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Plugging the gaps: providing a service for homeless mentally ill people
- Author:
- LEWISHAM AND NORTH SOUTHWARK HEALTH AUTHORITY. Psychiatric Team for Single Homeless People
- Publisher:
- Lewisham and North Southwark Health Authority
- Publication year:
- 1990
- Pagination:
- 146p.,tables, bibliog.
- Place of publication:
- London
Final report on research undertaken by the team at four hostels for single homeless people in Southwark. Discusses the clients and the role of the hostels, which had changed with the discharge of patients from mental hospitals. Looks at service developments taking place in the area for single homeless mentally ill people. Details the outcomes of different types of intervention with clients.
The challenge of a “triple diagnosis”: identifying and serving homeless Canadian adults with a dual diagnosis
- Authors:
- LOUGHEED Donna C., FARRELL Susan
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 10(3), 2013, pp.230-235.
- Publisher:
- Wiley
Adults with both a mental illness and intellectual disability (in Canada, a “dual diagnosis”) and who reside in shelters for the homeless are vulnerable and at risk for physical, sexual, and financial abuse. Their mental illnesses are difficult to diagnose and treat, and their intellectual impairments are difficult to ascertain. The authors review the existing literature on homelessness and intellectual disability, and use this and their extensive clinical experience with the homeless in a large Canadian city to identify and extrapolate reasons for the challenges facing both these individuals and the agencies and organizations that serve them. Challenges to providing appropriate services include, identifying and linking with these adults; recognizing the implications of the level of the intellectual delay and the mental illness on the individual's ability to cope, and stay safe; understanding the wants and needs of the individual; expanding the mandate of the agencies and professionals wanting to serve this group; and developing policy that will both provide appropriate support of the individual, but also provide protection, if necessary by legal means. They further suggest that focal services should be based on the following characteristics: flexibility, meeting the client where he or she lives, consideration of capacity to consent in order to avoid neglect issues, and understanding of the lifelong and pervasive effects of intellectual delay in all facets of life. Though the population discussed is resident in Canada, these issues apply to individuals in other countries, as well, where there are concerns about these vulnerable adults with a “triple diagnosis.” (Edited publisher abstract)
Stability versus progress: finding and effective model of supported housing for formerly homeless people with mental health needs
- Authors:
- BOWPITT Graham, JEPSON Marcus
- Journal article citation:
- Social and Public Policy Review, 1(2), 2007, Online only
- Publisher:
- University of Plymouth
- Place of publication:
- Plymouth
Finding an effective model of support that enables homeless people with mental health needs to sustain accommodation has presented a continuous challenge to both policy makers and practitioners. This article is based on a study of a residential hostel for formerly homeless men with a variety of mental health conditions in a Midlands city. The hostel was selected because it appeared to work in terms of anecdotal evidence of reduced hospital re-admissions and engagement with support services. By studying the views, experiences and perspectives of all stakeholders, the research sought to understand what was distinctive about the hostel, what worked well and for whom. The findings revealed that three things were of particular importance to stakeholders: residents’ willingness to engage with support services; increased stability in residents’ lives; and increased independence. A common element in the factors that contributed to the hostel’s success against these criteria was the sense of community between staff and residents, which was maintained following moves to independent accommodation. The policy implications for the long-term sustainability of this model will be explored in the conclusion.
What happens to homeless mentally ill people? Follow up of residents of Oxford hostels for the homeless
- Authors:
- MARSHALL M., GATH D.
- Journal article citation:
- British Medical Journal, 11.1.92, 1992, pp.79-80.
- Publisher:
- British Medical Association
The research was concerned with the subsequent history of hostel residents in terms of rehousing, effect on the general public, behaviour problems, readmission to hospital, and death.
Help for the outcasts
- Author:
- McMILLAN Ian
- Journal article citation:
- Nursing Times, 27.11.91, 1991, pp.30-31.
- Publisher:
- Nursing Times
Discusses the Department of Health's initiative to help homeless people with mental health problems and describes the work of a Mental Health Team.
