Search results for ‘Subject term:"mental health problems"’ Sort:
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Supportive housing for chronically homeless individuals: challenges and opportunities for providers in Chicago, USA
- Authors:
- QUINN Katherine, et al
- Journal article citation:
- Health and Social Care in the Community, 26(1), 2018, pp.e31-e38.
- Publisher:
- Wiley
Chronically homeless individuals often have extensive health, mental health and psychosocial needs that pose barriers to obtaining and maintain supportive housing. This study aims to qualitatively explore supportive housing providers’ experiences and challenges with housing chronically homeless individuals and examine opportunities to improve supportive housing systems of care. In 2014, the authors conducted qualitative in-depth interviews with 65 programme administrators and case managers of supportive housing programmes in Chicago, IL. Data were analysed using an inductive thematic content analysis. Analysis revealed four themes that capture the primary challenges faced by housing providers: housing priorities, funding cuts, co-ordinated entry and permanency of housing. Housing for the chronically homeless has been prioritised, yet service providers are being expected to provide the necessary services to meet the needs of this population without commensurate funding increases or agency capacity. Additionally, case managers and administrators discussed the tension over housing tenure and the permanency of supportive housing. Findings provide qualitative insight into the challenges providers face implementing supportive housing for chronically homeless individuals. (Publisher abstract)
Review of the supporting people programme: independent report
- Author:
- SULLIVAN Eugene
- Publisher:
- RSM Robson Rhodes
- Publication year:
- 2004
- Pagination:
- 51p.
- Place of publication:
- London
Supporting People is a new programme which helps vulnerable people, including people with mental health problems, victims of domestic violence and older people, to name but a few, to live independently. Supporting People went live in April 2003. Findings from the Independent Review, Inspections by the Audit Commission, and other research work have shown that there are considerable opportunities for authorities to make efficiency savings in their programme and that some services are not delivering the quality of support that clients deserve.
Reflections: life stories, quotes, poems and snapshots from people with support needs
- Author:
- FAMILY MOSAIC
- Publisher:
- Family Mosaic
- Publication year:
- 2006
- Pagination:
- 40p.
- Place of publication:
- Pitsea
This collection of ‘Life Stories’ has been pulled together in this booklet, the people writing them have a range of different backgrounds, different needs and abilities including young people leaving care, adults with learning difficulties, adults with mental health problems, adults with acquired brain injuries, vulnerable single homeless and vulnerable families. Some of the stories are uplifting, some are sad but all of them show the person behind the ‘label’.
Will the gates open?
- Author:
- FOGGITT Rachel
- Journal article citation:
- Community Care, 2.9.04, 2004, pp.28-29.
- Publisher:
- Reed Business Information
Looks at how identity card schemes could further marginalise vulnerable people, and create barriers to vulnerable people getting the services they need.
Innovation and implementation in mental health services for homeless adults: a case study
- Author:
- FELTON Barbara J.
- Journal article citation:
- Community Mental Health Journal, 39(4), August 2003, pp.309-322.
- Publisher:
- Springer
Seeking to identify conditions that support newly implemented evidence-based practices, this case study examined an implementation in which an existing agency was invited to move into the neighboring county to introduce its “housing first” practice with seriously mentally ill homeless adults. Using a constructivist methodology to elicit the narratives of key actors and observers about the implementation and its attendant controversy, this study found three issues at the core of actors' experiences: mode of presentation, use of an outside agency and the questioned uniqueness of the new practice. Barriers rather than facilitators dominated participants' interpretations of events despite significant researcher-observed facilitators.
The associations between mental illness and homelessness among older people: an exploratory study
- Author:
- CRANE M.
- Journal article citation:
- Aging and Mental Health, 2(3), August 1998, pp.171-180.
- Publisher:
- Taylor and Francis
Explores the role of mental illness in contributing to the entry to homelessness, and its prevalence among a sample of homeless older people. The results of an intensive field study which lasted for fifteen months found there was a high prevalence of mental illness among the subjects and this was a factor in the entry to homelessness in many cases. There were indications that some subjects with mental health problems became homeless because their needs had been neglected or undetected. Mental health problems also had an impact on the circumstances of older homeless people and affected their ability to seek and accept help. Concludes that more effective measures are needed to prevent homelessness amongst vulnerable older people.
