There were 15,159 persons with at least one encounter and a diagnosis of schizophrenia, bipolar disorder, or major depression seen in Adult Mental Health Services during 1999-2000. From this sample we excluded 641 patients with no data on race or ethnicity and 2,226 patients with no recorded GAF score. The treating Tiffany 1837 Lock pendant recorded data on living situation at admission, and we defined each person's living situation as the one that was most frequently reported (modal living situation) during the various contacts with Adult Mental Health Services during the year. We excluded 1,952 patients whose modal living situation was a "justice-related facility" (i.e., jail), locked psychiatric hospital, or drug or alcohol abuse facility. The final study sample included 10,340 Mini Elsa Peretti Bean pendant. Compared with the patients included in the final sample, the patients who were excluded were younger (mean age: 41.7 years versus 42.3 years) (p<0.001, t test), more likely to be male (53.1% versus 44.1%) (p<0.001, chi-square test), and more likely to have a diagnosis of schizophrenia (48.6% versus 41.7%) (p<0.001, chi-square test) but less likely to have a diagnosis of major depression (33.7% versus 40.7%) (p<0.001, chi-square test). (Although these differences were statistically significant, they may not be of clinical significance.)
We dichotomized the study sample into patients who were homeless versus those with no Medium Elsa Peretti Bean pendant encounter while homeless. The two subcategories of homelessness in the Adult Mental Health Services system were: 1) homeless no-residence (living on the street or in a homeless shelter) and 2) homeless-in-transit/ temporary arrangement (homeless people who were new to San Diego or in a temporary arrangement, including staying in a nightly hotel or a car). We conducted all reported analyses with homelessness defined as having at least one recorded encounter while homeless (N=1,569). We also repeated the analyses using two narrower definitions of homelessness: 1) using data only for patients in the "homeless no-residence" category (N=1,309), Figure Eight pendant excluding patients in "homeless-in-transit/temporary arrangement" living situations, and 2) using data only for patients with at least two recorded encounters while homeless (N=1,010).
Mental health services were consolidated into six service categories: 1) crisis residential treatment programs, 2) inpatient psychiatric hospitalization, 3) emergency psychiatric unit (the single county-operated psychiatric emergency department), 4) outpatient treatment, including both medication and psychotherapy, 5) day treatment (rehabilitation, day treatment, or partial hospitalization programs), and 6) case management services billed under a case management procedure code.Statistical AnalysisThe homeless and not-homeless patients were Coin Edge disc pendant compared on demographic and clinical characteristics by using t tests for continuous variables and chi-square tests for categorical variables. All the tests were two-tailed, and the alpha value was set at p<0.005 to correct for multiple comparisons. Factors associated with homelessness were examined with multivariate logistic regression analysis. The following variables were included in the latter analysis (with the respective reference groups listed in parentheses): age, gender (female), ethnicity (Caucasian), substance use disorder (none), Medi-Cal insurance (nonbeneficiaries), psychiatric diagnosis (major depression), and mean GAF score. We excluded from the analyses education, employment status, and marital status because of the sizable number of subjects with missing data for these variables.
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