Individuals with chronic mental illness frequently have a difficult time breaking the cycle of homelessness
The social factor that most contributes to the breakdown in the effectiveness of mental health care services for the homeless mentally ill involves:
A) Frustration and exhaustion of the family support system
B) Continued cuts to Medicare and Medicaid
C) The lack of judgment and self-care skills associated with mental illness
D) The policy of deinstitutionalization
Ans: D
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Because of problems in the implementation of deinstitutionalization, a new generation of severely mentally ill people have spent only brief times in hospitals, face a shortage of affordable housing, and experience a greater severity of illness than do mentally ill people in general. As a result, these noninstitutionalized, often younger mentally ill people are joining the ranks of the homeless. Their treatment usually demonstrates a common pattern. They are referred to community treatment yet often do not follow through and thus decompensate, perhaps resulting in hospitalization. Frequently, they are discharged from the hospital without full stabilization of their symptoms, returning to a stressful environment without the needed structure and support and thus resuming the pattern.
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