Homeless people at disadvantage in mental health services.

European Archives of Psychiatry and Clinical Neuroscience
Christoph LauberWulf Rössler

Abstract

The aims of this study are threefold: to depict characteristics of homeless at discharge from a psychiatric hospital; to describe the utilisation of inpatient care and treatment measures during hospitalisation; and to analyse to what extent psychiatric disorders and clinical variables contribute to the risk for homelessness at discharge. Based on case register data we analysed all 28,204 people consecutively referred in 1996-2001 to psychiatric hospitals of a well-defined catchment area in Switzerland. 1% (N=269) of all admissions were homeless at discharge (mean age: 32.0 years; women: 27.9 %). Compared to other psychiatric inpatients, we found among the homeless more males, more people with younger age and lower education. Regarding treatment measures during the inpatient stay, homeless received less often psychopharmacotherapy, ergotherapy and physiotherapy, but more vocational training, occupational therapy and support by social workers. There was no difference between homeless and others regarding compulsory medication or seclusion. Homeless had a shorter length of inpatient stay. Risk factors for being homeless at discharge were: being homeless at admission, not living in a relationship, having a multiple substance abuse ...Continue Reading

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Citations

Mar 20, 2013·Social Psychiatry and Psychiatric Epidemiology·Michael G MadianosGeorge N Papadimitriou
Aug 9, 2013·Community Mental Health Journal·Fang-pei Chen
Feb 12, 2013·Journal of Psychosocial Nursing and Mental Health Services·Cheryl ForchukElsabeth Jensen
Apr 20, 2017·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Laurence RoyAlissa Low
Sep 6, 2011·Qualitative Health Research·Fang-Pei Chen, Lydia Ogden

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