A Typology of Homeless Mentally Ill People to Help Nursing Interventions in Community Settings

2.50
Hdl Handle:
http://hdl.handle.net/10755/156652
Type:
Presentation
Title:
A Typology of Homeless Mentally Ill People to Help Nursing Interventions in Community Settings
Abstract:
A Typology of Homeless Mentally Ill People to Help Nursing Interventions in Community Settings
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Bonin, Jean-Pierre, MN, PhD
P.I. Institution Name:University of Montreal
Title:Adjunct Professor
Co-Authors:Louise Fournier, PhD; Regis Blais, PhD
Objective: We know very little about the homeless mentally ill, save that they constitute a heterogeneous population, and that it is hard for them to receive services adapted to their situation. The objective of this presentation is to describe a typology of homeless mentally ill persons and the nursing interventions that can be made in regard of this typology. Population, Sample, Setting, Years: This study used data from a health survey of the homeless carried-out by Fournier (2001), in the central Montreal urban area and the Quebec urban community (N=757). Subjects included in the study have suffered from depression, bipolar disorders or psychosis during their lifetime. Concept or Variables Studied Together or Intervention and Outcome Variable(s): This research used the Network-Episode Model (NEM; Pescosolido, 1991) to identify the variables most likely to influence mental health services utilization and elaborate a typology of mental health services users within the homeless mentally ill population. Methods: A logistic regression was made in order to identify the variables related with service utilization and a cluster analysis using Gower's distance and Ward method to find a typology. Findings: Logistic regression analyses show that service utilization was associated with being younger, a woman or without fixed abode, with presenting lifetime alcohol problems or current antisocial personality disorders, or with having been an inpatient and with being part of a larger network. Six types of homeless mentally ill were identified: 1) women; 2) men with schizophrenia; 3) ex-depressive and ex-alcoholics; 4) ex-homeless; 5) those with current depressive disorders and 6) with comorbidity; Conclusions: These results suggest the direction of future interventions for this underserved population, and indicate the need for additional studies using a utilization model. Implications: Nursing interventions in community settings can be suited for this population that need help.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Typology of Homeless Mentally Ill People to Help Nursing Interventions in Community Settingsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156652-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Typology of Homeless Mentally Ill People to Help Nursing Interventions in Community Settings</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bonin, Jean-Pierre, MN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Montreal</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Adjunct Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jean-pierre.bonin@umontreal.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Louise Fournier, PhD; Regis Blais, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: We know very little about the homeless mentally ill, save that they constitute a heterogeneous population, and that it is hard for them to receive services adapted to their situation. The objective of this presentation is to describe a typology of homeless mentally ill persons and the nursing interventions that can be made in regard of this typology. Population, Sample, Setting, Years: This study used data from a health survey of the homeless carried-out by Fournier (2001), in the central Montreal urban area and the Quebec urban community (N=757). Subjects included in the study have suffered from depression, bipolar disorders or psychosis during their lifetime. Concept or Variables Studied Together or Intervention and Outcome Variable(s): This research used the Network-Episode Model (NEM; Pescosolido, 1991) to identify the variables most likely to influence mental health services utilization and elaborate a typology of mental health services users within the homeless mentally ill population. Methods: A logistic regression was made in order to identify the variables related with service utilization and a cluster analysis using Gower's distance and Ward method to find a typology. Findings: Logistic regression analyses show that service utilization was associated with being younger, a woman or without fixed abode, with presenting lifetime alcohol problems or current antisocial personality disorders, or with having been an inpatient and with being part of a larger network. Six types of homeless mentally ill were identified: 1) women; 2) men with schizophrenia; 3) ex-depressive and ex-alcoholics; 4) ex-homeless; 5) those with current depressive disorders and 6) with comorbidity; Conclusions: These results suggest the direction of future interventions for this underserved population, and indicate the need for additional studies using a utilization model. Implications: Nursing interventions in community settings can be suited for this population that need help.</td></tr></table>en_GB
dc.date.available2011-10-26T14:59:35Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T14:59:35Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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