Rosenheck R, Leda C, Gallup P, Astrachan B, Milstein R, Leaf P, Thompson D, Errera P
Veterans Administration Northeast Program Evaluation Center, West Haven, Connecticut 06516.
Hosp Community Psychiatry. 1989 Sep;40(9):937-42. doi: 10.1176/ps.40.9.937.
In May 1987 the Veterans Administration established the Homeless Chronically Mentally Ill Veterans Program at 43 sites to provide outreach, health care, and residential rehabilitation services. Intake assessment data on 10,529 homeless veterans screened as potential candidates for clinical services during the program's first 11 months are presented. With a median age of 40, the homeless veterans were considerably younger than veterans in the general U.S. population. More had served in the Vietnam era than in other military eras. Almost three-fifths were white, and a third were black; more than 40 percent were receiving some form of public support. Almost half manifested one or more severe psychiatric symptoms at screening, and almost two-thirds had previously been hospitalized for either a psychiatric or a substance abuse problem.
1987年5月,退伍军人管理局在43个地点设立了长期无家可归的退伍军人精神病患者项目,以提供外展服务、医疗保健和住院康复服务。本文呈现了该项目前11个月对10529名无家可归退伍军人进行筛选时的摄入评估数据,这些退伍军人被视为临床服务的潜在候选人。这些无家可归的退伍军人年龄中位数为40岁,比美国普通退伍军人年轻得多。在越南战争时期服役的人数多于其他军事时期。近五分之三是白人,三分之一是黑人;超过40%的人接受某种形式的公共资助。筛查时,近一半人表现出一种或多种严重的精神症状,近三分之二的人此前曾因精神疾病或药物滥用问题住院治疗。