health Services 84
Improving Service Delivery to Mentally 111 Persons 87
Conclusions 96
5. Homeless People with Alcohol Problems 97
Introduction 98
The Skid Row Subculture 99
Alcohol as a Factor in Causing Homelessness 99
A Primer on Alcohol Abuse and Alcoholism 102
Alcohol and Alcoholism 102
Types of Alcoholism 105
Progressive Symptoms of Alcoholism 105
Alcohol Related Diseases 106
Alcoholism Screening 115
Michigan Alcohol Screening Test (MAST) 115
CAGE 116
Do It Yourself Index 116
Detoxification: A First Step toward Recovery 117
Detoxification Centers 120
Recovery and Rehabilitation Services 124
Outreach Services 125
Comprehensive Services 130
Components of the Recovery Process 132
Residential Care 133
Conclusions 137
6. Homeless People with Drug Problems 139
Introduction 139
Prevalence of Drug Abuse 140
Patterns of Drug Use 140
Characteristics of Drug Abusers 143
A Primer on Drugs and Drug Abuse 143
Dependence on Drugs 14n
Drug Substances 1 ^
Responding to Withdrawal Symptoms 154
AIDS and HIV 134
AIDS and Homelessness 1 ~)S
Helping Homeless Persons with AIDS 159
Conclusions 6
xviii Contents
7. Health Care and Homeless People 163
Introduction 164
Interaction of Health Problems and Homelessness 164
Health Care Emergencies 165
Weather Related Conditions 166
Heat Related Conditions 169
Grand Mai Seizures 171
Infectious Diseases 173
Infestations 181
Shelters as Sites for Delivering Health Care Services 184
Conclusions 186
8. Housing: From Street to Shelter to ? 191
Introduction 191
Different Housing Types 192
Conventional Housing 192
Single Room Occupancy and Specialty Housing 192
Institutional Housing 193
Problems in Access to Housing for Low Income People 196
Decrease in the Supply of Affordable Housing 196
Problems with Public Housing 197
Community Resistance 198
Loss and Reemergence of SRO and Specialty Housing 198
Changes in Commitment Policies 202
Helping Homeless People Gain Access to Housing 203
Identifying the Availability of Low Income Housing 203
Assisting Shelter Guests to Gain and Maintain Housing 205
Advocating for More and Better Housing for Homeless People 208
Conclusions 211
9. Responding to Homelessness 213
Introduction 213
Methods of Response 214
Individual Level 214
Systemic Level 215
Conclusions 220
Appendix: Long Island Shelter Intake 223
References 225
Index 247
List of Panels
Chapter 1
1 1 A Tragic Ending 4
1 2 Financial Benefits 12
1 3 Changing Forms of Homelessness 19
Chapter 2
2 1 Services in Shelters 23
2 2 The Shattuck Shelter: Program Activities 23
2 3 Minimum Requirements for Emergency Shelters 24
2 4 The Stewart B. McKinney Homeless Assistance Act 27
2 5 Difficulties with an Open Door Policy 29
2 6 Behavioral Rules 31
2 7 Preclusive Admission Policies 32
2 8 A Day in the Life of Shattuck Shelter 33
2 9 Struggling against Shelterization 34
2 10 Job Description: Evening Counselors 36
2 11 Case Aides in Action 37
2 12 Professionals or Paraprofessionals? 38
2 13 Conflict over Professionalism in Cincinnati 39
2 14 Accessibility versus Comprehensiveness 42
Chapter 3
3 1 Philadelphia s Diagnostic and Rehabilitation Center 47
3 2 A Guest s Perspective on Case Management 31
3 3 A Brief History of Case Management 4
xix
xx List of Panels
3 4 Peddling Psychiatric Services 56
3 5 Never Too Late for Literacy 62
3 6 Conflictual Moments in a Large Shelter 64
Chapter 4
4 1 Has Mental Illness Become More Prevalent? 75
4 2 Schizophrenic Delusions 77
4 3 The Mental Status Examination 78
4 4 Bipolar Affective Disorder 79
4 5 Depression and Drugs 79
4 6 Identifying Major Depressive Illness 80
4 7 Borderline Personality 81
4 8 An Antisocial Personality 81
4 9 A Schizotypical Personality 82
4 10 Adjustment Disorders 83
4 11 Guidelines for Identifying Anxiety Disorders 84
4 12 Sporadic Hospital Use 85
4 13 Employment 86
4 14 Safety and Psychosis 86
4 15 Mental Illness and HIV Infection 87
4 16 A Gradual Approach 88
4 17 The Utility of a Label 89
4 18 Arranging for Hospitalization 90
4 19 Through the Back Door 91
4 20 When Barring Becomes Necessary 92
4 21 Advocating for Veterans 94
4 22 Taking on the System 95
4 23 Transferring Street Skills 95
4 24 A Support Group 96
Chapter 5
5 1 The Homeless Veteran Alcoholic 100
5 2 AA and the Homeless Alcoholic 104
