OBJECTIVE: The study documented sources and amounts of income among
homeless adults with major mental or substance use disorders. It examined
whether income varied by diagnostic group and whether those who received
case management would be more likely to have income. METHODS: A total of
564 homeless adults from a countywide probability sample completed
structured interviews. Based on DSM-III-R criteria, respondents were
divided into four groups--those with current major mental disorders,
substance use disorders, dual disorders, and no disorders. Income from
entitlement benefits, formalsector employment, informal-sector employment,
and other sources was documented by group. Logistic regression analysis was
used to examine relationships between income sources, case management, and
diagnostic groups. RESULTS: Although informal-sector income was the most
common income source, it provided the fewest median dollars per month
($42). Entitlement benefits provided the most monthly income ($340) and was
the second most common source. Respondents with major mental disorders,
substance use disorders, or dual disorders were no less likely than those
with no disorders to report income from entitlement benefits or
formal-sector employment. Among those with major mental disorders,
substance use disorders, or dual disorders, respondents who had recent case
management were four to nine times more likely to report entitlement
income. CONCLUSIONS: The results support other research and anecdotal
findings on the importance of case management in obtaining entitlement
income among homeless adults with major mental or substance use
disorders.
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