The literature on treating dually diagnosed homeless individuals is scant. Few programs are
described in detail, and none appears to have been evaluated as to effectiveness. This article
describes the development of an urban demonstration program for dually diagnosed homeless
persons and describes the characteristics of the homeless client. Monthly monitoring indicated
that the original low-demand residential services alone were not productive toward rehabilita
tion. Consequently, key modifications were added to the program that resulted in seven princi
ples of care. Findings from the data analysis indicate that the revised program design effectively decreased negative client behaviors and increased active participation in rehabilitation
activities.
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