Group development and shared decision making: working with homeless mentally ill women
- Authors:
- BERMAN-ROSSI Toby, COHEN Marcia B.
- Journal article citation:
- Social Work with Groups, 11(4), 1988, pp.63-78.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Groupwork in a hostel for mentally ill women.
Dying on the streets: the case for moving quickly to end rough sleeping
- Authors:
- WEAL Rory, ORCHARD Beatrice
- Publisher:
- St. Mungo's
- Publication year:
- 2018
- Pagination:
- 20
- Place of publication:
- London
This report focuses on interventions which help people within hours of their arrival on the street, such as street outreach, emergency accommodation, and support for substance use and mental health problems. It also presents findings from a national survey of street outreach services, which examined current responses to rough sleeping England. The survey, which received 71 responses from different providers, found that the majority of services had seen a rise in rough sleeping in their area over the past five years. Survey respondents also said access to vital services, such as emergency accommodation and support for substance misuse and mental health problems, has got harder during the past five years. The report also highlights the need for changes to recording and reviewing the deaths of anyone sleeping rough. Recommendations include the need for refreshed local homelessness strategies which integrate new interventions and ensure link up with other local health and housing strategies. (Edited publisher abstract)
Battered, broken, bereft: why people still end up sleeping rough
- Author:
- ST. MUNGO'S
- Publisher:
- St. Mungo's
- Publication year:
- 2011
- Pagination:
- 14p.
- Place of publication:
- London
This short report examines how and why rough sleeping is increasing in England today. Taking evidence from the largest ever national survey of street outreach workers and the largest annual survey of rough sleepers, as well as personal testimonies from St Mungo’s clients, it paints a picture of people who are ill, alone and failed by public services. Outreach workers across England report increasing numbers of rough sleepers and most believed that there is not enough emergency accommodation available. The report looks at the changes in the rough sleeping population in terms of mental health problems, relationship breakdown, and domestic violence. Illustrative case studies are included. The opportunities to help each of these groups before they are forced onto the streets are discussed. The authors conclude that the Government must focus on those opportunities so that no one is left without help in their darkest hour. They suggest that service reform need not be costly; particularly if the right interventions reach people in time to prevent rough sleeping, from which the journey to recovery is much longer.
Improving homeless Londoners' mental health
- Author:
- HOMELESS LINK
- Publisher:
- Homeless Link
- Publication year:
- 2010
- Pagination:
- 10p.
- Place of publication:
- London
Homeless Link undertook qualitative research to inform a project to support 6 homelessness agencies to improve their responses to clients' mental health problems. The study involved interviews with staff and clients from 3 hostels: a generic project for women, a drug and alcohol specific project for young people, and a specific mental health hostel. This report, based on the research, aims to illustrate the issues that both the homeless and mental health sectors need to consider to create effective care pathways for homeless clients. It identifies 4 key challenges: improving communication and specialist knowledge, ensuring statutory support for the full range of clients' mental health needs, creating partnerships which will make homeless hostels places of well-being, and working successfully with GPs. It discusses the findings in each area, with illustrations from the interviews, and presents some suggested solutions.
Beyond bricks and mortar
- Author:
- SYMINGTON Jim
- Journal article citation:
- Mental Health Today, October 2010, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A brief description is given of a guide, ‘Meeting the psychological and emotional needs of people who are homeless’ which is available on the web. It was produced by the Communities and Local Government Department with support from the housing and mental health sectors. The guide sets out effective ways of recognising and meeting the psychological and emotional needs of people who have experienced homelessness. It contains numerous examples from local networks and research evidence, some of which are outlined in this article. The guide gives examples of treatment models for common psychological problems associated with complex trauma and homelessness. It is intended to support key workers and managers working in supported accommodation or day services, and health and social care staff working in this field but is also relevant for others working in this area. Key messages in the guide include the need to establish a trusting relationship with clients; the need to be positive; the critical importance of communication within the team, between services and with other agencies; the need to respect confidentiality; and a need for a non-judgmental, open attitude.