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Risk factors for homelessness among schizophrenic men: A case-control study

Author

Listed:
  • Caton, C.L.M.
  • Shrout, P.E.
  • Eagle, P.F.
  • Opler, L.A.
  • Felix, A.
  • Dominguez, B.

Abstract

Objectives. To identify risk factors for homelessness among the severely mentally ill, we conducted a case-control study of 100 indigent schizophrenic men meeting criteria for literal homelessness and 100 such men with no homeless history. Methods. Subjects were recruited from shelter, clinic, and inpatient psychiatric programs in Upper Manhattan. Clinical interviewers employed standardized research instruments to probe three domains of risk factors: severity of mental illness, family background, and prior mental health service use. Results. Homeless subjects showed significantly higher levels of positive symptoms, higher rates of a concurrent diagnosis of drug abuse, and higher rates of antisocial personality disorder. Homeless subjects experienced greater disorganization in family settings from birth to 18 years and less adequate current family support. Fewer homeless subjects than subjects in the never-homeless comparison group had a long-term therapist. These differences remained when demographic variables were adjusted statistically. Conclusions. Homeless schizophrenic men differed from their domiciled counterparts in all three domains we investigated; family background, nature of illness, and service use history. Findings are discussed in relation to policy and programs for the severely mentally ill.

Suggested Citation

  • Caton, C.L.M. & Shrout, P.E. & Eagle, P.F. & Opler, L.A. & Felix, A. & Dominguez, B., 1994. "Risk factors for homelessness among schizophrenic men: A case-control study," American Journal of Public Health, American Public Health Association, vol. 84(2), pages 265-270.
    • Handle: RePEc:aph:ajpbhl:1994:84:2:265-270_8
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    Cited by:

    1. Hawkins, Robert Leibson & Abrams, Courtney, 2007. "Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders," Social Science & Medicine, Elsevier, vol. 65(10), pages 2031-2042, November.
    2. Anne Laporte & Stéphanie Vandentorren & Marc-Antoine Détrez & Caroline Douay & Yann Le Strat & Erwan Le Méner & Pierre Chauvin & The Samenta Research Group, 2018. "Prevalence of Mental Disorders and Addictions among Homeless People in the Greater Paris Area, France," IJERPH, MDPI, vol. 15(2), pages 1-11, January.
    3. He, Yinghua & O'Flaherty, Brendan & Rosenheck, Robert A., 2010. "Is shared housing a way to reduce homelessness? The effect of household arrangements on formerly homeless people," Journal of Housing Economics, Elsevier, vol. 19(1), pages 1-12, March.
    4. Lars Benjaminsen, 2016. "Homelessness in a Scandinavian welfare state: The risk of shelter use in the Danish adult population," Urban Studies, Urban Studies Journal Limited, vol. 53(10), pages 2041-2063, August.
    5. Maya Albert & Thomas Becker & Paul Mccrone & Graham Thornicroft, 1998. "Social Networks and Mental Health Service Utilisation - a Literature Review," International Journal of Social Psychiatry, , vol. 44(4), pages 248-266, December.

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