Will we save the homeless mentally ill?
Progress in alleviating the plight of the homeless mentally ill has been very slow and disappointing. After reviewing the needs of the homeless mentally ill, the author makes recommendations for immediate action. Extensive case management services should be implemented rather than simply discussed. All incompetent and/or dangerous or gravely disabled homeless mentally ill persons should be brought to hospitals, involuntarily if necessary. Cost-effective alternatives to hospitals with varying degrees of structure should be provided. Involuntary mechanisms such as conservatorship and outpatient commitment should be used when needed. The emphasis should be on timely transfer to acceptable treatment and living situations rather than waiting for the ideal.
Lamb
H R
HR
Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.
D000553:Ambulatory Care; D002908:Chronic Disease; D003134:Commitment of Persons with Psychiatric Disorders; D003156:Community Mental Health Services; D006703:Ill-Housed Persons; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D028642:Persons with Psychiatric Disorders; D026706:Paternalism; D010344:Patient Advocacy; D012112:Residential Facilities; D040841:Resource Allocation; D014481:United States