Service Delivery for Vulnerable Populations -- Service Delivery for Vulnerable Populations -- Contents -- Contributors -- Foreword -- Preface -- Acknowledgments -- Service Delivery for Vulnerable Populations -- Defining Severe Persistent Mental Illness -- Introduction -- Competing Definitions of SMI -- Definitional Sources in the United States -- Chronic Mental Illness -- Serious and Persistent Mental Illness -- Serious Mental Illness -- Implications of Operationalizing SMI -- Prevalence -- Morbidity and Mortality -- Comorbidity -- Issues of Significance -- Family Involvement -- Homelessness -- Unemployment and Underemployment -- Criminal Justice Involvement -- Stigma -- Recovery in Context -- Defining Recovery: More Debate -- Recovery: Principles and Models -- Recovery as a Process -- Recovery's Evidentiary Base -- Peer Support -- Recovery-Oriented Systems of Care -- Recovery and System Transformation -- Recovery, Communities, and the Embodiment of Social Factors -- Recovery, Language, and Stigma -- Conclusion -- References -- Innovative Programs for Consumers with Psychiatric Disabilities -- Introduction -- Psychiatric Rehabilitation -- Recovery-Oriented Services -- Evidence-Based Psychiatric Rehabilitation Practices -- Assertive Community Treatment -- Cognitive-Behavioral Strategies -- Family Psycho-Education and Support -- Illness Management and Recovery -- Inclusion of Health and Wellness in Interventions -- Integrated Treatment For Co-Occurring Disorders -- Supported Employment -- Emerging Best Psychiatric Rehabilitation Practices -- Peer-Provided Services -- Supported Education -- Supported Housing/Housing Models -- Mental Health Criminal Justice Diversion and Reentry Programs -- Future Directions -- References -- Children, Youth, and Families -- Introduction -- Co-Occurring Needs -- Stigma -- Cultural Factors.

Family and Youth Involvement -- Developmental Issues -- Fragmented Systems -- Converging Needs Within the Juvenile Justice and Child Welfare Systems -- Conclusion -- References -- Further Reading -- Model Approaches for Children and Youth with Serious Emotional Disturbance -- Introduction -- History of Systems of Care -- Wraparound Service -- History of Wraparound -- Evaluation of Wraparound -- Wraparound Principles -- Case Example -- Case Example -- Wraparound Case Study -- Tony, age 16 -- PHASE 1: Referral -- Wraparound Team Meeting: February 1 -- PHASE 2: Transition Services Begin: February 2-February 22 -- Preplacement Begins: February 22-June 1 -- PHASE 3: Foster Home Admission to the Program: June 1 and forward -- Four Months After Admission -- Six Months After Admission -- Four Years Later -- Wraparound and Evidence-Based Programs -- Conclusion -- References -- Sexual Minority and Gender-Variant Youth -- Introduction -- Nomenclature -- Resilience -- Diversity -- Trans/Gender-Variant Youth -- Stigma and Social Isolation -- Substance Use -- Abuse and Victimization -- Familial Violence and Abuse -- Targeted Victimization and Sexual Orientation -- Homeless Youth -- Teen Pregnancy -- Sexual Orientation and Mental Health -- Sexual Orientation and Physical Health -- HIV Risk -- Innovation in Health-Care Paradigms -- Optimal Structure and Content of Health-Care Delivery Services for SMY -- Callen-Lorde Community Health Center: HOTT -- Harm Reduction -- Healthy Boundaries -- Rethinking Roles: Not Authority, Not Friend -- Vertical and Horizontal Knowledge -- Low-Threshold Approach -- Conclusion -- References -- Sexual Minority and Gender-Variant Adults -- Introduction -- Diversity -- Barriers to Care -- LGBTQ and Family -- Definition of Terms: Sexual Minority Nomenclature -- Sexual Orientation and Gender Variance -- Labeling Practices -- Challenges.

