This resource guide lists resources covering street outreach to homeless youth and other street populations.… More
Assessing Substance Abuse Treatment Needs Among the Homeless: A Telephone-Based Interactive Voice Response System.
The authors report on a pilot project that used a telephone-based interactive voice response system, accessed by cellular phones at diverse sites, to interview homeless persons on their need for alcohol and other drug treatment. Using this technique, 207 homeless adults at eight shelters in Cleveland, Ohio were interviewed. The cellular approach was comparable to human-administered interviews in reliability and … More
Engagement of Persons Who Are Homeless and Have Serious Mental Illness: An Overview of the Literature and Review of Practices by Eight Successful Programs.
This paper examines the literature on outreach to persons who are homeless and have serious mental illness and the results of a survey of eight programs that offer outreach services. Programs were found to share a highly mobile “find and serve” approach to the target population. The largest portion of new clients are engaged at homeless shelters, followed by mobile … More
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
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
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
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
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
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
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