, Score MCSI, vol.652, p.0

, Limitations dues à l'état physique 641 (72,2 ± 30,7) 235 (75,29 ± 30,28) 406 (70,05 ±, vol.30, p.17

, Limitations dues à l'état émotionnel 630, vol.51, p.49

, Santé mentale 637, vol.47, p.313

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, Tableau 2 présentant les caractéristiques socio-démographiques et cliniques en fonction des 3 groupes à partir de l' analyse en classe latente

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J. P. Connor, M. J. Gullo, A. White, and A. B. Kelly, Polysubstance use: Diagnostic challenges, patterns of use and health, Curr Opin Psychiatry, vol.27, issue.4, pp.269-75, 2014.

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R. E. Drake and M. A. Wallach, Moderate drinking among people with severe mental illness, Hosp Community Psychiatry, 1993.

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D. Folsom, Prevalence and risk factors for homelessness and utilization of mental health services, Am J Psychiatry, vol.162, pp.370-376, 2005.

J. Furtos, Les cliniques de la précarité, vol.284, 2008.

L. Gelberg, L. S. Linn, and B. D. Leake, Mental health, alcohol and drug use, and criminal history among homeless adults, Am J Psychiatry, 1988.

E. S. Gershon, L. E. Delisi, J. Hamovit, J. I. Nurnberger, M. E. Maxwell et al., A Controlled Family Study of Chronic Psychoses: Schizophrenia and Schizoaffective Disorder, Arch Gen Psychiatry, 1988.

G. S. Glass and M. B. Bowers, Chronic Psychosis Associated With Long-Term Psychotomimetic Drug Abuse, Arch Gen Psychiatry, 1970.

P. N. Goering, D. L. Streiner, C. Adair, A. T. Barker, J. Distasio et al., The at Home/Chez Soi trial protocol: A pragmatic, multi-site, randomised controlled trial of a Housing First intervention for homeless individuals with mental illness in five Canadian cities, BMJ Open, vol.1, issue.2, pp.1-18, 2011.

P. Gorwood, Comorbid addictions in bipolar disorder, Encephale, vol.34, p.138, 2008.

S. L. Hedden, S. S. Martins, R. J. Malcolm, L. Floyd, C. E. Cavanaugh et al., Patterns of illegal drug use among an adult alcohol dependent population: Results from the National Survey on Drug Use and Health, Drug Alcohol Depend, vol.106, issue.2-3, pp.119-144, 2010.

F. Jacobi, H. U. Wittchen, C. Hölting, M. Höfler, H. Pfister et al., Prevalence, co-morbidity and correlates of mental disorders in the general population: Results from the German Health Interview and Examination Survey (GHS), Psychol Med, 2004.

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E. G. Karam, P. F. Yabroudi, and N. M. Melhem, Comorbidity of substance abuse and other psychiatric disorders in acute general psychiatric admissions: A study from Lebanon, Compr Psychiatry, 2002.

R. C. Kessler, R. M. Crum, L. A. Warner, C. B. Nelson, J. Schulenberg et al., Lifetime cooccurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the national comorbidity survey, Arch Gen Psychiatry, 1997.

E. J. Khantzian and C. Treece, DSM-III Psychiatric Diagnosis of Narcotic Addicts: Recent Findings, Arch Gen Psychiatry, 1985.

E. J. Khantzian, The self medication hypothesis of addictive disorders: Focus on heroin and cocaine dependence, American Journal of Psychiatry, 1985.

W. P. Knapp and D. E. Douglas, Cannabis affects the severity of schizophrenic symptoms: Results of a clinical survey, Psychol Med, 1986.

M. Kovess-v, Troubles psychiatriques et utilisation des soins chez les sans abri à Paris abus et dépendance à l'alcool et aux drogues. Réunion de la Société Française d'Alcoologie, 2000.

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, Am J Addict, 2003.

H. R. Kranzler, Dual Diagnosis and Psychiatric Treatment. Dual Diagnosis and Psychiatric Treatment, 2004.

L. A. Kroon, American Journal of Health-System Pharmacy, 2007.

M. B. Kushel, S. Perry, D. Bangsberg, R. Clark, and A. R. Moss, Emergency department use among the homeless and marginally housed: Results from a community-based study, Am J Public Health, 2002.

J. Lacoste, M. Pedrera-melgire, C. , A. Ballon, and N. , Cocaine et alcool : des liaisons dangereuses, Presse Medicale, 2010.

A. Laporte and P. Chauvin, La Santé Mentale et les Addictions chez les personnes sans logement personnel d'Ile-de-France (Samenta), Rhizome, vol.38, p.11, 2010.

K. Lasser, J. W. Boyd, S. Woolhandler, D. U. Himmelstein, D. Mccormick et al., Smoking and mental illness: A population-based prevalence study, J Am Med Assoc, 2000.

M. C. , P. Lefur, V. , L. , J. M. Questions-d'economie et al., Cinquante ans de sectorisation psychiatrique en France : des inégalités persistantes de moyens et d'organisation, 2009.

A. Maremmani, S. Bacciardi, N. D. Gehring, L. Cambioli, C. Schütz et al., Substance use among homeless individuals with schizophrenia and bipolar disorder, J Nerv Ment Dis, vol.205, issue.3, pp.173-180, 2017.

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I. Maremmani, C. Stefania, M. Pacini, A. Maremmani, M. Carlini et al., Differential substance abuse patterns distribute according to gender in heroin addicts, J Psychoactive Drugs, 2010.

. Mercuel,

A. Querimi, États des lieux des équipes mobiles psychiatrie-précarité, cinq ans après la circulaire, 2011.

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A. Minassian, G. M. Vilke, and M. P. Wilson, Frequent emergency department visits are more prevalent in psychiatric, alcohol abuse, and dual diagnosis conditions than in chronic viral illnesses such as hepatitis and human immunodeficiency virus, J Emerg Med, 2013.

K. T. Mueser, R. E. Drake, and M. A. Wallach, Dual diagnosis: A review of etiological theories, Addict Behav, vol.23, issue.6, pp.717-751, 1998.

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