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The Role of Cognition and Social Context in Predicting Community Functioning Among Formerly Homeless Seriously Mentally Ill Persons

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Abstract:

Objective: To test the influence of neurocognitive functioning on community functioning among formerly homeless persons with serious mental illness and to determine whether that influence varies with social context, independent of individual characteristics. Method: In metropolitan Boston, 112 persons in Department of Mental Health shelters were administered a neuropsychological test battery and other measures and then randomly assigned to empowerment-oriented group homes or independent apartments, as part of a longitudinal study of the effects of housing on multiple outcomes. Subjects’ case managers completed Rosen’s 5-dimensional Life Skills Inventory at 3, 6, 12 and 18 months and subjects reported on their social contacts at baseline, 6, 12 and 18 months. Subject characteristics are controlled in the analysis. Results: Three dimensions of neurocognitive functioning—executive function, verbal declarative memory, and vigilance—each predicted community functioning. Better executive function predicted improved self-care and less turbulent behavior among persons living alone, better memory predicted more positive social contacts for those living in a group home, and higher levels of vigilance predicted improved communication in both housing types. Conclusions: Neurocognition predicts community functioning among homeless persons with severe mental illness, but in a way that varies with the social context in which community functioning occurs.

Most Common Document Word Stems:

function (153), communiti (87), et (78), al (77), social (72), cognit (65), mental (49), person (48), homeless (47), ill (44), among (39), effect (39), measur (36), schizophrenia (31), research (31), hous (28), live (27), neurocognit (26), test (24), studi (23), 2006 (23),

Author's Keywords:

Neurocognition, Executive Function, Community Functioning, Homeless, Housing, Social Environment
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Name: American Sociological Association
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MLA Citation:

Schutt, Russell., Seidman, Larry., Caplan, Brina., Martsinkiv, Anna. and Goldfinger, Stephen. "The Role of Cognition and Social Context in Predicting Community Functioning Among Formerly Homeless Seriously Mentally Ill Persons" Paper presented at the annual meeting of the American Sociological Association, TBA, New York, New York City, Aug 10, 2007 <Not Available>. 2009-05-24 <http://www.allacademic.com/meta/p175672_index.html>

APA Citation:

Schutt, R. K., Seidman, L. J., Caplan, B. , Martsinkiv, A. and Goldfinger, S. M. , 2007-08-10 "The Role of Cognition and Social Context in Predicting Community Functioning Among Formerly Homeless Seriously Mentally Ill Persons" Paper presented at the annual meeting of the American Sociological Association, TBA, New York, New York City Online <PDF>. 2009-05-24 from http://www.allacademic.com/meta/p175672_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Abstract: Objective: To test the influence of neurocognitive functioning on community functioning among formerly homeless persons with serious mental illness and to determine whether that influence varies with social context, independent of individual characteristics. Method: In metropolitan Boston, 112 persons in Department of Mental Health shelters were administered a neuropsychological test battery and other measures and then randomly assigned to empowerment-oriented group homes or independent apartments, as part of a longitudinal study of the effects of housing on multiple outcomes. Subjects’ case managers completed Rosen’s 5-dimensional Life Skills Inventory at 3, 6, 12 and 18 months and subjects reported on their social contacts at baseline, 6, 12 and 18 months. Subject characteristics are controlled in the analysis. Results: Three dimensions of neurocognitive functioning—executive function, verbal declarative memory, and vigilance—each predicted community functioning. Better executive function predicted improved self-care and less turbulent behavior among persons living alone, better memory predicted more positive social contacts for those living in a group home, and higher levels of vigilance predicted improved communication in both housing types. Conclusions: Neurocognition predicts community functioning among homeless persons with severe mental illness, but in a way that varies with the social context in which community functioning occurs.

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Document Type: PDF
Page count: 28
Word count: 6035
Text sample:
The Role of Cognition and Social Context in Predicting Community Functioning Among Formerly Homeless Seriously Mentally Ill Persons Russell K. Schutt PhD1 2 Larry J. Seidman PhD1 5 Brina Caplan PhD EdD1 Anna Martsinkiv MA3 Stephen M. Goldfinger MD4 1 Harvard Medical School Department of Psychiatry Massachusetts Mental Health Center Public Academic Psychiatry Division of the Beth Israel Deaconess Medical Center Boston MA USA 2 University of Massachusetts at Boston Department of Sociology Boston MA USA 3 Kiev Ukraine.
-.001 .001 Memory (.29 92.2 .77) (.385 94.7 .70) (.76 98.2 .45) (-.28 98.3 .78) (.55 96.6 .58) Memory IL .010 (.64 94.5 .52) Memory .078 ECH (4.46 101.3 .00) *Interactions with Housing Type presented instead of main effects when significant.


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