Community Outreach: Rural Mobile Health Units.

With the increased emphasis on cost containment, hospital administrators are investigating community outreach projects to remain economically viable. The authors describe the planning and implementation of a mobile health unit for rural elderly residents. This project represents an alternative model of healthcare delivery in a rural area with limited resources and healthcare providers (authors).… More →

Health Status of and Access to Health Services by Residents of Urban Encampments in Los Angeles.

Results from a survey of 134 homeless people living in 42 urban encampments in central Los Angeles found many in poor health status. Over 30% had chronic illnesses, and 40% had a substance abuse problem. Although outreach efforts have had success in bringing HIV and tuberculosis screening services to encampments, residents report significant barriers to using primary health care and … More →

Impact of a Psychiatric Outreach Service for Homeless Persons With Schizophrenia.

Since 1988, a 24-hour psychiatric outreach service has been in operation in the inner city of Sydney, Australia, to provide services to homeless individuals. A total of 506 homeless persons with schizophrenia were referred to the outreach service between April 1988 and mid-1992. Ninety-one of these individuals failed to attend. Hospitalization data were collected for the four years before and … More →

Process and Outcome in a Hostel Outreach Program for Homeless Clients with Severe Mental Illness.

This article reports on findings of an 18-month follow-up of 55 homeless and severely mentally ill clients of a hostel outreach program. Results indicated that despite chronic histories of transiency and shelter use, housing stability had been achieved. Initial gains in social functioning and symptom reduction also increased. The authors contend that development of a strong working alliance between clients … More →

No Place to Stay: A Handbook for Homeless Outreach.

This guide to outreach and engagement is based on the author’s six years experience of providing outreach to elderly homeless persons in Oakland, CA. Topics covered include: an overview of case management; skill building exercises; personal stories, poetry, and art by homeless persons; specific needs of the homeless person with alcohol and drug addiction and/or mental disorders; and concerns of … More →

Outreach Interventions for the Homeless Mentally Ill.

There has been a steady rise in the number of homeless mentally ill in Britain. This article reviews the scale of the problem and identifies the need for change within mental health services in order to address this challenge. It is argued that mainstream psychiatric services need to become more diverse and open in their approach to this potentially isolated … More →

The Perils of Outreach Work: Overreaching the Limits of Persuasive Tactics.

This chapter discusses some of the engagement strategies used by outreach workers that could be considered coercive. According to the author, the outreach worker, whose primary mission is to canvass the streets looking for persons with mental illnesses in need of medication, treatment or homes, must invent strategies that engage the prospective client into treatment, even though that client has … More →

A Model of the Dissemination of Self-Help in Public Mental Health Systems.

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 →

Urban Street Outreach: Using Clinical Principles to Steer the System.

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 →

Does Outreach Case Management Improve Patients’ Quality of Life?

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 →

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