Unmet mental health and substance use treatment needs among older homeless adults: Results from the HOPE HOME Study

Autor: Elise Cabral, Lina Tieu, Lauren M. Kaplan, Lea Vella, Margot Kushel, David Sanchez-Migallon Guzman, Claudia Ponath
Rok vydání: 2019
Předmět:
Gerontology
Male
Aging
050109 social psychology
Prison
Logistic regression
California
Stress Disorders
Post-Traumatic

Substance Misuse
depressive symptoms
7.1 Individual care needs
Prevalence
80 and over
substance abuse
Psychology
Longitudinal Studies
Suicidal ideation
homelessness
outpatient care
media_common
Stress Disorders
Aged
80 and over

education.field_of_study
05 social sciences
Homeless Persons
Health Services
Middle Aged
Substance abuse
Ill-Housed Persons
medicine.symptom
mental health
050104 developmental & child psychology
Pediatric Research Initiative
Social Psychology
Substance-Related Disorders
media_common.quotation_subject
Population
Developmental & Child Psychology
Article
Odds
Life Change Events
Ambulatory care
Clinical Research
Behavioral and Social Science
mental disorders
medicine
Humans
0501 psychology and cognitive sciences
education
Aged
Health Services Needs and Demand
business.industry
medicine.disease
Mental health
suicidal ideation
Good Health and Well Being
Logistic Models
Post-Traumatic
Management of diseases and conditions
business
Zdroj: Journal of community psychology, vol 47, iss 8
J Community Psychol
Popis: Author(s): Kaplan, Lauren M; Vella, Lea; Cabral, Elise; Tieu, Lina; Ponath, Claudia; Guzman, David; Kushel, Margot B | Abstract: AimsTo examine the prevalence of and factors associated with unmet need for mental health and substance use treatment in older homeless adults.MethodsAmong 350 homeless adults aged ≥50, we examined prevalence of mental health and substance use problems and treatment. Using logistic regression, we examined factors associated with unmet treatment need.ResultsAmong those with a mental health problem, being aged ≥65 was associated with an increased odds, while having a regular healthcare provider and case manager were associated with a decreased odds of having unmet need for mental health treatment. A first homelessness episode at age ≥50 was associated with increased, while spending time in jail/prison or having a case manager was associated with decreased odds of unmet needs for substance use treatment.ConclusionOlder homeless adults have a high prevalence of unmet behavioral health treatment need. There is a need for targeted services for this population.
Databáze: OpenAIRE