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Co-Morbidity

In: Philosophy and Psychology

Submitted By rtervin
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Co-Morbidity and Homelessness

Co-Morbidity and Homelessness
Tim Ervin
Ivy Tech

People who are dually diagnosed with mental illness and substance abuse disorders constitute 10%-20% of homeless persons. They are heterogeneous and extremely vulnerable subgroup with complex, poorly understood needs. (Breakey, 1987; Fischer, 1990) Addressing comorbidity in the homeless population makes us look head on at the clinical, service, legal, and housing issues. My goal is to improve our understanding of this problem and what might be done to help resolve this growing problem. To help explain this comorbidity, we need to know that drug addiction is a mental illness. It is a brain disease characterized by compulsive, at times uncontrollable drug craving, seeking and using despite the terrible consequences. Despite devastating consequences behaviors that stem from drug-induced changes in brain structure and function. These changes occur in some of the same brain areas that are disrupted in other mental disorders, such as depression, anxiety, or schizophrenia. It is not surprising that population surveys show a high rate of co-occurrence, or comorbidity, between drug addiction and other mental illnesses. As awareness of the problem of duel diagnosis has grown models for integrating mental health and substance abuse treatments have begun to emerge but have not been applied to the homeless population. (Argeriou & McCarty, 1990) Approximately one third of homeless persons suffer from severe and disabling mental illnesses (Morrissey & Dennis; 1986; Tessler & Dennis, (1989), 30% to 40% have alcohol problems and 10% to 20% have problems with other drugs Milburn, (1989). Approximately 10% to 20% of homeless persons are dually diagnosed with mental illness and alcohol or other drug problems Tessler & Dennis (1989). In a review of on homelessness for the

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