Search results for ‘Subject term:"mental health problems"’ Sort:
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Homelessness and mental illness
- Authors:
- TIMMS P.W., FRY A.H.
- Journal article citation:
- Health Trends, 3(21), August 1989, pp.70-71.
- Publisher:
- Office for National Statistics
Data from interviews with homeless men showed almost one third suffering from schizophrenia.
When housing means a home of your own
- Author:
- THOMSON R.
- Journal article citation:
- Social Work Today, 23.6.88, 1988, pp.20-21.
- Publisher:
- British Association of Social Workers
SSDs are failing to meet the housing needs of the mentally ill.
Creating community: groupwork to develop social support networks with homeless mentally ill
- Authors:
- MARTIN Marsha A., NAYOWITH Susan A.
- Journal article citation:
- Social Work with Groups, 11(4), 1988, pp.79-93.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Describes groupwork aimed at providing social support networks among homeless mentally ill people.
Reflections from the MEAM Approach Network: transforming services and systems for people facing multiple disadvantage
- Author:
- MAKING EVERY ADULT MATTER
- Publisher:
- Making Every Adult Matter
- Publication year:
- 2022
- Pagination:
- 19
- Place of publication:
- London
Explores some of the 'key ingredients' that MEAM Approach areas and the MEAM team see as essential to successful work, and consider what is needed next for the future. The content of the report reflects five facilitated conversations held at the MEAM Approach network annual conference in March 2022. Since 2010, MEAM has supported over 50 local authority areas to transform services and systems for people facing multiple disadvantage. The key ingredients of success discussed in this paper include: partnership and leadership; coproduction and power; new operational approaches; developing trauma-informed systems; and intersectional approach; shaping the wider environment. (Edited publisher abstract)
Are resilience and perceived stress related to social support and housing stability among homeless adults with mental illness?
- Authors:
- DURBIN Anna, et al
- Journal article citation:
- Health and Social Care in the Community, 27(4), 2019, pp.1053-1062.
- Publisher:
- Wiley
Perceived stress has been associated with adverse health outcomes. Although people experiencing homelessness often report multiple acute and chronic stressors, research on resilience and perceived stress on the general homeless population is limited. This longitudinal study examined homeless adults with mental illness who were part of a 24‐month trial of Housing First to explore: (a) changes in levels of resilience and perceived stress during the trial, and (b) the association between levels of resilience and perceived stress with measures of social support, social functioning and percentage of days stably housed over the study period. This longitudinal study (2009–2013) that used trial data included 575 participants in Toronto, Ontario. Of these individuals, 507 were included in this study. Connor‐Davidson Resilience Scale and Perceived Stress Scales (PSS) measured the two outcomes, resilience and perceived stress. Time (baseline, 12 and 24 months), housing stability and three measures of social support and social functioning were the main predictors. A longitudinal analysis was done with repeated measures analysis of resilience and perceived stress using linear mixed models with random intercepts. Mean resilience scores increased and PSS scores decreased. In the multivariable analyses, increased resilience was associated with higher scores on the three social support and social functioning measures, but not percentage days stably housed. Lower PSS scores were associated with higher scores on all three social support and social functioning measures and higher percentages of days stably housed. Strong social support and social functioning may minimise the harmful effects of stressful life events on homeless individuals by increasing resilience and reducing stress. Interventions to help homeless people build appropriate support networks should be delivered in parallel to efforts that increase housing stability. (Edited publisher abstract)
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)
A theory of mental health and optimal service delivery for homeless children
- Author:
- MARCAL Katherine E.
- Journal article citation:
- Child and Adolescent Social Work Journal, 34(4), 2017, pp.349-359.
- Publisher:
- Springer
Homeless children are a vulnerable group with high risk for developing mental health disorders. The environments of homeless children are uniquely chaotic, marked by frequent moves, family structure changes, household and neighbourhood disorder, parenting distress, and lack of continuous services. Despite high rates of service use, mental health outcomes remain poor. This paper reviews the literature on homeless children’s mental health, as well as prior theoretical explorations. Finally, the paper proposes a theoretical model that explains elevated rates of mental health problems among homeless children as consequences of harmful stress reactions triggered by chronic household instability along with repeated service disruptions. This model draws upon existing conceptual frameworks of child development, family poverty, health services utilisation, and the biology of stress to clarify the role of environmental chaos in the development of child emotional and behavioural problems. Potential strategies to mitigate the risk for mental health disorders among homeless children and future research directions are discussed. (Edited publisher abstract)
Effectiveness of a supportive housing program for homeless adults with mental illness and substance use: a two-group controlled trial
- Authors:
- GUTMAN Sharon A., RAPHAEL-GREENFIELD Emily I.