Living with dual diagnosis and homelessness: marginalized within a marginalized group
- Authors:
- SCHUTZ Christian G., et al
- Journal article citation:
- Journal of Dual Diagnosis, 15(2), 2019, pp.88-94.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Concurrent mental and substance use disorders or dual diagnosis are highly prevalent among individuals experiencing homelessness. Studies have indicated that dual diagnosis leads to poorer health outcomes and higher health service utilization among those affected. This study aims to estimate the prevalence of dual diagnoses among homeless populations in British Columbia (BC), Canada, and understand their characteristics and specific factors associated with dual diagnoses. Methods: The BC Health of the Homeless Survey is a cross-sectional study involving the homeless population of three cities in BC. The survey assessed addiction and concurrent disorders with standardized interviews—the Mini-International Neuropsychiatric Interview Plus, the Maudsley Addiction Profile, and the Brief Symptom Inventory—in a sample of 500 individuals who are homeless living in shelters or on the street. Individuals were characterized into four groups: those without any current mental disorder, those with substance use disorders only, those with mental disorders only, and those with concurrent substance use and mental disorders. Focusing on the concurrent disorder group, multivariate analysis comparing individuals with dual diagnosis to those without concurrent disorders was completed. Results: Consistent with previous studies, individuals with dual diagnoses report more severe physical and psychological symptoms. Among the homeless, they were more likely to be Aboriginal and younger and more likely to not make it into a shelter. They also reported substantially more difficulties in getting the health care service that they need. Conclusions: Within this marginalized group, individuals with dual diagnosis were more likely to be from groups considered to be more vulnerable with more complex needs. They were having more problems accessing even basic support, such as shelters and health care. Without a systematic approach in providing appropriate care to individuals with dual diagnosis, the most vulnerable clients are not only the ones likely to suffer the most but also the ones having the most problems meeting their basic needs. (Edited publisher abstract)
Integrating social services for vulnerable groups: bridging sectors for better service delivery
- Author:
- ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2015
- Pagination:
- 212
- Place of publication:
- Paris
This book looks at the ways in which governments design and deliver integrated social services to vulnerable groups and the opportunities and challenges this brings. Although the needs of vulnerable families, children and youth with mental health issues, the homeless, and the frail elderly can vary widely, the challenges government face when delivering multiple social supports to these groups are often similar. For each vulnerable group, the book addresses questions like: How are social services being integrated? How are vulnerable groups defined in different countries and how do populations compare? Why integrate service for vulnerable groups? The book highlights pathways towards successful integration practices, and summarises the evidence on good practice and promising common practices from across all of the vulnerable groups. (Edited publisher abstract)
Simple but effective: local solutions for adults facing multiple deprivation: adults facing chronic exclusion evaluation: final report
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 45p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report presents the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at the following outcome measures: accommodation status; employment status; use of health services; receipt of benefits; offending and victimisation; and subjective health and well-being. The report concludes that the work of the pilots was effective and inexpensive. They were effective in bringing about better outcomes for the individuals, particularly in terms of health, and persuading local services to engage with the client group. Some of the pilots were highly replicable and half have received continuation funding locally. The lessons for public sector reform, particularly how to make services more flexible and collaborative, are discussed.
Adults facing chronic exclusion programme: evaluation findings: summary
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report summary outlines the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at different outcomes measures including: accommodation status; employment status; use of health services; receipt of benefits; and offending and victimisation. The report summary concludes that the pilots were effective in achieving positive housing, health and well-being outcomes with the clients. The pilots reduced the cost of healthcare, but the positive outcome of securing accommodation and benefits for homeless people resulted in an overall net cost. The pilots demonstrate that long term, positive, outcomes can be secured for this client group, and that these interventions are likely to be cost effective.