Herman M, Galanter M, Lifshutz H
Department of Psychiatry, New York University School of Medicine New York, New York 10016.
Am J Drug Alcohol Abuse. 1991;17(4):415-22. doi: 10.3109/00952999109001600.
Although homelessness in patients with combined addictive and psychiatric illness is a common problem, little has been reported about the epidemiology of homelessness in this patient population. The authors, in a study of 100 dually diagnosed patients admitted to a large metropolitan psychiatric hospital, found that a large portion of patients (N = 46) were homeless at the time of admission. Alcohol and crack/cocaine were the most frequently used drugs. Interestingly, there were no significant differences on most parameters between those who were homeless and those who were not. The authors observed that among the disadvantaged, inner-city dually diagnosed, many move in and out of the homeless state, seriously compromising their chances for recovery. Self-help treatment programs were more commonly used by homeless than domiciled patients. The homeless population may therefore be amenable to treatment in 12-step groups, as are domiciled patients.
虽然患有成瘾性疾病和精神疾病的患者无家可归是一个常见问题，但关于这一患者群体中无家可归现象的流行病学情况，此前鲜有报道。作者在一项针对一家大型都市精神病医院收治的100名双重诊断患者的研究中发现，很大一部分患者（N = 46）在入院时无家可归。酒精和强效纯可卡因是最常使用的毒品。有趣的是，在大多数参数方面，无家可归者和有家可归者之间没有显著差异。作者观察到，在处于不利地位的市中心双重诊断患者中，许多人在无家可归状态中进进出出，严重影响了他们康复的机会。与有家可归的患者相比，无家可归者更常使用自助治疗项目。因此，无家可归人群可能像有家可归的患者一样，适合参加12步团体治疗。
