A follow-up study of homeless women |
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Authors: | Dr. Céline Mercier Guylaine Racine |
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Affiliation: | (1) Department of Psychiatry, McGill University, Canada;(2) Psychosocial Research Unit, Douglas Hospital Research Center, 6875 LaSalle Boulevard, H4H 1R3 Verdun, Quebec, Canada |
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Abstract: | This article presents an in-depth analysis of the changes observed in 25 homeless women with drug and alcohol abuse problems participating in a case management program. Participation in the program ranged from 6 to 44 months. Thirty-two percent of all participants' situations were considered to have improved, while 20% remained stable. Less improvement was noted in the situations of women followed for 3 years or more (14.3% improved, 28.6% stable). Domains showing the most improvement were housing, financial situation, and substance abuse. Deterioration was primarily attributable to physical and mental health problems. These findings could indicate that although a case management program can initially contribute to improving the living conditions of its clients, acquisitions are difficult to maintain over an extended period. Health and substance abuse play a crucial role in the deterioration process. |
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Keywords: | Homeless women case management follow-up drug and alcohol abuse |
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