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Titolo:
EFFECTIVENESS AND COST OF SPECIFIC TREATMENT ELEMENTS IN A PROGRAM FOR HOMELESS MENTALLY-ILL VETERANS
Autore:
ROSENHECK R; FRISMAN L; GALLUP P;
Indirizzi:
VET AFFAIRS MED CTR,NE PROGRAM EVALUAT CTR,950 CAMPBELL AVE W HAVEN CT 06516 YALE UNIV,SCH MED NEW HAVEN CT 06520 SO CONNECTICUT STATE UNIV,DEPT PUBL HLTH NEW HAVEN CT 06515
Titolo Testata:
Psychiatric services
fascicolo: 11, volume: 46, anno: 1995,
pagine: 1131 - 1139
SICI:
1075-2730(1995)46:11<1131:EACOST>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESIDENTIAL-TREATMENT PROGRAM; HEALTH; MEN; OUTREACH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
R. Rosenheck et al., "EFFECTIVENESS AND COST OF SPECIFIC TREATMENT ELEMENTS IN A PROGRAM FOR HOMELESS MENTALLY-ILL VETERANS", Psychiatric services, 46(11), 1995, pp. 1131-1139

Abstract

Objective: The study examined relationships between specific treatment elements and their costs and ten outcome measures using data from a longitudinal outcome study of a Veterans Affairs program for homeless mentally ill veterans. Methods: Baseline and outcome data over an eight-month period were analyzed for 406 homeless veterans with psychiatric and substance use disorders who were treated in VA's Homeless Chronically Mentally Ill Veterans Program. Multivariate techniques were usedto examine the relationship between ten measures of outcome and six treatment elements: program entry via community outreach, the number ofcontacts with program clinicians, the number of referrals for other services, duration of program involvement, number of days of residential treatment, and increased public support payments. Results: Each of the six treatment elements was significantly related to improvement on at least one of the ten outcome measures. The number of clinical contacts with program staff and the number of days in residential treatmentwere associated with improvement in the greatest number of outcome domains. However, improvement associated with residential treatment was far more costly than improvement related to other treatment elements. Conclusion: This study provides evidence of the effectiveness of a multimodal approach to the treatment of homeless mentally ill persons. However, results indicate that special attention should be paid to to differences in the cost of improvement associated with various treatmentelements.

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Documento generato il 20/01/20 alle ore 16:41:24