This is a request for a Scientist Development Award for Clinicians to investigate the relationship between adverse childhood experiences and adverse psychosocial outcomes during adulthood such as mental disorder, substance abuse, and homelessness. A five-year program of research and education will furnish the principal investigator with the skills needed to carry out state-of-the-art mental health services research. The research component will explore the association between specific childhood experiences (such as foster and institutional care, physical and sexual abuse, running away from home) and a range of outcomes including mental disorder, substance abuse, and homelessness. The relationship between childhood experiences and mental health service need and utilization will be investigated. Two complementary studies will provide the data around which the research will be conducted. The first is a follow-up study of a national representative sample of 728 housed adults, stratified by previous homeless experience. The second is a follow-up study of 1260 homeless men and women who were first interviewed in New York City's public shelters during 1987.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Unknown (K20)
Project #
5K20MH001204-02
Application #
2240730
Study Section
Special Emphasis Panel (SRCM (04))
Project Start
1994-04-01
Project End
1999-03-31
Budget Start
1995-04-01
Budget End
1996-03-31
Support Year
2
Fiscal Year
1995
Total Cost
Indirect Cost
Name
Columbia University (N.Y.)
Department
Psychiatry
Type
Schools of Medicine
DUNS #
167204994
City
New York
State
NY
Country
United States
Zip Code
10032
Herman, D; Opler, L; Felix, A et al. (2000) A critical time intervention with mentally ill homeless men: impact on psychiatric symptoms. J Nerv Ment Dis 188:135-40
Herman, D B; Susser, E S; Jandorf, L et al. (1998) Homelessness among individuals with psychotic disorders hospitalized for the first time: findings from the Suffolk County Mental Health Project. Am J Psychiatry 155:109-13
Herman, D B; Susser, E S; Struening, E L et al. (1997) Adverse childhood experiences: are they risk factors for adult homelessness? Am J Public Health 87:249-55