{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T02:18:19Z","timestamp":1792117099691,"version":"4.4.0"},"reference-count":74,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute on Aging (NIA) at the National Institutes of Health","award":["R01AG041860"],"award-info":[{"award-number":["R01AG041860"]}]},{"name":"National Institute on Aging (NIA) at the National Institutes of Health","award":["K24AG046372"],"award-info":[{"award-number":["K24AG046372"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Community Psychology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine the prevalence of and factors associated with unmet need for mental health and substance use treatment in older homeless adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among 350 homeless adults aged \u226550, we examined prevalence of mental health and substance use problems and treatment. Using logistic regression, we examined factors associated with unmet treatment need.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among those with a mental health problem, being aged \u226565 was associated with an increased odds, while having a regular healthcare provider and case manager were associated with a decreased odds of having unmet need for mental health treatment. A first homelessness episode at age \u226550 was associated with increased, while spending time in jail\/prison or having a case manager was associated with decreased odds of unmet needs for substance use treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Older homeless adults have a high prevalence of unmet behavioral health treatment need. There is a need for targeted services for this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcop.22233","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T07:38:08Z","timestamp":1566200288000},"page":"1893-1908","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Unmet mental health and substance use treatment needs among older homeless adults: Results from the HOPE HOME Study"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2414-3826","authenticated-orcid":false,"given":"Lauren M.","family":"Kaplan","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, University of California, San Francisco CA Zuckerberg San Francisco General Hospital and Trauma Center  San Francisco California"},{"name":"UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center University of California, San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6340-9506","authenticated-orcid":false,"given":"Lea","family":"Vella","sequence":"additional","affiliation":[{"name":"San Francisco Veteran Affairs Medical Center, San Francisco, California and Division of Geriatrics University of California  San Francisco California"},{"name":"Department of Quality University of California San Francisco Medical Center  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Cabral","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine University of California  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9980-0774","authenticated-orcid":false,"given":"Lina","family":"Tieu","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of California, San Francisco CA Zuckerberg San Francisco General Hospital and Trauma Center  San Francisco California"},{"name":"UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center University of California, San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Ponath","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of California, San Francisco CA Zuckerberg San Francisco General Hospital and Trauma Center  San Francisco California"},{"name":"UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center University of California, San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4206-8890","authenticated-orcid":false,"given":"David","family":"Guzman","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of California, San Francisco CA Zuckerberg San Francisco General Hospital and Trauma Center  San Francisco California"},{"name":"UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center University of California, San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1361-6889","authenticated-orcid":false,"given":"Margot B.","family":"Kushel","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of California, San Francisco CA Zuckerberg San Francisco General Hospital and Trauma Center  San Francisco California"},{"name":"UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center University of California, San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,19]]},"reference":[{"key":"e_1_2_8_1_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/3349613"},{"key":"e_1_2_8_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31817a835d"},{"key":"e_1_2_8_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2017.03.002"},{"key":"e_1_2_8_1_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2000.9556773.x"},{"key":"e_1_2_8_1_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"issue":"2","key":"e_1_2_8_1_7_1","first-page":"139","article-title":"Collaborative care for depression in primary care: How psychiatry could \"troubleshoot\" current treatments and practices","volume":"86","author":"Barkil\u2010Oteo A.","year":"2013","journal-title":"The Yale Journal of Biology and Medicine"},{"key":"e_1_2_8_1_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301421"},{"key":"e_1_2_8_1_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370104600604"},{"key":"e_1_2_8_1_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(199710)12:10<1008::AID-GPS676>3.0.CO;2-A"},{"key":"e_1_2_8_1_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155065"},{"key":"e_1_2_8_1_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1848-9"},{"key":"e_1_2_8_1_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.9.1081"},{"key":"e_1_2_8_1_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193841X8801200202"},{"key":"e_1_2_8_1_15_1","doi-asserted-by":"crossref","unstructured":"Burt M. Aran L. Douglas T. Valente J. Lee E. &Iwen B.(1999). Homelessness: Programs and the People they serve: Findings from the National Survey of Homeless Assistance Providers and Clients Technical Report. Washington DC: U.S. Dept. of Housing and Urban Development.","DOI":"10.1037\/e726182011-001"},{"key":"e_1_2_8_1_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2018.70"},{"key":"e_1_2_8_1_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1314"},{"key":"e_1_2_8_1_18_1","unstructured":"Centers for Medicare & Medicaid Services.Federally Qualified Health Centers (FQHC) Center(2018). Retrieved fromhttps:\/\/www.cms.gov\/Center\/Provider\u2010Type\/Federally\u2010Qualified\u2010Health\u2010Centers\u2010FQHC\u2010Center.html"},{"key":"e_1_2_8_1_19_1","unstructured":"Centers for Medicare & Medicaid Services.FQHC PPS specific payment codes. (2017). Retrieved fromhttps:\/\/www.cms.gov\/Medicare\/Medicare\u2010Fee\u2010for\u2010Service\u2010Payment\/FQHCPPS\/Downloads\/FQHC\u2010PPS\u2010Specific\u2010Payment\u2010Codes.pdf"},{"issue":"8","key":"e_1_2_8_1_20_1","first-page":"588","article-title":"Brief questions to identify patients with inadequate health literacy","volume":"36","author":"Chew L. D.","year":"2004","journal-title":"Family Medicine"},{"key":"e_1_2_8_1_21_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201700153"},{"key":"e_1_2_8_1_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/39.1.5"},{"key":"e_1_2_8_1_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000075"},{"key":"e_1_2_8_1_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2008.01.004"},{"key":"e_1_2_8_1_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/asap.12004"},{"key":"e_1_2_8_1_26_1","unstructured":"Culhane D. P. Treglia D. Byrne T. Metraux S. Kuhn R. Doran K. \u2026Schretzman M.