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Homeless and Housed Inpatients with Schizophrenia: Disparities in Service Access upon Discharge from Hospital

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Title: Homeless and Housed Inpatients with Schizophrenia: Disparities in Service Access upon Discharge from Hospital
Language: English
Authors: Burra, Tara A., Hwang, Stephen W., Rourke, Sean B.
Source: International Journal of Mental Health and Addiction. Oct 2012 10(5):778-789.
Availability: Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
Peer Reviewed: Y
Physical Description: PDF
Page Count: 12
Publication Date: 2012
Document Type: Journal Articles
Reports - Research
Descriptors: Social Services, Schizophrenia, Patients, Hospitals, Outcomes of Treatment, Homeless People, Family Practice (Medicine), Access to Health Care, Residential Programs, Clinical Diagnosis, Comparative Analysis, Questionnaires, Interviews, At Risk Persons, Barriers
DOI: 10.1007/s11469-012-9392-3
ISSN: 1557-1874
Abstract: This study examines differences in services available at the time of discharge for homeless and housed psychiatric inpatients. Participants diagnosed with schizophrenia or schizoaffective disorder were recruited from a general hospital psychiatric inpatient unit. Thirty homeless individuals and 21 housed controls (matched for diagnosis, gender, and age) completed a questionnaire and clinical interview. Data on discharge services were extracted from the electronic health record. Factors associated with access to services were examined using logistic regression models. Despite a similar duration of hospitalization to housed participants, homeless participants were significantly less likely to have outpatient follow-up with a family physician, intensive case management, assertive community treatment, income support or prescription drug coverage at the time of discharge from hospital. Although inpatient hospitalization presents an opportunity to reduce homeless people's barriers to accessing health and social services, our results show inequities for homeless people persist at the time of discharge.
Abstractor: As Provided
Number of References: 40
Entry Date: 2012
Accession Number: EJ984021
Database: ERIC
FullText Links:
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  Data: Homeless and Housed Inpatients with Schizophrenia: Disparities in Service Access upon Discharge from Hospital
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  Data: <searchLink fieldCode="AR" term="%22Burra%2C+Tara+A%2E%22">Burra, Tara A.</searchLink><br /><searchLink fieldCode="AR" term="%22Hwang%2C+Stephen+W%2E%22">Hwang, Stephen W.</searchLink><br /><searchLink fieldCode="AR" term="%22Rourke%2C+Sean+B%2E%22">Rourke, Sean B.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22International+Journal+of+Mental+Health+and+Addiction%22"><i>International Journal of Mental Health and Addiction</i></searchLink>. Oct 2012 10(5):778-789.
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  Data: Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
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  Data: 10.1007/s11469-012-9392-3
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  Data: 1557-1874
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study examines differences in services available at the time of discharge for homeless and housed psychiatric inpatients. Participants diagnosed with schizophrenia or schizoaffective disorder were recruited from a general hospital psychiatric inpatient unit. Thirty homeless individuals and 21 housed controls (matched for diagnosis, gender, and age) completed a questionnaire and clinical interview. Data on discharge services were extracted from the electronic health record. Factors associated with access to services were examined using logistic regression models. Despite a similar duration of hospitalization to housed participants, homeless participants were significantly less likely to have outpatient follow-up with a family physician, intensive case management, assertive community treatment, income support or prescription drug coverage at the time of discharge from hospital. Although inpatient hospitalization presents an opportunity to reduce homeless people's barriers to accessing health and social services, our results show inequities for homeless people persist at the time of discharge.
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      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 778
    Subjects:
      – SubjectFull: Social Services
        Type: general
      – SubjectFull: Schizophrenia
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Hospitals
        Type: general
      – SubjectFull: Outcomes of Treatment
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      – SubjectFull: Homeless People
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      – SubjectFull: Family Practice (Medicine)
        Type: general
      – SubjectFull: Access to Health Care
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      – SubjectFull: Residential Programs
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      – SubjectFull: Clinical Diagnosis
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      – SubjectFull: Comparative Analysis
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      – SubjectFull: Interviews
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      – SubjectFull: At Risk Persons
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      – SubjectFull: Barriers
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      – TitleFull: Homeless and Housed Inpatients with Schizophrenia: Disparities in Service Access upon Discharge from Hospital
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            NameFull: Rourke, Sean B.
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