Bmc Health Services Research: Fill & Download for Free

Dear Jeff, I like reading the BMC research journal series: Journals - BioMed CentralMy top 3: 1) BMC Public Health 2) BMC Geriatrics 3) BMC Health Services ResearchI also enjoy the Dove Medical Press - Open Access Publisher of Medical ...I especially like: Patient Preference and Adherence from the Dove Medical Press group.

“Can a person with ADHD use both stimulant and nonstimulant medicines at the same time?” Probably, but you’re maybe getting ahead of the game a bit…Anyway, I’m not sure it really makes sense to talk about stimulants being “stronger” than atomoxetine. The only question is what works or doesn’t work for an individual patient.You should probably follow your prescriber’s recommendations for titrating your Strattera, and establish whether it works for you. Consideration for adding another agent is a bridge that you can cross if and when you come to it.Cheers! :-)[1] Treuer, et al “A Systematic Review of Combination Therapy with Stimulants and Atomoxetine for Attention-Deficit/ Hyperactivity Disorder, Including Patient Characteristics, Treatment Strategies, Effectiveness, and Tolerability” http://online.liebertpub.com/doi/pdfplus/10.1089/cap.2012.0093[2] Bronwn T “Atomoxetine and Stimulants in Combination for Treatment of Attention Deficit Hyperactivity Disorder: Four Case Reports” http://drthomasebrown.com/pdfs/atx_stims_article.pdf[3] Carlson et al “A pilot study for augmenting atomoxetine with methylphenidate: safety of concomitant therapy in children with attention-deficit/hyperactivity disorder” Child and Adolescent Psychiatry and Mental Health[4] Pohl et al “A retrospective claims analysis of combination therapy in the treatment of adult attention-deficit/hyperactivity disorder (ADHD)” BMC Health Services Research

My one and only brush with accidental homelessness unforgettably sensitized me to this issue. Newcomer to the US, focus on my science made me choose a basement apartment off the NIH campus in Bethesda, Maryland. Landlord an elderly widower retired from the NIH, a safe dwelling I surmised, little knowing that just a few months later, he'd trigger a short circuit in his house and it would go up in flames. Happening the day after Thanksgiving, both at home, we were both lucky to get out alive. Once the hubbub of firetrucks, police cars and ambulance chasing clean-up specialists cleared, he drove us to a downtown Bethesda hotel, promising I'd be back in my apartment within two weeks. The weeks passed with no progress. Meantime, thanks to those clean-up specialists, I'd been left standing in the clothes I wore. Sheer accident that I rushed out wallet in hand. Everything else packed and sped off for 'smoke damage clean-up'. Sheer luck a colleague looking to sub-let got me into another place within a month. All this to say that even though my experience was positively luxurious compared to the truly homeless, I can well appreciate the hell that is to be homeless.Where to sleep, to bathe, to go to toilet, get a meal. We take these essential basics of daily living for granted when we have a home to call our own. And that's not all. Situation's incalculably worse for those homeless even more unlucky to not be in the tropics. For such, staying warm through bitterly cold days and nights for weeks and months on end is yet another imperative on a long list of others we 'homed' take for granted and we still aren't done with the imperatives. A homeless woman has an additional imperative, how to stay safe and unmolested at all times of day and night. Sounds like a surefire recipe for insanity, no? Shocking then that it took an outsider to divine that rather than carrots and sticks, having a roof over one's head is the most essential first step for a homeless person to get on the track back to relative normalcy, maybe even permanently. The radical visionary who divined this is Sam Tsemberis, founder of Pathways to Housing.The radical aspect of Tsemberis' solution stems from giving homes without preconditions to people with all kinds of serious and chronic problems ranging from addiction to other serious mental health problems. This is in direct contrast to how social policy traditionally addressed homelessness in the US, i.e., a reward system. It went somewhat like this. Let's say homeless person issues are x, y, z while the bureaucrat's carrots are 1, 2, 3. Social policy dictated to the homeless you solve issue x, say addiction, we'll give you reward 1, say counseling. A trained psychologist, his stint doing outreach with the mentally ill in New York City in the early 1990s revealed to Tsemberis his epiphany about the homeless. It also reveals the blinkers even the most well-intentioned can harbor. Paternalism is deeply ingrained in the conventional understanding of the homeless. The homeless are perceived to lack ability to