The problem of medical-psychiatric illness in the homeless and its occurrence in the midst of a viral pandemic: A commentary.
Identifieur interne : 000149 ( Main/Exploration ); précédent : 000148; suivant : 000150The problem of medical-psychiatric illness in the homeless and its occurrence in the midst of a viral pandemic: A commentary.
Auteurs : Ira D. Glick [États-Unis] ; Richard I. Shader [États-Unis]Source :
- Psychiatry research [ 1872-7123 ] ; 2020.
Abstract
This article has the purpose of examining the problem of getting help for the medical-psychiatric-substance use group of "homeless" people on the streets of our cities, who refuse treatment. The problem has gradually worsened since closure of state hospitals and subsequent lack of community resources. It has been stalemated, in part, by advocates, who argue for personal autonomy and freedom rather than involuntary diagnosis and treatment over the life of these people. It has reached a crisis situation secondary to such potential patients being imprisoned and/or sick with COVID-19 being potential health and legal threats. We review A) the nature of the problem, B) the current social-legal availability of treatment and long-term management (or lack of one) in the context of societal rejection of these potential patients, and C) suggest what might be done, locally and nationally. Mandating scientifically-based medical orders to citizens regardless of personal freedom - are now being implemented to manage the COVID-19 pandemic. We argue for creating a similar med-psych short- and long-term system as a new approach to help this group. They are now mostly being ignored "to die on the streets."
DOI: 10.1016/j.psychres.2020.113118
PubMed: 32593807
Affiliations:
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Glick</name><affiliation wicri:level="1"><nlm:affiliation>Professor Emeritus, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, USA. Electronic address: iraglick@stanford.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Professor Emeritus, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine</wicri:regionArea><wicri:noRegion>Stanford University School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Shader, Richard I" sort="Shader, Richard I" uniqKey="Shader R" first="Richard I" last="Shader">Richard I. Shader</name><affiliation wicri:level="1"><nlm:affiliation>Professor Emeritus, Departments of Immunology and Psychiatry, Tufts University School of Medicine, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Professor Emeritus, Departments of Immunology and Psychiatry, Tufts University School of Medicine</wicri:regionArea><wicri:noRegion>Tufts University School of Medicine</wicri:noRegion></affiliation></author></analytic><series><title level="j">Psychiatry research</title><idno type="eISSN">1872-7123</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This article has the purpose of examining the problem of getting help for the medical-psychiatric-substance use group of "homeless" people on the streets of our cities, who refuse treatment. The problem has gradually worsened since closure of state hospitals and subsequent lack of community resources. It has been stalemated, in part, by advocates, who argue for personal autonomy and freedom rather than involuntary diagnosis and treatment over the life of these people. It has reached a crisis situation secondary to such potential patients being imprisoned and/or sick with COVID-19 being potential health and legal threats. We review A) the nature of the problem, B) the current social-legal availability of treatment and long-term management (or lack of one) in the context of societal rejection of these potential patients, and C) suggest what might be done, locally and nationally. Mandating scientifically-based medical orders to citizens regardless of personal freedom - are now being implemented to manage the COVID-19 pandemic. We argue for creating a similar med-psych short- and long-term system as a new approach to help this group. They are now mostly being ignored "to die on the streets."</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32593807</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-7123</ISSN><JournalIssue CitedMedium="Internet"><Volume>290</Volume><PubDate><Year>2020</Year><Month>May</Month><Day>28</Day></PubDate></JournalIssue><Title>Psychiatry research</Title><ISOAbbreviation>Psychiatry Res</ISOAbbreviation></Journal><ArticleTitle>The problem of medical-psychiatric illness in the homeless and its occurrence in the midst of a viral pandemic: A commentary.</ArticleTitle><Pagination><MedlinePgn>113118</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0165-1781(20)31172-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.psychres.2020.113118</ELocationID><Abstract><AbstractText>This article has the purpose of examining the problem of getting help for the medical-psychiatric-substance use group of "homeless" people on the streets of our cities, who refuse treatment. The problem has gradually worsened since closure of state hospitals and subsequent lack of community resources. It has been stalemated, in part, by advocates, who argue for personal autonomy and freedom rather than involuntary diagnosis and treatment over the life of these people. It has reached a crisis situation secondary to such potential patients being imprisoned and/or sick with COVID-19 being potential health and legal threats. We review A) the nature of the problem, B) the current social-legal availability of treatment and long-term management (or lack of one) in the context of societal rejection of these potential patients, and C) suggest what might be done, locally and nationally. Mandating scientifically-based medical orders to citizens regardless of personal freedom - are now being implemented to manage the COVID-19 pandemic. We argue for creating a similar med-psych short- and long-term system as a new approach to help this group. They are now mostly being ignored "to die on the streets."</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Glick</LastName><ForeName>Ira D</ForeName><Initials>ID</Initials><AffiliationInfo><Affiliation>Professor Emeritus, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, USA. Electronic address: iraglick@stanford.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shader</LastName><ForeName>Richard I</ForeName><Initials>RI</Initials><AffiliationInfo><Affiliation>Professor Emeritus, Departments of Immunology and Psychiatry, Tufts University School of Medicine, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Psychiatry Res</MedlineTA><NlmUniqueID>7911385</NlmUniqueID><ISSNLinking>0165-1781</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CoiStatement>Declaration of Competing Interest Dr. Shader has nothing to disclose. Dr Glick has equity in Johnson & Johnson and has been on Advisory Boards for Neurocrine, Synovian, and Alkermes.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>05</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32593807</ArticleId><ArticleId IdType="pii">S0165-1781(20)31172-0</ArticleId><ArticleId IdType="doi">10.1016/j.psychres.2020.113118</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Glick, Ira D" sort="Glick, Ira D" uniqKey="Glick I" first="Ira D" last="Glick">Ira D. 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