Profiles of Clinical Need Among Homeless Individuals with Dual Diagnoses

UMMS Affiliation

Department of Psychiatry; Implementation Science and Practice Advances Research Center

Publication Date


Document Type



Community Health | Mental and Social Health | Mental Disorders | Military and Veterans Studies | Psychiatry | Psychiatry and Psychology | Substance Abuse and Addiction | Women's Health


This study explored patterns of clinical need among homeless individuals with dual diagnoses, and explored whether certain profiles are characteristic of different demographic groups. Data were drawn from two larger studies conducted with dually diagnosed, homeless individuals (n = 373). Hierarchical cluster analysis identified four subgroups: (1) Clinically least severe, characterized by less frequent psychological symptoms and no history of physical or sexual abuse; (2) Moderate clinical needs, including shorter history of substance use and less frequent psychological symptoms, but symptoms consistent with severe mental illness; (3) Clinically severe, with frequent anxiety, depression, past and recent physical or sexual abuse, and long history of substance use; (4) Least frequent psychological symptoms, but frequent history of physical or sexual abuse and long history of drug use. Women veterans were mostly likely to be classified in cluster 3, and male civilians in cluster 2. Subgroups of homeless individuals with dual diagnoses demonstrated different clusters of clinical needs, having implications for service delivery to the population.


Cluster analysis, Homeless, Substance use, Veterans, Women

DOI of Published Version



Community Ment Health J. 2019 Jun 24. doi: 10.1007/s10597-019-00432-6. [Epub ahead of print]. Link to article on publisher's site

Journal/Book/Conference Title

Community mental health journal

Related Resources

Link to Article in PubMed

PubMed ID