HIV Seroprevalence and Clinical Characteristics of Severe Inpatient Mentally III Homeless

Bibliographic Data

ID20408780
AuthorsIlan H Meyer (0000-0003-2667-4583, Creedmoor Psychiatric Center), Ilan Meyer (Creedmoor Psychiatric Center, Queens Village, New York), Francine Cournos (0000-0003-0492-190X, Washington Heights Community Service, New York, New York), Maureen Empfield (Creedmoor Psychiatric Center, Queens Village, New York), Howell Schrage (Creedmoor Psychiatric Center, Queens Village, New York), Michael A Silver (0000-0002-7145-5657, Creedmoor Psychiatric Center), Michael Silver (Creedmoor Psychiatric Center, Queens Village, New York), Myrna Rubin (Creedmoor Psychiatric Center, Queens Village, New York), Alan Weinstock (Creedmoor Psychiatric Center, Queens Village, New York)
Year1993
Volume2
Issue2
Pages103-116
Publication date1993-01-01
Open AccessNo
TypeARTICLE
VenueJournal of Social Distress and the Homeless (JOURNAL)
Journal identifiersISSN: 1053-0789 • E-ISSN: 1573-658X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1007/bf01074224
OpenAlexW2013361426
LanguageEN
Citations received7
References cited6

Two related studies were carried out at a state psychiatric center unit designed for the long-term hospitalization of homeless mentally ill people removed from the streets of New York City and taken to hospitals for psychiatric treatment. The first study, a charl review of 102 patients, documented high rates of severe psychiatric illness, alcohol and other substance use, and untreated medical problems. Patient histories showed significant social disadvantages, including high rates of criminal activity and inability to complete high school or establish long-term relationships. Our second study anonymously tested 87 patients between the ages of 18 and 59 for the presence of HIV antibodies. An overall seroprevalence rate of 5.8% is reported. Men and women in this population are likely to have similar rates of HIV infection. Being young, and Black, or Hispanic appears to be associated with increased risk. This disenfranchised population urgently needs a broad array of social, medical and psychiatric selVices. Assertive community outreach programs are necessary to assure delivery of services to this population

Assertive community treatment · Environmental health · Family medicine · Mental health · Mental illness · Mentally ill · Population · Psychiatry · Seroprevalence · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Medicine

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