function. However, submerging himself in the world of the homeless taught Tsemberis that on the contrary, the homeless are enormously resourceful.I too got the same insight from watching someone at close quarters. During my time at the NIH, I met a brilliant researcher working in the building next to mine. Diagnosed with a mental disorder and forcibly institutionalized, having then managed to partially extricate herself, some years later she re-surfaced as a homeless person in the neighborhood. At unpredictable moments, she'd show up in the lab late at night as I harvested a thick stack of cell culture plates. She'd lean on a nearby counter and recount her experiences living on the street. Which intersections were best for panhandling. What time was best to panhandle at the intersection between Old Georgetown Road and Democracy Boulevard. How she negotiated with other panhandlers to gain a corner at this busy intersection. Which supermarket dumpsters were best for bread and other baked goods. Where years earlier, we'd discussed the latest paper on Toll-like receptor structure, now she'd regale with her varied and rich insights about life on the street. Not to mention I never found out how she even managed to get onto campus, let alone into the lab. I thought exactly the same as Tsemberis. What amazing resourcefulness!Equipped with the insight that the homeless are nothing if not resourceful, Tsemberis created a team peopled by outsiders that included a recovering heroin addict, a former homeless, a psychologist and a poet survivor of incest (1). Team in hand and with a $500000 in federal funding, Tsemberis started a pilot project with 139 chronically homeless his team immediately housed and offered counseling. The results? A retention rate of ~85%, far better than the 60% that was the then best metric. All this way back in 1997. When Tsemberis published his findings in 2000 in Psychiatric Services (2), a fairly respectable peer-reviewed journal, predictably, old hands in the homeless services community looked askance at this rude short shrift to conventional wisdom and by an outsider to boot (3, 4, 5, 6).However, as the years passed, empirical data by others who implemented/pilot tested Housing First (7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17) bolstered support for it. Even the US federal government found it dramatically shrank addiction and health care costs (18). Success has been inconsistent when the local administration's commitment has been likewise, as in Washington D.C. Pilot projects in other countries such as Germany (19) showed promise. Homeless services researchers in the UK propose Housing First deserves serious consideration there as well (20, 21, 22) even as there's considerable resistance to the idea (23, 24, 25). Several studies in Canada find in favor of Housing First (26, 27, 28, 29, 30, 31, 32, 33). It also finds favor in Australia (34).Analysts attribute the success of Pathways to Housing and its ascent to orthodoxy as Housing First to the juxtaposition of key individuals with unique gifts and qualifications. Dennis Culhane, a researcher who works closely with policy makers and is 'unusually adept' at translating research findings to policy positions (35), the charismatic Sam Tsemberis, founder of Pathways to Housing, and policy maker Phil Mangano (36). Sold by Mangano to local mayors as a consumer choice model rather than a coercive measure (37), Housing First appealed to politicians keen to erase visible signs of capitalism's failure and what could be a more compelling sign than the chronically homeless visibly sleeping in city parks.Pathways to Housing and Housing First aren't interchangeable. However, both assert right to housing as a fundamental right. This is the reverse of beliefs that have historically shaped US welfare, namely, people have to first prove themselves worthy of government benefits or have earned it. However, there are unique aspects to what Pathways to Housing did in New York City. That blueprint isn't fully fleshed out even by its architects and already the model is being exported all over the US and even elsewhere. Several dangers are inherent to such an approach. Other policy makers may not have the same goals and commitments. Elsewhere, Housing First could easily become a tool for enforced gentrification of minority-dominated inner city blocks. It could be used as a cosmetic cover to relocate the chronically homeless to city outskirts without investing the corollary efforts necessary to get them on the path to autonomy and self-sufficiency (38). In other words, out of sight, out of mind could be a critical weakness of Housing First that could be easily exploited by less scrupulous policy makers keen to wall-paper a serious social problem that's also very embarrassing to leaders and policy makers in what's undoubtedly the wealthiest country in the