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How can health services effectively meet the health needs of homeless people?
- Authors:
- WRIGHT Nat M.J., TOMPKINS Charlotte N.E.
- Journal article citation:
- British Journal of General Practice, 56(525), April 2006, pp.286-293.
- Publisher:
- Royal College of General Practitioners
This systematic review aims to critically evaluate the international literature relating to the health care of homeless people and discusses the effectiveness of treatment interventions. Medline, EMBASE, CINAHL, Web of Science and the Cochrane Library databases were reviewed using key terms relating to homelessness, intervention studies, drug misuse, alcohol misuse and mental health. The review was not limited to publications in English. It included searching the Internet using key terms, and grey literature was also accessed through discussion with experts.
Associations between migrancy, health and homelessness: a cross-sectional study
- Authors:
- TOMPKINS Charlotte N.E., et al
- Journal article citation:
- Health and Social Care in the Community, 11(5), September 2003, pp.446-452.
- Publisher:
- Wiley
There is limited awareness of the link between differing health problems and migrancy of homeless people. This cross-sectional study sought to quantify the extent of migrancy of homeless people from their birthplace and evaluate whether a history of problematic drug or alcohol misuse or enduring mental health problems were associated with this. The work was conducted at an inner-city health centre for the homeless in the north of England. Birthplace was created as an entry on computerised registration records and collected and recorded for each homeless person registering with the service over the study period. Information was also extracted regarding diagnoses of problematic illicit drug or alcohol use and enduring mental health problems. The study identified statistically significant differences for the migration of homeless people from birthplace for age and problematic drug and alcohol use, the last independently associated with increased likelihood of migration from birthplace. Conversely, a history of illicit drug use is associated with a reduced possibility of migration from birthplace when accessing primary healthcare services. There was no significant difference for migration from birthplace for mental health. Not all homeless people migrate from their birthplace and health problems of drug use, mental health or alcohol use are independently associated with different patterns of migration. Understanding the migrancy of homeless people is important when planning and targeting appropriate health and social services to address their varying health, social and psychological needs.