Department of Psychiatry, Yale University School of Medicine, Connecticut Mental Health Center, 34 Park St, New Haven, CT, 06519, USA.
Department of Psychiatry, Yale University School of Medicine, 300 George St, New Haven, CT, 06511, USA.
Community Ment Health J. 2021 Nov;57(8):1427-1434. doi: 10.1007/s10597-021-00846-1. Epub 2021 May 31.
"Street psychiatry" is an innovative model that serves people experiencing unsheltered homelessness, a vulnerable population with increased rates of mental illness and substance use disorders. Through community-based delivery of mental health and addiction treatment, street psychiatry helps the street-dwelling population overcome barriers to accessing care through traditional routes. Throughout the United States, street psychiatry programs have arisen in multiple cities, often in partnership with street medicine programs. We discuss the philosophy of street psychiatry, document operational highlights involved in the development of a street psychiatry program in New Haven, CT, suggest key ingredients to implementing a street psychiatry program, and explore challenges and future frontiers. Street psychiatry is an effective person-centered model of service delivery with the potential to be applied in a variety of urban settings to serve people experiencing street homelessness.
“街头精神病学”是一种创新模式，为无家可归者提供服务，这些人是一个弱势群体，患有精神疾病和药物使用障碍的比例较高。通过在社区提供心理健康和成瘾治疗，街头精神病学帮助那些居住在街头的人克服通过传统途径获得护理的障碍。在美国各地，多个城市都出现了街头精神病学项目，这些项目通常与街头医学项目合作。我们讨论了街头精神病学的理念，记录了在康涅狄格州纽黑文市开展街头精神病学项目所涉及的运营要点，提出了实施街头精神病学项目的关键要素，并探讨了挑战和未来的前沿领域。街头精神病学是一种有效的以患者为中心的服务提供模式，有可能在各种城市环境中应用，为那些无家可归的人提供服务。
