Predictors of homeless veterans' irregular discharge status from a domiciliary care program

Clinical Utility of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in a Residential Treatment Program for Homeless Individuals

The current study examined the clinical utility of the Restructured Form of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2-RF) in a residential treatment program for homeless individuals. MMPI-2-RF scale scores from 146 participants with valid profiles were correlated with variables obtained at intake and during treatment. The sample was then followed 12 months postdischarge to test preregistered hypotheses regarding MMPI-2-RF predictors of hospital readmissions. The results indicated that a variety of MMPI-2-RF scale scores were correlated with historical and diagnostic variables at intake and with measures of treatment outcome, including behavioral problems and successful outcome. A broad range of MMPI-2-RF scale scores were related to readmissions postdischarge and many of these relationships remained significant when tested in Poisson regression models containing other predictors. However, the postdischarge findings were generally inconsistent with our predictions and were of small effect size. The clinical implications of MMPI-2-RF results for residential treatment programs are discussed.

Health care for the homeless: what we have learned in the past 30 years and what's next

In the 1980s, the combined effects of deinstitutionalization from state mental hospitals and the economic recession increased the number and transformed the demographic profile of people experiencing homelessness in the United States. Specialized health care for the homeless (HCH) services were developed when it became clear that the mainstream health care system could not sufficiently address their health needs. The HCH program has grown consistently during that period; currently, 208 HCH sites are operating, and the program has become embedded in the federal health care system. We reflect on lessons learned from the HCH model and its applicability to the changing landscape of US health care.