Needs for mental health care and service provision in single homeless people
Background: Specific problems in sampling methodology, case-finding strategies and a standardised needs assessment in mentally ill homeless people have contributed to their being neglected as a mental health care clientele. Method: We assessed a representative sample of homeless people (n=102) in th...
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| Main Authors: | , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
April 2001
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| In: |
Social psychiatry and psychiatric epidemiology
Year: 2001, Volume: 36, Issue: 4, Pages: 207-216 |
| ISSN: | 1433-9285 |
| DOI: | 10.1007/s001270170065 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s001270170065
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| Author Notes: | H.J. Salize, A. Horst, C. Dillmann-Lange, U. Killmann, G. Stern, I. Wolf, F. Henn, W. Rössler |
| Summary: | Background: Specific problems in sampling methodology, case-finding strategies and a standardised needs assessment in mentally ill homeless people have contributed to their being neglected as a mental health care clientele. Method: We assessed a representative sample of homeless people (n=102) in the highly industrialised city of Mannheim (Germany) regarding their prevalence of mental disorders (using the SCID) and their needs for mental health care (using the NCA). Results: We found high prevalences, with 68.6 % of all assessed homeless persons having a current mental disorder. Thus, needs for mental health care were very common, with unmet needs predominating in all problem areas, which was supported by a very weak service utilization. Thus, even in a region with a comprehensive community mental health care network, like the study area, mentally ill homeless people are widely under-provided. Conclusions: Results suggest that the traditional shelter system for homeless people carries most of the mental health care burden for their clientele and must be supported by adequate interventions from community-based mental health care services. A closer connection of both sectors and a better co-ordination of the care offers seems to be a prerequisite for helping to reduce unmet mental health care needs in this specific high-risk group. |
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| Item Description: | Gesehen am 12.11.2020 |
| Physical Description: | Online Resource |
| ISSN: | 1433-9285 |
| DOI: | 10.1007/s001270170065 |