Stigma -- Stigma and MSM Ethnic/Racial Minorities -- Ethnic Communities, Trauma, and Pathologization -- Ethnic Communities, Resiliency, and Cultural Buffers -- Abuse and Victimization -- Domestic Violence -- Mental Health -- Alcohol, Tobacco, and Other Drug Use -- MSM and Methamphetamine -- Physical Health -- Sexually Transmitted Infections -- WSW and HIV/STIs -- WSW's Physical Health -- MSM and HIV/STIs -- Trans/Gender-Variant HIV/STI Risk Factors -- Hormones -- Aging -- Conclusion -- References -- Pathways' Housing First -- Introduction -- PHF Program Model -- PHF: Empirically Supported -- Four Essential Program Principles -- Consumer-Driven Services -- Separation and Coordination of Housing and Clinical Services -- Recovery Orientation -- Community Integration -- Conclusion -- References -- Homeless Veterans -- Introduction -- History -- Why Are They Homeless? -- Who Are They? -- What Do They Want? -- Addressing the Needs of Homeless Veterans -- How Many Are Homeless? -- The New York Experience -- Project TORCH -- The Process -- Operation Home -- Conclusion: Where Are We Now? -- References -- Further Reading -- Housing for Older Americans -- Introduction -- Beyond the Built Environment -- The Homeless Elderly -- Helping the Older Homeless Population -- Legal Hurdles -- A Model for the Disabled Elderly -- Reimagining Housing Design to Meet New Needs -- Life in the City -- The Senior Commission on Affordable Housing -- Naturally Occurring Retirement Communities -- Conclusion -- References -- Further Reading -- Behavioral Health Issues for Older Adults -- Introduction -- Alcoholism and Substance Abuse Among Older Adults -- Medical Comorbidities -- Medication Interactions -- Alcoholism in Older Women -- Financial Impact -- Mental Disorders Among Older Adults -- Mental Health, Depression, and Minorities -- Evidence-Based Practices for Older Adults.

Home-Based Treatments -- Cognitive Behavioral Therapy (CBT) for Late-Life Depression -- Motivational Enhancement Therapy (MET) -- Assertive Community Treatment (ACT) -- Conclusion -- References -- Elder Abuse -- Introduction -- The Emergence of Elder Abuse as a Social Concern -- Rise in Incidents of Elder Abuse -- Categories of Elder Abuse -- Physical Abuse -- Sexual Abuse -- Psychological Abuse -- Financial Abuse -- Neglect -- Criminal Victimization -- Treating Victims of Elder Abuse: an Innovative Community-Based Program -- Conclusion -- References -- Further Reading -- Understanding the Refugee Experience of Trauma -- Introduction -- Background: The International Context -- Distinctions Between Refugees and Other Newcomers -- Resettlement Programs for Refugees -- Stages of the Refugee Experience -- Defining and Responding to Violence: Adopting a Public Health Framework -- Focus on the Individual versus the Community -- Relevance of the PTSD Model -- Understanding Cultural Perspectives -- Trauma Informed Care as a Framework for Refugee Services -- Developing a Public Mental Health Response to Refugee Trauma -- Conclusion -- References -- Innovative Program Approaches to Refugee Trauma -- Introduction -- Background: The International Context -- Application of Current Trauma Treatment Models to Refugee Populations -- Supporting Resilience -- Respecting Cultural Norms -- Treating Severe Symptoms -- Emerging Clinical Models and Approaches for Refugee Populations -- Self-Care and Self-Healing -- Traditional Healing -- Storytelling and Narratives -- Psychosocial Approaches -- Religion and Spirituality -- Gender Issues: The Need for a Focus on Women -- Developing a Trauma-Informed Clinical Environment -- Building Trauma-Informed Partnerships -- Conclusion -- References -- Intellectual and Developmental Disabilities -- Introduction.

Definition of Intellectual and Developmental Disabilities -- What is a Developmental Disability? -- How Are Mental Retardation and Mental Illness Different? -- What is an Intellectual Disability? -- A Brief Historical Background: Institutionalization vs. Deinstitutionalization -- Review of the Literature -- Human Rights and Social Justice -- Law and Politics -- Prevalence of Intellectual and Developmental Disabilities -- Autism and Asperger's Syndrome -- Sociodemographic Risk Factors -- Conventional Modes of Prevention, Treatment, and Management -- Innovative Strategies from Around the Country -- Innovative Policy -- Theoretical Innovation -- Practical Innovation -- Autistic Disorder -- Gay, Lesbian, Bisexual, and Transgender People -- Co-occurring Mental Illness and Developmental Disability -- Substance Use and Addiction -- HIV/AIDS -- Inmates with Developmental Disabilities -- Aging and Wellness -- Special Cultural Considerations -- Conclusion -- Acknowledgement -- References -- Disabled Women and Domestic Violence -- Introduction -- Abuse of People with Disabilities: The Shameful Secret -- Dynamics of Abuse -- The Role of the Criminal Justice System -- Establishing Trust -- Behavioral Health Modalities -- Escaping Abuse -- Interdependence -- Occupational Therapy's Evaluation Tools -- Habilitation -- Safety in the Outside World -- Stress Management -- Positive Parenting Intervention -- Conclusion -- References -- Jail Diversion Models for People with Mental Illness -- Introduction -- Deinstitutionalization -- Sentencing Policy and Increasing Length of Incarceration -- Bail Reform and the Beginning of Pretrial Services -- Therapeutic Jurisprudence and the Problem-Solving Justice Movement -- The Criminal Justice Pathway and the Spectrum of Diversion Opportunities -- Prebooking Diversion -- Crisis Intervention Teams: Diversion Before an Arrest.

Postbooking Diversion.