A pretreatment perspective is presented to enhance treatment and/or housing readiness for homeless street-bound individuals with major mental illness. This subgroup of the homeless mentally ill population is substantial in number and requires improved access to mental-health care inclusive of residential services. In response, the author introduces five governing principles of pretreatment that provide the basis for a cohesive and integrated guide to practice. This pretreatment perspective promotes quality outreach services and viable placement alternatives for homeless street-bound individuals who have major mental illness.
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