- Journal article citation:
- British Journal of Occupational Therapy, 80(5), 2017, p.286–293.
- Publisher:
- Sage
Introduction: The purpose of this study was to assess the effectiveness of a housing transition programme for homeless shelter residents with chronic mental illness and substance use. Method: A two-group controlled study design was used to assess the programme, with 10 participants in an intervention group and 10 in a control group. Goal attainment scaling and quality of life ratings were used pre- and post-intervention to determine if a statistically significant difference existed between groups at post-intervention. Results: A statistically significant difference existed between intervention and control group goal attainment scaling scores (U = 9.50, p < .03, d = 1.34), and on quality of life scores (U = 10.50, p < .04, d = 1.30) at post-intervention. At a 6-month follow-up, 57.14% of intervention group participants had transitioned into supportive housing, while only 25% of control group participants had transitioned. Conclusion: Findings suggest that intervention participants made greater progress toward desired housing goals and reported higher quality of life ratings than controls at post-intervention. This study provides support for the effectiveness of a housing programme for homeless adults with chronic mental illness and substance use histories to achieve housing goals and higher quality of life ratings. (Edited publisher abstract)
PIEs five years on
- Author:
- COCKERSELL Peter
- Journal article citation:
- Mental Health and Social Inclusion, 20(4), 2016, pp.221-230.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider evidence for the effectiveness of the psychologically informed environments (PIEs) approach to working with homeless people in the five years since the national guidance was published. Design/methodology/approach: The author reviewed the intended outcomes of the original guidance and then looked at a range of data from evaluations of current PIE services in UK and Ireland. Findings: The findings were that the PIE approach is effective in meeting the outcomes suggested by the original guidance; in reducing social exclusion and improving the mental health of homeless people; and in improving staff morale and interactions. Research limitations/implications: This is a practice-based evidence. There needs to be more practice-based evidence gathered, and it would be useful if there were some standardised measures, as long as these did not limit the richness of the data which suggests that PIEs have a wide, not narrow, impact. Practical implications: The implications are that homelessness services should use the PIE approach, and that they should be supported by clinically trained psychotherapists or psychologists; and that wider mental health services should look at the PIE approach in terms of working effectively with socially excluded people with complex needs/mental health problems. Originality/value: This is the first review of evidence, much of it so far unpublished, for the effectiveness of PIEs, despite the fact that this approach has been increasingly adopted by both providers and commissioners in the homelessness sector. (Publisher abstract)
Integrating permanent supportive housing and co-occurring disorders treatment for individuals who are homeless
- Authors:
- SMELSON David A., et al
- Journal article citation:
- Journal of Dual Diagnosis, 12(2), 2016, pp.193-201.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objectives: This pilot study examined the feasibility and preliminary outcomes of systematically integrating permanent supportive housing and an evidence-based co-occurring disorders intervention called Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (MISSION). Methods: This single-group open pilot enrolled 107 people with co-occurring disorders experiencing chronic homelessness from two Massachusetts inner-city and rural areas. Enrolled subjects were interested in receiving permanent supportive housing along with 1 year of MISSION services. Data were collected through baseline and 6- and 12-month follow-up assessments. Results: Participants were mostly male (76.6%), Caucasian (52.3%), and unemployed (86.0%), with an average of 8.34 years of homelessness. Self-reported lifetime problems with anxiety (75.7%) and depression (76.6%) were common, as was use of alcohol (30.8%), cannabis (31.8%), and cocaine (15.9%). Almost all participants (95.3%) were placed into permanent housing, which took on average 42.6 days from enrollment. Among those placed, nearly 80% of the clients were able to retain housing through the end of the study. Overall retention was high, with 86.0% remaining in MISSION treatment until the end of the study. While there were no significant changes in rehospitalisation, service utilisation, or substance use, there were modest significant mental health symptom improvements from baseline to program completion. Conclusions: This pilot study suggests that co-occurring disorder interventions like MISSION are feasible to integrate with permanent supportive housing despite the somewhat differing philosophies, and preliminary data suggested substantial improvements in housing and modest improvements in mental health symptoms. While caution is warranted given the lack of a comparison group, these findings are consistent with other rigorous studies using MISSION among homeless individuals who did not receive permanent supportive housing. (Edited publisher abstract)