Drake R E, Osher F C, Wallach M A
New Hampshire-Dartmouth Psychiatric Research Center, Lebanon 03766.
Am Psychol. 1991 Nov;46(11):1149-58. doi: 10.1037//0003-066x.46.11.1149.
People who are dually diagnosed with severe mental illness and substance use disorders constitute 10%-20% of homeless persons. They are a heterogeneous and extremely vulnerable subgroup with complex, poorly understood needs. In this article recent research on the epidemiology, subject characteristics, and service needs of the dually diagnosed homeless population is reviewed. Also, the range of evolving approaches to providing social services, housing, and mental health and substance-abuse treatments; the relevant system issues and legal issues; and problems with current research, as well as future research directions, are discussed. The importance of the distinction between providing appropriate living environments and mental health treatments emerges throughout.
同时患有严重精神疾病和物质使用障碍的人占无家可归者的10%-20%。他们是一个异质性且极其脆弱的亚群体，有着复杂且鲜为人知的需求。本文回顾了近期关于同时患有这两种疾病的无家可归人群的流行病学、个体特征及服务需求的研究。此外，还讨论了提供社会服务、住房以及心理健康和物质滥用治疗的一系列不断发展的方法；相关的系统问题和法律问题；当前研究存在的问题以及未来的研究方向。区分提供适宜生活环境和心理健康治疗的重要性贯穿始终。
