This article discusses the origins of self-help and begins by providing an understanding of four forms of self-help: mutual support, advocacy, consumer/survivor run services, and coping. The author then looks at examples of the five different strategies by which self-help in public mental health systems has been disseminated. These strategies include: intensive strategies that show the efficacy of the model, … More
The authors explain that a decade ago, urban street outreach was part of a rapid response to the epidemic of homelessness, but today it is struggling to find its own niche in the system of services to homeless people who have mental illnesses. A study of the engagement and referral activity of a well-established outreach service was conducted to begin … More
This article examined whether enhancing standard aftercare with an outreach case management intervention would improve patients’ quality of life. A sample of 292 patients discharged from an inpatient psychiatry service were assigned to either an intervention group that received the case management or a control group that received standard aftercare services. Interviews were conducted during the follow-up period, which lasted … More
Delivering Health Information Services and Technologies to Urban Community Health Centers: The Chicago AIDS Outreach Project.
Health professionals cannot address public health issues effectively unless they have immediate access to current biomedical information. This paper reports on one mode of access, the Chicago AIDS Outreach Project, which was supported by the National Library of Medicine through outreach awards in 1995 and 1996. The three-year project is an effort to link the programs and services of the … More
This article describes a model of outreach predicated on developing a trusting, meaningful relationship between the outreach worker and the homeless person with mental illness. The authors describe five common tasks inherent in this model of outreach (establishing contact and credibility, identifying people with mental illness, engaging clients, conducting assessments and treatment planning, and providing ongoing service). Other issues discussed … More
The Participation of Families of Homeless Persons with Severe Mental Illness in an Outreach Intervention.
This article describes how an assertive community treatment (ACT) team that employs a family outreach worker interacts with homeless persons with severe mental illness and their families. The team’s ratings of the frequency and the importance of clients’ and treatment team’s family contact are summarized and compared with independent research reports on patients’ satisfaction with family relations, housing, and hospitalization … More
The Chicago Health Corps is an AmeriCorps USA program, established in 1994 by the Corporation for National Service in partnership with the Health Resources and Services Administration (HRSA) of the U.S. Public Health Service. The Chicago Health Corps deploys 20 full-time equivalent corps members in selected community sites that offer primary health care services to Chicago’s underserved families. Chicago Health … More
Nurse-managed clinics can be an effective strategy for addressing the health care needs of homeless and indigent populations. The role of the nurse manager in the establishment of a clinic involves community leadership; specifically, it involves addressing strategic planning, financial and manpower issues. The collaborative relationship of nurse managers, educators, and the community laid the groundwork for accessible and affordable … More
Prevention and Control of Hypertension and Diabetes in an Underserved Population Through Community Outreach and Disease Management: A Plan of Action.
Hypertension and diabetes are overrepresented in the African-American population and can be particularly devastating in this population. These diseases share genetic predisposition, medical risk factors, and environmental influences as etiologic factors, and they may be interrelated, at least in part, by obesity and accompanying hyperinsulinemia. Noncompliance with treatment plans is a significant barrier to health improvement in both diseases, but … More
A Multidisciplinary Health Care Outreach Team to the Homeless: The 10-Year Experience of the Montefiore Care for the Homeless Team.
This article describes the Montefiore Care for the Homeless Team, a multidisciplinary health care outreach team that has provided health care to a diverse homeless population in the Bronx, NY, for 10 years. Yearly descriptions of patient demographics, continuity measures, diagnoses, interventions, and referral patterns are presented for a four-year period. These reveal that an increasing number and diversity of … More