Shelter serivce.pdf - Shelter Service Utilization among...

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128Hundreds of thousands of adults in the Unit-ed States (US) are homeless on any givennight of the year, a condition constitutinga major public health crisis.1,2Homelessness is as-sociated with an increased risk of alcohol and drugmisuse.3,4Substance use is a pervasive issue amongadults experiencing homelessness, as it is both apredictor and consequence of homelessness.4,5Ac-cording to the Substance Abuse and Mental HealthService Administration (SAMHSA), substance usedisorder (SUD) is dened as the recurrent use ofalcohol and/or drugs causing signi cant clinicaland functional impairment, such as health prob-lems, disability, and failure to meet major respon-sibilities at work, school, or home.6According totheDiagnostic and Statistical Manual of MentalDisorders-5,a diagnosis of SUD is based on evi-dence of impaired control, social impairment, riskyuse, and pharmacological criteria.7Over one-thirdof the adult homeless population has chronic sub-stance use issues and estimates suggest that about40% of adults who experience homelessness havesome form of non-nicotine SUD.1In comparisonto domiciled adults with substance use problems,Sajeevika S. Daundasekara, Postdoctoral Scholar, Department of Health and Human Performance, University of Houston. Kathryn R. Gallardo,Doctoral Candidate, Department of Health Promotion and Behavioral Sciences,e University of Texas, Health Science Center at Houston. DianeSanta Maria, Associate Professor, Department of Nursing Systems, University of Texas Health Science Center School of Nursing. Daphne C. Her-nandez, Associate Professor, Department of Health and Human Performance University of Houston. Chelsea Truong, Dietetic Intern, Departmentof Health and Human Performance, University of Houston. Maggie Yip, Undergraduate Student, Department of Health and Human Performance,University of Houston. Jayson Rhoton, Research Scientist, Department of Health Promotion and Behavioral Sciences,e University of Texas, HealthScience Center at Houston. Darla Kendzor, Associate Professor, and Michael S. Businelle, Associate Professor, Department of Family and PreventiveMedicine, University of Oklahoma Health Sciences Center.Correspondence Dr Hernandez;[email protected]Shelter Service Utilization amongAdults Experiencing HomelessnessSajeevika S. Daundasekara, PhDKathryn R. Gallardo, LMSWDiane Santa Maria, DrPH, MSN, RNDaphne C. Hernandez, PhD, MSEdChelsea TruongMaggie YipJayson Rhoton, PhDDarla Kendzor, PhDMichael S. Businelle, PhDObjective:Among adults experiencing homelessness, we identied shelter-based services per-ceived to be useful and examined the association between history of substance use disorderdiagnosis (SUD), mental health diagnosis (MHD), and dual diagnosis (DD) on the utilization ofshelter-based services.Methods:Recruitment occurred in 6 area shelters in Oklahoma City (N =565). Analyses included logistic regression models.Results:Housing and job training were per-ceived as most useful services. Participants with MHD had higher odds of utilizing mental health

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Term
Fall
Professor
Bill renolds
Tags
Maggie A Girl of the Streets, mental health diagnosis

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