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AbstractSix hundred homeless men from St. Louis shelters and streets were interviewed using the Diagnostic Interview Schedule (DIS). The majority of homeless men in St. Louis are single and black, with a mean age in their mid-30s. On average, they have not quite a high school education and most have had recent employment difficulties. Major mental illness is overrepresented among these homeless men, although the majority do not suffer from major nonsubstance mental illness. If substance abuse is included, however, the majority (77%) have a history of a psychiatric disorder. Substance abuse was found to complicate almost all pschiatric illness in this population. Three-Lurths (75%) of the men have a history of substance abuse, predominantly alcohol. One-fourth met criteria for antisocial personality; one-fourth are convicted felons.Half of the men have received inpatient psychiatric care. The ma'ority of inpatient services are being used for substance abuse treatment. Only half of those who have a history ...
Smith et al. (Mon,) studied this question.