患有精神疾病的无家可归者：孤立与适应。

The mentally ill homeless: isolation and adaptation.

作者信息

Cohen N L, Putnam J F, Sullivan A M

出版信息

Hosp Community Psychiatry. 1984 Sep;35(9):922-4. doi: 10.1176/ps.35.9.922.

DOI:10.1176/ps.35.9.922

Abstract

Project HELP was established in New York City in 1982 as a mobile outreach unit providing crisis medical and psychiatric services to impaired homeless persons. The authors describe the demographic characteristics of the population served, the disposition of patients accepting treatment or shelter services, and the adaptation of the homeless to weather extremes. They discuss the difficulties in providing services to a population whose members are distrustful of authority and are unwilling to provide information about themselves. They conclude that the more disaffiliated members of the homeless population, such as those served by Project HELP, need even more extensive services than the homeless who use some kind of existing sheltered care, and they suggest various kinds of services to meet their needs.

摘要

“救助项目”于1982年在纽约市成立，作为一个流动外展单位，为有健康问题的无家可归者提供危机医疗和精神服务。作者描述了所服务人群的人口统计学特征、接受治疗或庇护服务的患者的处置情况，以及无家可归者对极端天气的适应情况。他们讨论了向一群不信任权威且不愿提供自身信息的人群提供服务的困难。他们得出结论，无家可归人群中那些联系更为疏远的成员，比如“救助项目”所服务的人群，比那些使用某种现有庇护性照料的无家可归者需要更广泛的服务，并且他们提出了各类服务以满足他们的需求。