Evidence map›Paper›PMID 31424102›Full record

ArticleJournal of community psychology2019

Unmet mental health and substance use treatment needs among older homeless adults: Results from the HOPE HOME Study.

Lauren M Kaplan, Lea Vella, Elise Cabral, Lina Tieu, Claudia Ponath, David Guzman, Margot B Kushel

Open access · greenAbstract read
In one paragraph

Article in Journal of community psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Lauren M KaplanDivision of General Internal Medicine, University of California, San Francisco, CA Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.ORCID 0000-0003-2414-3826
Lea VellaSan Francisco Veteran Affairs Medical Center, San Francisco, California and Division of Geriatrics, University of California, San Francisco, California.ORCID 0000-0001-6340-9506
Elise CabralDepartment of Medicine, School of Medicine, University of California, San Francisco, California.
Lina TieuDivision of General Internal Medicine, University of California, San Francisco, CA Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.ORCID 0000-0002-9980-0774
Claudia PonathDivision of General Internal Medicine, University of California, San Francisco, CA Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.
David GuzmanDivision of General Internal Medicine, University of California, San Francisco, CA Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.ORCID 0000-0003-4206-8890
Margot B KushelDivision of General Internal Medicine, University of California, San Francisco, CA Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.ORCID 0000-0002-1361-6889
San Francisco General Hospital · USSan Francisco VA Medical Center · USUniversity of California, San Francisco · US

Funding

Aging Among the Homeless: Social Isolation, Function and Institutional CareR01AG041860 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Margot B Kushel · 2012 to 2026
$9.3M
NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
Mentoring Researchers in Aging in Vulnerable PopulationsK24AG046372 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUSHEL, MARGOT B · 2015 to 2025
$1.9M
NCATS NIH HHS TL1 TR001883NIA NIH HHS K24 AG046372NIA NIH HHS R01 AG041860
6 · The paper itself

Abstract

aimsTo examine the prevalence of and factors associated with unmet need for mental health and substance use treatment in older homeless adults.

methodsAmong 350 homeless adults aged ≥50, we examined prevalence of mental health and substance use problems and treatment. Using logistic regression, we examined factors associated with unmet treatment need.

resultsAmong those with a mental health problem, being aged ≥65 was associated with an increased odds, while having a regular healthcare provider and case manager were associated with a decreased odds of having unmet need for mental health treatment. A first homelessness episode at age ≥50 was associated with increased, while spending time in jail/prison or having a case manager was associated with decreased odds of unmet needs for substance use treatment.

conclusionOlder homeless adults have a high prevalence of unmet behavioral health treatment need. There is a need for targeted services for this population.

Indexed as

AgedAged, 80 and overAgingCaliforniaHealth Services Needs and DemandHumansIll-Housed PersonsLife Change EventsLogistic ModelsLongitudinal StudiesMaleMiddle AgedPrevalenceStress Disorders, Post-TraumaticSubstance-Related Disordersagingdepressive symptomshomelessnessmental healthoutpatient caresubstance abusesuicidal ideation

Identifiers

PMID31424102
PMCPMC7046319
OpenAlexW2969502458

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.