ABSTRACT

This chapter provides an overview of the effectiveness of the diverse case management (CM) models and approaches for homeless individuals with substance use and mental health disorders (SUMHDs), in addition to some historical background and policy considerations. Empirically identified risk factors for homelessness continue to include individuals with SUMHDs (Rosenheck, Bassuk, & Salomon, 1999; Stein & Santos, 1998). Although mainstream resources such as rental subsidies and poverty assistance play essential roles in the care of the homeless, it is becoming increasingly evident that CM is now also seen as one of the cornerstones of intervention for achieving residential stability (Austin & McClelland, 1997; Kanter, 1989; McMurray-Avila, Gelberg, & Breakey, 1999; Stephens & Dennis, 1991). Based upon the updated evidence, “best practice” models for CM services will be presented in hopes to enable practitioners to become aware of the empirically supported knowledge relative to work with homeless.