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Estimating the Prevalence of Alcohol, Drug and Mental Health Problems in the Contemporary Homeless Population: A Review of the Literature

NCJ Number
123419
Journal
Contemporary Drug Problems Volume: 16 Issue: 3 Dated: (Fall 1989) Pages: 333-389
Author(s)
P J Fischer
Date Published
1989
Length
57 pages
Annotation
This review of the literature on studies that have estimated the prevalence of alcohol, drug, and mental health (ADM) problems in the contemporary homeless population concludes that the studies have not provided a clear picture of the dynamics of homelessness by developing a composite profile of the homeless population.
Abstract
An extensive table shows estimates of the prevalence of alcohol problems among contemporary American homeless populations from studies conducted since 1980. Two other tables provide similar information for homeless drug abusers and mentally ill persons. Other tables provide recent prevalence estimates of ADM problems among homeless populations by region, sampling site, sex composition of the sample, assessment method, and by those sampled in shelters using accurate assessment methods. In comparing the data by sample site, composition, and assessment method, the study concludes that no uniform profile of prevalence and characteristics of the homeless is possible given the diversity of study definitions of the homeless population in general and specific subgroups within it. The choice of sampling site also greatly affects the estimation of prevalence rates because of substantial underlying differences in clientele. The article recommends that future studies in this area clearly explain definitions, sampling methods, and measurement techniques. Also, they should analyze data so as to reflect the heterogeneity of the homeless population. 8 tables, 156 references.

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