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History of foster care among homeless adults with mental illness in Vancouver, British Columbia: a precursor to trajectories of risk
Author(s): Michelle L. Patterson, Akm Moniruzzaman, Julian M. Somers
Publication Date: 2015
Background It is well documented that a disproportionate number of homeless adults have childhood histories of foster care placement(s). This study examines the relationship between foster care placement as a predictor of adult substance use disorders (including frequency, severity and type), mental illness, vocational functioning, service use and duration of homelessness among a sample of homeless adults with mental illness. We hypothesize that...
Examining the relationship between health-related need and the receipt of care by participants experiencing homelessness and mental illness
Author(s): Lauren B. Currie, Michelle L. Patterson, Akm Moniruzzaman, Lawrence C. McCandless, Julian M. Somers
Publication Date: 2014
Background People experiencing homelessness and mental illness face multiple barriers to care. The goal of this study was to examine the association between health service use and indicators of need among individuals experiencing homelessness and mental illness in Vancouver, Canada. We hypothesized that those with more severe mental illness would access greater levels of primary and specialist health services than those with less severe mental il...
Setting the stage for chronic health problems: cumulative childhood adversity among homeless adults with mental illness in Vancouver, British Columbia
Author(s): Michelle L. Patterson, Akm Moniruzzaman, Julian M. Somers
Publication Date: 2014
Background It is well documented that childhood abuse, neglect and household dysfunction are disproportionately present in the backgrounds of homeless adults, and that these experiences adversely impact child development and a wide range of adult outcomes. However, few studies have examined the cumulative impact of adverse childhood experiences on homeless adults with mental illness. This study examines adverse events in childhood as predictors...
At Home/Chez Soi Project: Vancouver Site Final Report
Author(s): Lauren B. Currie, Akm Moniruzzaman, Michelle L. Patterson, Julian M. Somers
Organization: Mental Health Commission of Canada
Publication Date: 2014
This report documents the final results of the At Home/Chez Soi Vancouver site’s research demonstration project, which examined Housing First as a means of ending homelessness for people who are living with mental illness, with a particular focus on those who also had challenges with substance use. The project followed 497 participants for two years and compared Housing First to available local services. Also available on the Mental Health Commis...
Community Participation and Belonging Among Formerly Homeless Adults with Mental Illness After 12 months of Housing First in Vancouver, British Columbia: A Randomized Controlled Trial
Author(s): Michelle L. Patterson, Akm Moniruzzaman, Julian M. Somers
Publication Date: 2013
This study examines community integration among homeless adults with mental illness 6 and 12 months after random assignment to Housing First (independent apartments or congregate residence) with support services or to treatment as usual (TAU). Residence in independent apartments was associated with increased ‘psychological integration’ for participants with less severe needs; however, no significant improvement in ‘physical integration’ was obser...
Housing First Improves Residential Stability in Homeless Adults With Concurrent Substance Dependence and Mental Disorders
Author(s): Anita Palepu, Michelle L. Patterson, Akm Moniruzzaman, James Frankish, Julian Somers
Publication Date: 2013
Objectives. We examined the relationship between substance dependence and residential stability in homeless adults with current mental disorders 12 months after randomization to Housing First programs or treatment as usual (no housing or support through the study). Methods. The Vancouver At Home study in Canada included 2 randomized controlled trials of Housing First interventions. Eligible participants met the criteria for homelessness or preca...
Prolonged and persistent homelessness: multivariable analyses in a cohort experiencing current homelessness and mental illness in Vancouver, British Columbia
Author(s): Michelle L. Patterson, Julian M. Somers, Akm Moniruzzaman
Publication Date: 2012
Recent research and policy making concerning homelessness has focused on the particular challenges associated with ending chronic homelessness. It is generally assumed that individuals who have been homeless for longer durations have a greater impact on the public system of care and are in need of the most assistance. The aim of this study was to examine key sample characteristics by duration of homelessness (total lifetime duration and longest s...
Cognitive Interviewing Methods for Questionnaire Pre-Testing in Homeless Persons with Mental Disorders
Author(s): Carol E. Adair, Anna C. Holland, Michelle L. Patterson, Kate S. Mason, Paula N. Goering, Stephen W. Hwang, At Home/Chez Soi Project Team
Publication Date: 2011
In this study, cognitive interviewing methods were used to test targeted questionnaire items from a battery of quantitative instruments selected for a large multisite trial of supported housing interventions for homeless individuals with mental disorders. Most of the instruments had no published psychometrics in this population. Participants were 30 homeless adults with mental disorders (including substance use disorders) recruited from service a...