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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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Hauptverfasser: Salize, Hans Joachim (VerfasserIn) , Horst, A. (VerfasserIn) , Dillmann-Lange, C. (VerfasserIn) , Killmann, U. (VerfasserIn) , Stern, G. (VerfasserIn) , Wolf, I. (VerfasserIn) , Henn, Fritz A. (VerfasserIn) , Rössler, Wulf (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: April 2001
In: Social psychiatry and psychiatric epidemiology
Year: 2001, Jahrgang: 36, Heft: 4, Pages: 207-216
ISSN:1433-9285
DOI:10.1007/s001270170065
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s001270170065
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Verfasserangaben:H.J. Salize, A. Horst, C. Dillmann-Lange, U. Killmann, G. Stern, I. Wolf, F. Henn, W. Rössler

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520 |a 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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