world.Bibliography1. Terrence McCoy, The Washington Post, May 6, 2015. Meet the outsider who accidentally solved chronic homelessness2. Tsemberis, Sam, and Ronda F. Eisenberg. "Pathways to housing: Supported housing for street-dwelling homeless individuals with psychiatric disabilities." Psychiatric services (2000). http://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.51.4.4873. Shinn, Marybeth, Jim Baumohl, and Kim Hopper. "The prevention of homelessness revisited." Analyses of Social Issues and Public Policy 1.1 (2001): 95-127. https://www.researchgate.net/profile/Kim_Hopper/publication/227600480_The_Prevention_of_Homelessness_Revisited/links/02e7e5342e75e5a900000000.pdf4. Bassuk, Ellen L., and Stephanie Geller. "The role of housing and services in ending family homelessness." Housing Policy Debate 17.4 (2006): 781-806. https://www.researchgate.net/profile/Ellen_Bassuk/publication/239923491_The_role_of_housing_and_services_in_ending_family_homelessness/links/53e0c5540cf2d79877a4fd4a.pdf5. Culhane, Dennis P., and Stephen Metraux. "Rearranging the deck chairs or reallocating the lifeboats? Homelessness assistance and its alternatives." Journal of the American Planning Association 74.1 (2008): 111-121. http://repository.upenn.edu/cgi/viewcontent.cgi?article=1119&context=spp_papers6. Kertesz, Stefan G., et al. "Housing first for homeless persons with active addiction: are we overreaching?." Milbank Quarterly 87.2 (2009): 495-534. http://www.coloradocoalition.org/!userfiles/Library/Housing%20ready-substance%20use.pdf7. Siegel, Carole E., et al. "Tenant outcomes in supported housing and community residences in New York City." Psychiatric Services (2006). http://ps.psychiatryonline.org/doi/pdf/10.1176/ps.2006.57.7.9828. Walsh, Adam, Jennifer Vaughn, and D. F. Duncan. "The Cost Effectiveness of Supportive Housing Teams at Eighteen Months." (2009). http://www.unc.edu/~dfduncan/papers/fs/November%202009%20HST%20Final%20Report.pdf9. Meschede, Tatjana. "Accessing housing: Exploring the impact of medical and substance abuse services on housing attainment for chronically homeless street dwellers." Journal of Human Behavior in the Social Environment 20.2 (2010): 153-16910. Rogers, E. Sally, et al. "Systematic Review of Supported Housing Literature 1993–2008." (2010). http://dcommon.bu.edu:8080/bitstream/handle/2144/1493/Systematic-Review-of-Supported-Housing-Literature-1993%E2%80%932008.pdf?sequence=1&isAllowed=y11. Collins, Susan E., et al. "Exploring transitions within a project-based Housing First setting: Qualitative evaluation and practice implications." Journal of health care for the poor and underserved 23.4 (2012): 1678. https://depts.washington.edu/harrtlab/wordpress/wp-content/uploads/2014/05/collins-et-al-2012-housing-transitions.pdf12. Brown, Molly. "Effectiveness of Housing First for Non-chronically Homeless Individuals Who Are High Utilizers of Inpatient Psychiatric Treatment." (2012). http://via.library.depaul.edu/cgi/viewcontent.cgi?article=1022&context=csh_etd13. Collins, Susan E., Daniel K. Malone, and Seema L. Clifasefi. "Housing retention in single-site Housing First for chronically homeless individuals with severe alcohol problems." American journal of public health 103.S2 (2013): S269-S274. https://www.researchgate.net/profile/Susan_Collins/publication/258034422_Housing_Retention_in_Single-Site_Housing_First_for_Chronically_Homeless_Individuals_With_Severe_Alcohol_Problems/links/02e7e5330784342b77000000.pdf14. Montgomery, Ann Elizabeth, et al. "Housing chronically homeless veterans: Evaluating the efficacy of a Housing First approach to HUD‐VASH." Journal of Community Psychology 41.4 (2013): 505-514.15. Clifasefi, Seema L., Daniel K. Malone, and Susan E. Collins. "Exposure to project-based Housing First is associated with reduced jail time and bookings." International Journal of Drug Policy 24.4 (2013): 291-296. https://www.researchgate.net/profile/Susan_Collins/publication/232811296_Exposure_to_project-based_Housing_First_is_associated_with_reduced_jail_time_and_bookings/links/0deec51d5d9186ba08000000.pdf16. Hwang, Stephen W., and Tom Burns. "Health interventions for people who are homeless." The Lancet 384.9953 (2014): 1541-1547. http://bibliobase.sermais.pt:8008/BiblioNET/Upload/PDF8/005815.pdf17. Davidson, Clare, et al. "Association of Housing First implementation and key outcomes among homeless persons with problematic substance use." Psychiatric Services (2014). https://www.researchgate.net/profile/Bryan_Kutner/publication/263935900_Association_of_Housing_First_Implementation_and_Key_Outcomes_Among_Homeless_Persons_With_Problematic_Substance_Use/links/5591735a08ae1e1f9baff280.pdf18. Burt, Martha R., and Brooke E. Spellman. "Changing homeless and mainstream service systems: Essential approaches to ending homelessness." Toward Understanding Homelessness: The 2007 National Symposium. Vol. 4. 