Healthcare barriers among severely mentally ill homeless adults: evidence from the five-site health and risk study.

Adm Policy Ment Health 2007 Jul 9;34(4):363-75. Epub 2007 Feb 9.

Services Effectiveness Research Program in the Department of Psychiatry & Behavioral Sciences, Duke University Medical Center, Brightleaf Square Suite 23-A, 905 West Main Street, Durham, NC 27710, USA.

Unlabelled: Few studies have examined barriers to physical and mental healthcare among homeless mentally adults.

Methods: This study examined physical and mental healthcare barriers reported by 154 recently homeless mentally ill persons.

Results: Practical concerns (e.g. transportation and cost) were key components of barriers to accessing general medical care among uninsured men with poorer overall mental health, PTSD, and STD infections. Perceived stigma was an important component of mental healthcare barriers reported most frequently by those with greater psychiatric symptoms.

Conclusion: Focusing on individual characteristics underlying barriers to healthcare may lead to better interventions for improving access to needed care.

Download full-text PDF

Source
http://link.springer.com/10.1007/s10488-007-0115-1
Publisher Site
http://dx.doi.org/10.1007/s10488-007-0115-1DOI Listing
July 2007
16 Reads

Publication Analysis

Top Keywords

mental healthcare
12
healthcare barriers
12
physical mental
8
homeless mentally
8
barriers reported
8
mentally ill
8
barriers
5
healthcare
5
mental health
4
health ptsd
4
care uninsured
4
uninsured men
4
medical care
4
men poorer
4
poorer mental
4
accessing general
4
concerns transportation
4
practical concerns
4
personsresults practical
4
transportation cost
4

References

(Supplied by CrossRef)

A. P. Association et al.
2000

L. L. Bachrach et al.
Hospital and Community Psychiatry 1992

E. L. Bassuk et al.
American Journal of Psychiatry 1998

E. Bender et al.
Psychiatric News 2006

E. Blanchard et al.
Behavioral Research Therapy 1996

P. Bourgois et al.
Human Organization 2004

D. W. Bradford et al.
Medical Care August 2005

P. N. Clarke et al.
Journal of Community Health Nursing 1995

J. D’Amore et al.
Acad Emerg Med 2001

P. J. Fischer et al.
American Psychologist November 1991

Similar Publications