A case-based, clinical guide applicable to a variety of
settings, this book offers evidence-based expert advice on the
difficult challenges inherent in working with underserved homeless
populations. The American Association of Community Psychiatrists'
Clinical Guide to the Treatment of the Mentally Ill Homeless Person
is a concise, practical work that gives busy clinicians the
information they need; it not only is more up-to-date than existing
publications, but also offers case- and site-based content that
provides more hands-on, practical advice. Written by clinicians,
for clinicians, it offers approaches to therapy and rehabilitation
from the vantage point of the treatment environment, from street to
housing and everything in between.
The book reflects approaches to the clinical care of homeless
people refined over two decades, building not only on the work of
academic research but more importantly on the firsthand experience
of clinicians. Its organization by treatment setting or specific
subpopulation allows readers quick access to the chapters most
relevant to their work. The first five chapters follow a sequence
of naturalistic settings -- such as shelters and the work of
Assertive Community Treatment Teams -- that demonstrate a model of
engagement, intensive care, and ongoing rehabilitation. Subsequent
chapters define specific scenarios that depict patients at various
points on the engagement-rehabilitation continuum. Each chapter
contains a clinical case example; guides to differential diagnosis,
treatment planning, and accessing entitlements; and a flow chart
for rehabilitation, including opportunities for student/resident or
community involvement. The book emphasizes: - A real-world
orientation that provides a nuts-and-bolts approach to such cases
as families, homeless children, veterans -- even individuals in
rural settings.- Cases that enable readers to follow the progress
of individuals as they progress through the network of care.- The
importance of Assertive Community Treatment and "housing first"
models of rehabilitation.- Data supporting the importance of
Critical Time Intervention, particularly with regard to homeless
families.- Examples of clinical interviewing techniques for
engagement and treatment of challenging individuals who are being
seen in community settings. These illustrated techniques can be
incorporated into educational curricula.
This is an indispensable resource for any mental health
professional working with homeless populations and is also useful
for medical students' clinical rotation in community psychiatric
settings. Its examples of clinically engaging the homeless person
are equally instructive for teaching interviewing skills to any
professionals -- whether in law enforcement, social work, substance
abuse treatment, or the clergy -- who encounter these forgotten
members of society.
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