5 3 A Case of the DTs 112
5 4 Can You Trust the Homeless Alcoholic? 118
5 5 Networking the Homeless Alcoholic 121
5 6 Police Responses to the Homeless Alcoholic 126
5 7 Case Managers and Counselors Can Make a Difference 128
5 8 The Salvation Army Harbor Light: A Model Program Serving the
Homeless with Alcohol Problems 132
5 9 A Handbook for the Homeless Alcoholic in Treatment 134
5 10 House Rules for Alcohol Free Living Centers 136
5 11 Where Do I Go from Here? 138
List of Panels xxi
Chapter 6
6 1 Prevalence of Drug Problems among Homeless People 141
6 2 The Street Homeless of Washington: A Snapshot of Alcohol and
Other Drug Abuse 144
6 3 Classifications of Commonly Abused Drugs 146
6 4 Language and the Drug Subculture 148
6 5 Doing Street Drugs 151
6 6 The Life and Death of Hector Torres 154
6 7 AIDS and Opportunistic Illness 156
6 8 Reducing the Risk of AIDS among Active IV Drug Users 157
6 9 AIDS, HIV, and Shelter Policies 160
Chapter 7
7 1 Nashville s Health Care for the Homeless Program 185
7 2 The Case of Dwayne 187
7 3 A Shelter Report on Jane 189
Chapter 8
8 1 Arlington Hotel 194
8 2 Hutchinson Place 195
8 3 SRO Accommodations: The Best and the Worst 199
8 4 Oxford House 201
8 5 The Shelter Housing Specialist: A New Occupational Role 206
8 6 The McNay House: An Alcohol Free Living Center 209
8 7 Insurance Companies Housing Efforts 210
8 8 An Adopt a Room Program 210
Chapter 9
9 1 Resources for Agencies Serving Homeless People 218
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| series2 | Topics in social psychiatry |
| spellingShingle | Schutt, Russell K. Garrett, Gerald R. Responding to the homeless policy and practice Geestelijke gezondheidszorg gtt Gezondheidszorg gtt Politieke aspecten gtt Sans-abri - Politique publique - États-Unis ram Sociale problemen gtt Thuislozen gtt Gesundheitswesen Politik Health Policy United States Health Services United States Homeless Persons United States Homeless persons Government policy United States Homeless persons Medical care United States Homeless persons Mental health services United States Homeless persons Services for United States Social Problems United States Social work with the homeless United States Sozialpolitik (DE-588)4055879-4 gnd Obdachloser (DE-588)4042868-0 gnd |
| subject_GND | (DE-588)4055879-4 (DE-588)4042868-0 (DE-588)4078704-7 |
| title | Responding to the homeless policy and practice |
| title_auth | Responding to the homeless policy and practice |
| title_exact_search | Responding to the homeless policy and practice |
| title_full | Responding to the homeless policy and practice Russell K. Schutt and Gerald R. Garrett |
| title_fullStr | Responding to the homeless policy and practice Russell K. Schutt and Gerald R. Garrett |
| title_full_unstemmed | Responding to the homeless policy and practice Russell K. Schutt and Gerald R. Garrett |
| title_short | Responding to the homeless |
| title_sort | responding to the homeless policy and practice |
| title_sub | policy and practice |
| topic | Geestelijke gezondheidszorg gtt Gezondheidszorg gtt Politieke aspecten gtt Sans-abri - Politique publique - États-Unis ram Sociale problemen gtt Thuislozen gtt Gesundheitswesen Politik Health Policy United States Health Services United States Homeless Persons United States Homeless persons Government policy United States Homeless persons Medical care United States Homeless persons Mental health services United States Homeless persons Services for United States Social Problems United States Social work with the homeless United States Sozialpolitik (DE-588)4055879-4 gnd Obdachloser (DE-588)4042868-0 gnd |
| topic_facet | Geestelijke gezondheidszorg Gezondheidszorg Politieke aspecten Sans-abri - Politique publique - États-Unis Sociale problemen Thuislozen Gesundheitswesen Politik Health Policy United States Health Services United States Homeless Persons United States Homeless persons Government policy United States Homeless persons Medical care United States Homeless persons Mental health services United States Homeless persons Services for United States Social Problems United States Social work with the homeless United States Sozialpolitik Obdachloser USA |
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