(2019). The emerging crisis of aged homelessness: A multi\u2010site research project: Could housing solutions be funded by avoidance of excess shelter Hospital and Nursing Home Costs?Retrieved fromhttps:\/\/www.aisp.upenn.edu\/wp\u2010content\/uploads\/2019\/01\/Emerging\u2010Crisis\u2010of\u2010Aged\u2010Homelessness\u20101.pdf"},{"key":"e_1_2_8_1_27_1","unstructured":"California Department of Health Care Services(2018). Public Hospital Redesign & Incentives in Medi\u2010Cal Program. Retrieved fromhttps:\/\/www.dhcs.ca.gov\/provgovpart\/Pages\/PRIME.aspx"},{"key":"e_1_2_8_1_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0893-133X(00)00218-9"},{"key":"e_1_2_8_1_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050225"},{"key":"e_1_2_8_1_30_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.2.370"},{"key":"e_1_2_8_1_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2005.00347.x"},{"issue":"6","key":"e_1_2_8_1_32_1","first-page":"1273","article-title":"The behavioral model for vulnerable populations: Application to medical care use and outcomes for homeless people","volume":"34","author":"Gelberg L.","year":"2000","journal-title":"Health Services Research"},{"key":"e_1_2_8_1_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1990.tb01503.x"},{"key":"e_1_2_8_1_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00135-0"},{"key":"e_1_2_8_1_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-013-0383-2"},{"key":"e_1_2_8_1_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2006.00397.x"},{"key":"e_1_2_8_1_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1130"},{"key":"e_1_2_8_1_38_1","unstructured":"Henry M. Watt R. Rosenthal L. &Shivji A.(2017). The 2017 annual homeless assessment report (AHAR) to congress. Washington DC:\u00a0U.S. Department of Housing and Urban Development: Office of Community Planning and Development. Retrieved fromhttps:\/\/www.hudexchange.info\/resources\/documents\/2017\u2010AHAR\u2010Part\u20101.pdf"},{"key":"e_1_2_8_1_39_1","unstructured":"Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009. Definition of homelessness. U.S. Congress (2009)."},{"key":"e_1_2_8_1_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13238"},{"key":"e_1_2_8_1_41_1","unstructured":"Humeniuk R. Henry\u2010Edwards S. Ali R. Poznyak V. &Monteiro M.(2010).The alcohol smoking and substance involvement screening Test (ASSIST): Manual for use in primary care. Geneva: Switzerland."},{"key":"e_1_2_8_1_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3628"},{"key":"e_1_2_8_1_43_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.1548"},{"key":"e_1_2_8_1_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1983.tb03391.x"},{"key":"e_1_2_8_1_45_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291709990213"},{"key":"e_1_2_8_1_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40596-014-0144-5"},{"key":"e_1_2_8_1_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199903000-00010"},{"key":"e_1_2_8_1_48_1","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2149"},{"key":"e_1_2_8_1_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-012-0649-8"},{"key":"e_1_2_8_1_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2014.04.008"},{"key":"e_1_2_8_1_51_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610211000366"},{"key":"e_1_2_8_1_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12009"},{"key":"e_1_2_8_1_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2016.02.004"},{"key":"e_1_2_8_1_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/0740-5472(92)90062-S"},{"key":"e_1_2_8_1_55_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.schbul.a033314"},{"key":"e_1_2_8_1_56_1","unstructured":"Centers for Disease Control and Prevention(2009).National Health and Nutrition Examination Survey: Questionnaires datasets and related documentation). Retrieved from:https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/."},{"key":"e_1_2_8_1_57_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.14.1695"},{"key":"e_1_2_8_1_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2008.04.015"},{"key":"e_1_2_8_1_59_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-136-10-200205210-00013"},{"key":"e_1_2_8_1_60_1","doi-asserted-by":"publisher","DOI":"10.1185\/135525703125002360"},{"key":"e_1_2_8_1_61_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_2_8_1_62_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.167346"},{"key":"e_1_2_8_1_63_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2016.1264534"},{"key":"e_1_2_8_1_64_1","volume-title":"SAS\/ACCESS\u00ae 9.4 Interface to ADABAS: Reference","author":"SAS Institute Inc","year":"2013"},{"key":"e_1_2_8_1_65_1","volume-title":"Stata Statistical Software: Release 14","author":"StataCorp","year":"2015"},{"key":"e_1_2_8_1_66_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105307080612"},{"key":"e_1_2_8_1_67_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.22.2836"},{"key":"e_1_2_8_1_68_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400248"},{"key":"e_1_2_8_1_69_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_2_8_1_70_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.3947"},{"key":"e_1_2_8_1_71_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200111000-00003"},{"key":"e_1_2_8_1_72_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.144279"},{"key":"e_1_2_8_1_73_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2012.11111616"},{"key":"e_1_2_8_1_74_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610215000241"},{"key":"e_1_2_8_1_75_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2014.0189"}],"container-title":["Journal of Community Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcop.22233","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcop.22233","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jcop.22233","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcop.22233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T13:03:46Z","timestamp":1694264626000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcop.22233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,19]]},"references-count":74,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1002\/jcop.22233"],"URL":"https:\/\/doi.org\/10.1002\/jcop.22233","archive":["Portico"],"relation":{},"ISSN":["0090-4392","1520-6629"],"issn-type":[{"value":"0090-4392","type":"print"},{"value":"1520-6629","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,19]]},"assertion":[{"value":"2019-02-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}