Risk factors for homelessness among schizophrenic men: A case-control study

C. L M Caton, Patrick Shrout, P. F. Eagle, L. A. Opler, A. Felix, B. Dominguez

Research output: Contribution to journalArticle

Abstract

Objectives. To identify risk factors for homelessness among the severely mentally ill, we conducted a case-control study of 100 indigent schizophrenic men meeting criteria for literal homelessness and 100 such men with no homeless history. Methods. Subjects were recruited from shelter, clinic, and inpatient psychiatric programs in Upper Manhattan. Clinical interviewers employed standardized research instruments to probe three domains of risk factors: severity of mental illness, family background, and prior mental health service use. Results. Homeless subjects showed significantly higher levels of positive symptoms, higher rates of a concurrent diagnosis of drug abuse, and higher rates of antisocial personality disorder. Homeless subjects experienced greater disorganization in family settings from birth to 18 years and less adequate current family support. Fewer homeless subjects than subjects in the never-homeless comparison group had a long-term therapist. These differences remained when demographic variables were adjusted statistically. Conclusions. Homeless schizophrenic men differed from their domiciled counterparts in all three domains we investigated; family background, nature of illness, and service use history. Findings are discussed in relation to policy and programs for the severely mentally ill.

Original languageEnglish (US)
Pages (from-to)265-270
Number of pages6
JournalAmerican Journal of Public Health
Volume84
Issue number2
StatePublished - 1994

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Homeless Persons
Case-Control Studies
Mentally Ill Persons
History
Antisocial Personality Disorder
Mental Health Services
Poverty
Substance-Related Disorders
Psychiatry
Inpatients
Demography
Parturition
Interviews
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Caton, C. L. M., Shrout, P., Eagle, P. F., Opler, L. A., Felix, A., & Dominguez, B. (1994). Risk factors for homelessness among schizophrenic men: A case-control study. American Journal of Public Health, 84(2), 265-270.

Risk factors for homelessness among schizophrenic men : A case-control study. / Caton, C. L M; Shrout, Patrick; Eagle, P. F.; Opler, L. A.; Felix, A.; Dominguez, B.

In: American Journal of Public Health, Vol. 84, No. 2, 1994, p. 265-270.

Research output: Contribution to journalArticle

Caton, CLM, Shrout, P, Eagle, PF, Opler, LA, Felix, A & Dominguez, B 1994, 'Risk factors for homelessness among schizophrenic men: A case-control study', American Journal of Public Health, vol. 84, no. 2, pp. 265-270.
Caton, C. L M ; Shrout, Patrick ; Eagle, P. F. ; Opler, L. A. ; Felix, A. ; Dominguez, B. / Risk factors for homelessness among schizophrenic men : A case-control study. In: American Journal of Public Health. 1994 ; Vol. 84, No. 2. pp. 265-270.
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