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The results of our study discount a static understanding of the homeless Tiffany keys heart key locket. Therefore, to be responsive to this population, providers must attend to its changing needs. Service networks and community responses that are based on outdated prevalence estimates run a substantial risk of providing services that arc not appropriate for current service needs. Our findings reinforce a generally recognized appreciation of the central role of substance abuse within mental health issues in the homeless population, which again suggests the need for more attention within the package of homelessness services for assessing and treating substance abuse and dependence. These analyses suggest that this may be especially true for women whose prevalence of substance Tiffany Mini Bean Set has increased across all diagnostic categories. In particular, cocaine use disorders among men and women, and alcohol abuse among women, deserve greater intervention.

Because of the increase in major depression, mental health services should build upon rather Tiffany Nature Daisy Earrings and Necklace Set displace the current attention to services for psychiatric illnesses, such as schizophrenia. Because a portion of the major depression in the homeless population may represent confounding with aspects of the homeless condition (with a demonstrated link between exposure to the elements and the likelihood of this disorder),5 it also is possible that a portion of the increase in bipolar disorder Tiffany Notes "I Love You" Heart Lock Charm Set be confounded with the precipitous increase in cocaine abuse/dependence (on the basis of its frequent overlap among the same individuals) and the increase in age of onset of cocaine abuse/dependence. More research is needed to further explore these possibilities.

Shifts in social policies may inadvertently contribute to the changing complexion of the homeless population's demographics with regard to race, substance abuse and dependence, and other mental illness.19-21 For populations dealing with substance abuse and dependence, increased risk for homelessness might be an unintended end product of social policies aimed at alleviating poverty. It has been repeatedly argued that US policy on deinstitutionalization has contributed to the overall prevalence of mental illness in the homeless population.30-34 Tiffany Notes Dangle Key ring causality would require minimally longitudinal methods and a nonhomeless poverty comparison group that are not provided in the data for our report. Further research is needed to determine the degree to which social policy modifies the risk for homelessness through these various factors. In the meantime, policymakers are advised to be vigilant for negative effects of policy change on specific subpopulations.