2007. https://aspe.hhs.gov/sites/default/files/pdf/174201/report.pdf19. Fichter, M. M., and N. Quadflieg. "Intervention effects of supplying homeless individuals with permanent housing: a 3‐year prospective study." Acta Psychiatrica Scandinavica 113.s429 (2006): 36-40.20. Atherton, Iain, and Carol McNaughton Nicholls. "'Housing First' as a means of addressing multiple needs and homelessness." (2008). http://dspace.stir.ac.uk/bitstream/1893/9035/1/atherton_ejh2008.pdf21. Price, Sian. "Housing related support interventions: a rapid review of the evidence." Pridobljeno dne 2 (2010): 2013.22. McNaughton Nicholls, Carol, and Iain Atherton. "Housing First: Considering components for successful resettlement of homeless people with multiple needs." Housing Studies 26.5 (2011): 767-777.23. Johnsen, Sarah, and Lígia Teixeira. "‘Doing it already?’: stakeholder perceptions of Housing First in the UK." International Journal of Housing Policy 12.2 (2012): 183-203.24. Tsai, Jack, Alvin S. Mares, and Robert A. Rosenheck. "A multisite comparison of supported housing for chronically homeless adults:“housing first” versus “residential treatment first”." Psychological Services 7.4 (2010): 219. http://www.homelesshub.ca/sites/default/files/Tsai.2010.pdf25. Tsai, Jack, and Robert A. Rosenheck. "Considering Alternatives to the Housing First Model." European Journal of Homelessness _ Volume 6.2 (2012). http://feantsaresearch.all2all.org/IMG/pdf/ejh6_2_resp_housingfirst5.pdf26. Falvo, Nick. Homelessness, program responses, and an assessment of toronto's streets to homes program. Canadian Policy Research Networks Incorporated and Social Housing Services Corporation, 2009. http://cprn3.library.carleton.ca/documents/50981_EN.pdf27. Fitzpatrick-Lewis, Donna, et al. "Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review." BMC Public Health 11.1 (2011): 1. BMC Public Health28. Stergiopoulos, Vicky, et al. "Moving from rhetoric to reality: adapting Housing First for homeless individuals with mental illness from ethno-racial groups." BMC health services research 12.1 (2012): 1. BMC Health Services Research29. Patterson, Michelle, et al. "Housing First improves subjective quality of life among homeless adults with mental illness: 12-month findings from a randomized controlled trial in Vancouver, British Columbia." Social psychiatry and psychiatric epidemiology 48.8 (2013): 1245-1259. https://www.researchgate.net/profile/Julian_Somers/publication/237084669_Housing_First_improves_subjective_quality_of_life_among_homeless_adults_with_mental_illness_12-month_findings_from_a_randomized_controlled_trial_in_Vancouver_British_Columbia/links/53ceeed40cf25dc05cfad734.pdf30. Somers, Julian M., et al. "Housing first reduces re-offending among formerly homeless adults with mental disorders: results of a randomized controlled trial." PloS one 8.9 (2013): e72946. http://journals.plos.org/plosone/article/asset?id=10.1371%2Fjournal.pone.0072946.PDF31. Patterson, Michelle L., et al. "Trajectories of recovery among homeless adults with mental illness who participated in a randomised controlled trial of Housing First: a longitudinal, narrative analysis." BMJ open 3.9 (2013): e003442. http://www.habitation.gouv.qc.ca/fileadmin/internet/centredoc/CC/NS23331.pdf32. Tan de Bibiana, Jason. "Housing first and emergency department utilization among homeless individuals with mental illness in Vancouver." Electronic Theses and Dissertations (ETDs) 2008+ (2013). https://circle.ubc.ca/bitstream/handle/2429/44041/ubc_2013_spring_tandebibiana_jason.pdf?sequence=133. Russolillo, Angela, et al. "Emergency department utilisation among formerly homeless adults with mental disorders after one year of Housing First interventions: a randomised controlled trial." International Journal of Housing Policy 14.1 (2014): 79-97. http://summit.sfu.ca/system/files/iritems1/12927/etd7777_ARussolillo.pdf34. Johnson, Guy, Sharon Parkinson, and Cameron Parsell. "Policy shift or program drift? Implementing Housing First in Australia." AHURI Final Report 184 (2012): 1-21. http://espace.library.uq.edu.au/view/UQ:295061/UQ295061_OA.pdf35. Stanhope, Victoria, and Kerry Dunn. "The curious case of Housing first: The limits of evidence based policy." International journal of law and psychiatry 34.4 (2011): 275-282. http://web.pdx.edu/~nwallace/AHP/CuriousCaseHousing.pdf36. Shinn, Marybeth. "Waltzing with a monster: Bringing research to bear on public policy." Journal of Social Issues 63.1 (2007): 215-231.37. Mangano, P. (2008). The impact of the federal initiative to end chronic homelessness in10 Years. Paper presented at the Center for Homelessness Prevention Studies Grand Rounds, Columbia University Mailman School of Public Health.38. Hennigan, Brian Richard. "House Broken: The Functions and Contradictions of" Housing First"." (2013). http://surface.syr.edu/cgi/viewcontent.cgi?article=1008&context=thesis