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Shelter Service Utilization among Adults Experiencing Homelessness

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Objective: Among adults experiencing homelessness, we identified shelter-based services perceived to be useful and examined the association between history of substance use disorder diagnosis (SUD), mental health diagnosis (MHD), and dual diagnosis (DD) on the utilization of shelter-based services. Methods: Recruitment occurred in 6 area shelters in Oklahoma City (N = 565). Analyses included logistic regression models. Results: Housing and job training were perceived as most useful services. Participants with MHD had higher odds of utilizing mental health counseling and case management; participants with SUD had higher odds of using substance use counseling and attending educational meetings. Participants with DD had higher odds of using 8 of the 12 services. Conclusion: MHD and SUD comorbidity predicts greater utilization of shelter services.
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Keywords: HEALTHCARE; HOMELESS SHELTERS; HOMELESSNESS; MENTAL HEALTH; MENTAL HEALTH SERVICES UTILIZATION; SUBSTANCE USE

Document Type: Research Article

Publication date: 01 March 2019

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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