This volume highlights the socioeconomic concerns related to medical care for homeless patients and places them at the interface of common psychiatric and medical problems clinicians encounter. Written by experts in psychiatry and other medical specialties, this volume is a concise, yet comprehensive overview of the homeless crisis, its costs, and ultimately, best practices for improved outcomes. The text begins by examining the scope and epidemiology of the problem and discusses its costs. It then examines the best practices for both physical and psychiatric care before concluding with a section on working with special populations that have unique concerns across the country including LGBTQ, women, children, veterans, and aging adults. As the first medical book on homelessness, it is designed to cover a broad range of concerns in a concise, practical fashion for all clinicians working with homeless patients.
Clinical Management of the Homeless Patient is written by and for psychiatrists, general internists, geriatricians, pediatricians, addiction medicine physicians, VA physicians, and all others who may encounter this crisis in their work.
Cuprins
Epidemiology.- Determinants of And Contributors To Homelessness.- Legal/ethical issues.- Excess Police/Justice Involvement.- Excess Ed Resource Use.- Human And Sex Trafficking And Homelessness.- The Housing First Model.- Pathways to Housing.- The VA.- Other.- Efforts To Reduce Justice Reinvolvement: Jail Diversion, Justice Outreach, Justice Re-Entry.- Employment, Job Training, Education.- Deinstitutionalization, Homelessness Among Seriously Mentally Ill, Prevalence Of Psychiatric Illness Among Homeless.- Substance Use Disorders.- Trauma.- Nonadherence to treatment.- Suicide Prevention.- Cognitive impairment/TBI.- Management of the chronic mentally ill and chronically suicidal patient who is in and out of the ER and inpatient all the time.- Diabetes, hypertension, HIV and other STDs, cellulitis, abscesses, arthritis.- Infestations: bed bugs, lice, ant and mosquito bites and associated cellulitis.- Managing these issues.- A focus on toenails.- Veterans.- Women.- Children.- LGBTQ.- Older Homeless (50-65, 65 to 85 Years).Despre autor
Elspeth Cameron Ritchie
Chair Department of Psychiatry
Medstar Washington Hospital Center
Vice Chair Medstar Georgetown University Hospital
Maria D. Llorente MD
Georgetown University School of Medicine
Deputy to the Assistant Undersecretary for Health, Patient Care Services
Department of Veterans Affairs810 Vermont Ave NW
Washington DC 20024
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