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The Open DoorHomelessness and Severe Mental Illness in the Era of Community Treatment$
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Carol L. M. Caton

Print publication date: 2017

Print ISBN-13: 9780190463380

Published to Oxford Scholarship Online: April 2017

DOI: 10.1093/acprof:oso/9780190463380.001.0001

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Mental Health Services Take to the Streets

Mental Health Services Take to the Streets

Chapter:
(p.72) Chapter 5 Mental Health Services Take to the Streets
Source:
The Open Door
Author(s):

Carol L. M. Caton

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780190463380.003.0005

The challenge of reaching out to the homeless mentally ill initiated a period of creative development in mental health service delivery. Early in the post-deinstitutionalization era, the difficulty of engaging a disaffiliated and hard-to-reach population prompted clinicians to relate to homeless people wherever they could be found. “Outreach” and “crisis intervention” became the established terms for new mechanisms to deal with low rates of attendance and retention in mental health services. This chapter describes and assesses the evidence for the range of approaches that have been developed to assist homeless people achieve stable residence in the community, including case management, peer recovery support, critical time intervention (CTI), assertive community treatment (ACT), integrated treatment for dual disorders, integrating health and mental health treatment, and recovery oriented care.

Keywords:   Outreach, case management, peer recovery support, critical time intervention (CTI), assertive community treatment (ACT), dual disorders treatment, integrated care, recovery oriented care

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