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Article   |    
Experimental Comparison of the Effects of Three Treatment Programs for Homeless Mentally Ill People
Gary A. Morse; Robert J. Calsyn; Gary Allen; Betty Tempethoff; Ruth Smith
Psychiatric Services 1992; doi:
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This project was supported in part by grants MH-42357 and MH-43248 from the National Institute of Mental Health. The authors thank Dorothy Gano and Linda Harmann for their editorial assistance; Edith Cunane, Bill Wyman, and the staff of St. Patrick's Center; Robert O. Muether and Greg Dale of the Missouri Department of Mental Health; the outpatient staff of Malcolm Bliss Mental Health Center; the staff of the Community Advocacy and Support Alliance Program; the staff of the emergency shelters; and the homeless people who participated in the study.

community support systems, St. Louis Mental Health Center

University of Missouri-St. Louis; Room 406 Tower, 8001 Natural Bridge Road, St. Louis, Missouri 63121.

University of Missouri-St. Louis

St. Louis Mental Health Center

1992 by the American Psychiatric Association

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Abstract

A longitudinal experimental design was used to compare the effectiveness of three community-based treatment programs serving homeless mentally ill people: traditional outpatient treatment offered by a mental health clinic, a daytime drop-in center, and a continuous treatment team program that included assertive outreach, a high staff-to-client ratio, and intensive case management. At 12-month follow-up, dients in all three treatment programs spent fewer days par month homeless, showed fewer psychiatric symptoms, and had increased income, interpersonal adjustment, and self-esteem. Clients in the continuous treatment program had more contact with their treatment program, were more satisfied with their program, spent fewer days homeless, and used more community services and resources than clients in the other two programs.

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