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Effects of comorbid substance use disorders on outcomes in a Housing First intervention for homeless people with mental illness
Author(s): Karen Urbanoski, Scott Veldhuizen, Michael Krausz, Christian Schütz, Julian M. Somers, Maritt Kirst, Marie-Josée Fleury, Vicky Stergiopoulos, Michelle Patterson, Verena Strehlau, Paula Goering
Publication Date: 2017
Background and Aims Evidence supports the effectiveness of Housing First (HF) programs for people who are experiencing homelessness and mental illness; however, questions remain about its use in people with comorbid substance use disorders (SUD). The aim of this project was to test whether SUD modifies the effectiveness of an HF intervention. Design Secondary analysis of data from a randomized controlled trial of HF versus treatment-as-usual (TAU...
The impact of mood symptomatology on pattern of substance use among homeless
Author(s): Angelo Giovanni Icro Maremmani, Silvia Bacciardi, Nicole D. Gehring, Luca Cambioli, Christian Schütz, Hagop S. Akiskal, Kerry Jang, Michael Krausz
Publication Date: 2015
Background: Homeless individuals are an extremely vulnerable and underserved population characterized by overlapping problems of mental illness and substance use. Given the fact that mood disorders are frequently associated with substance use disorders, we wanted to further highlight the role of excitement in substance abuse. Patterns of substance abuse among homeless suffering from unipolar and bipolar depression were compared. The “self-medicat...
Substance Use Among Homeless Individuals with Schizophrenia and Bipolar Disorder
Author(s): Angelo G.I. Maremmani, Silvia Bacciardi, Nicole D. Gehring, Luca Cambioli, Christian Schütz, Kerry Jang, Michael Krausz
Publication Date: 2016
Mental illness and substance use are overrepresented within urban homeless populations. This paper compared substance use patterns between homeless individuals diagnosed with schizophrenia spectrum (SS) and bipolar disorders (BD) using the Mini-International Neuropsychiatric Interview. From a sample of 497 subjects drawn from Vancouver, Canada who participated in the At Home/Chez Soi study, 146 and 94 homeless individuals were identified as BD an...
A longitudinal study of suicidal ideation among homeless, mentally ill individuals
Author(s): François Noël, Akm Moniruzzaman, Julian Somers, Jim Frankish, Verena Strehlau, Christian Schütz, Michael Krausz
Publication Date: 2015
Purpose Previous cross-sectional studies have indicated that homeless individuals may present with high rates of suicidal ideation, which are strongly associated with completed suicide. We conducted the first known longitudinal study of suicidal ideation in the homeless. Methods We used data collected over 24 months in the Vancouver At Home project (N = 497), comprised two randomized-controlled trials of housing interventions for homeless indi...
The Burnaby treatment center for mental health and addiction, a novel integrated treatment program for patients with addiction and concurrent disorders: results from a program evaluation
Author(s): Christian Schütz, Isabelle Aube Linden, Iris Torchalla, Kathy Li, Majid Al-Desouki, Michael Krausz
Publication Date: 2013
Patients with addictions and concurrent disorders constitute the most underserved population in the system of care. There are numerous reasons why this population has so much difficulty accessing services, including behavioural issues, criminal engagement, and non-compliance with outpatient services. To improve services to this population which is marked by multiple morbidities, high mortality and insufficient access to health care, the governmen...