NCJ Number
193620
Journal
Alcoholism Treatment Quarterly Volume: 19 Issue: 3 Dated: 2001 Pages: 65-81
Date Published
2001
Length
17 pages
Annotation
This article presents findings from a study of the effects of alcohol problems on depression among homeless veterans.
Abstract
The study focused on the relative effects of alcohol and other drug problems on depression in comparison with several other ecological factors purported to be strong predictors of depression among veterans. Among untreated psychiatric disorders, drug abuse and major depression had the greatest adverse effects on physical, social, and emotional functioning. They also were associated with a poorer prognosis for other medical conditions and increased outpatient and emergency room visits. Other ecological factors considered relevant to the depression of veterans who abused substances included residence most of one's life (i.e., urban versus rural), psychiatric hospitalizations, employment and income, marital status, partner relationships, social supports, and life satisfaction, crime, and suicide attempts. Of particular interest were the long-term effects of direct combat experience in war (mostly Vietnam veterans) on depression. The article discusses the importance of addressing the complex and diverse needs of the homeless, including housing, health care, use of support services, job training, and placement, in concert with treatment for mental illness and substance abuse. Tables, references