Homeless mentally ill in Athens area: A cross-sectional study on unmet needs and help-seeking

Chondraki, Paraskevi; Madianos, Michael G.; Dragioti, Elena; Papadimitriou, George N.

doi:10.1177/0020764013503150

Cited by 8 publications

(6 citation statements)

References 49 publications

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“…Fragmented and siloed services will therefore be typically unable to address these linked psychosocial and health problems. The mental disorders reported in this study are typically associated with unmet needs in the homeless population [ 51 , 98 – 100 ], which further indicates the need for integrated approaches. Many different initiatives to address these needs have been researched over the last decade, among them Housing First, Intensive Case Management, Assertive Community Treatment, and Critical Time Intervention.…”

Section: Discussionmentioning

confidence: 89%

The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis

et al. 2021

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Background Homelessness continues to be a pressing public health concern in many countries, and mental disorders in homeless persons contribute to their high rates of morbidity and mortality. Many primary studies have estimated prevalence rates for mental disorders in homeless individuals. We conducted a systematic review and meta-analysis of studies on the prevalence of any mental disorder and major psychiatric diagnoses in clearly defined homeless populations in any high-income country. Methods and findings We systematically searched for observational studies that estimated prevalence rates of mental disorders in samples of homeless individuals, using Medline, Embase, PsycInfo, and Google Scholar. We updated a previous systematic review and meta-analysis conducted in 2007, and searched until 1 April 2021. Studies were included if they sampled exclusively homeless persons, diagnosed mental disorders by standardized criteria using validated methods, provided point or up to 12-month prevalence rates, and were conducted in high-income countries. We identified 39 publications with a total of 8,049 participants. Study quality was assessed using the JBI critical appraisal tool for prevalence studies and a risk of bias tool. Random effects meta-analyses of prevalence rates were conducted, and heterogeneity was assessed by meta-regression analyses. The mean prevalence of any current mental disorder was estimated at 76.2% (95% CI 64.0% to 86.6%). The most common diagnostic categories were alcohol use disorders, at 36.7% (95% CI 27.7% to 46.2%), and drug use disorders, at 21.7% (95% CI 13.1% to 31.7%), followed by schizophrenia spectrum disorders (12.4% [95% CI 9.5% to 15.7%]) and major depression (12.6% [95% CI 8.0% to 18.2%]). We found substantial heterogeneity in prevalence rates between studies, which was partially explained by sampling method, study location, and the sex distribution of participants. Limitations included lack of information on certain subpopulations (e.g., women and immigrants) and unmet healthcare needs. Conclusions Public health and policy interventions to improve the health of homeless persons should consider the pattern and extent of psychiatric morbidity. Our findings suggest that the burden of psychiatric morbidity in homeless persons is substantial, and should lead to regular reviews of how healthcare services assess, treat, and follow up homeless people. The high burden of substance use disorders and schizophrenia spectrum disorders need particular attention in service development. This systematic review and meta-analysis have been registered with PROSPERO (CRD42018085216). Trial registration PROSPERO CRD42018085216.

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Section: Discussionmentioning

confidence: 89%

The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis

et al. 2021

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“…Eine nationale Registerstudie in Dänemark ergab bei 62,4% der Männer und 58,2% der Frauen eine diagnostizierte psychiatrische Störung (23). Neuere populationsbasierte Studien in Großstädten bestätigen diese Angaben (24)(25)(26). Wohnungslose mit psychischen Störungen zählen sehr häufig zu den chronisch Wohnungslosen oder Langzeitwohnungslosen mit multiplen sozialen Exklusionserfahrungen (9,27).…”

Section: Bundesarbeitsgemeinschaftunclassified

Die gesundheitliche Versorgung von wohnungslosen Menschen mit psychischen Problemen

Franz¹,

Salize²,

Hoell³

2017

Die Psychiatrie

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Zusammenfassung Hintergrund: Wohnungslosigkeit ist ein vielerorts kaum zu übersehendes und trotzdem gesamtgesellschaftlich weitgehend ignoriertes Phänomen. Menschen mit psychischen Problemen und bestehender Abhängigkeitserkrankung finden sich überzufällig häufig in der Gruppe Wohnungsloser. Methode: Eine internationale systematische Literaturrecherche wurde mit einer deutschsprachigen Recherche in der Datenbank des Netzwerkes für Versorgungsforschung kombiniert, um aktuelle Ergebnisse von Interventionen für Wohnungslose mit psychischen Erkrankungen darzustellen. Ergebnisse: Insbesondere im anglo-amerikanischen Sprachraum werden viele gemeindenahe Ansätze wie Housing First und Assertive Community Treatment beschrieben, die gute Ergebnisse für Wohnstabilität und Lebenszufriedenheit zeigen. Gemischt sind die Ergebnisse für die psychische Gesundheit. Forschung im deutschsprachigen Raum ist vergleichsweise defizitär. Ausblick: Niedrigschwellige oder aufsuchende Angebote scheinen vorteilhaft zu sein. Doch die Befunde lassen sich aufgrund sozialrechtlicher Unterschiede nicht per se auf die hiesigen Gegebenheiten übertragen. Das Problem wird gegenwärtig durch den sozialstrukturellen Wandel mit dem Aufkommen Geflüchteter verschärft.

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“…Research evidence further demonstrates that homeless individuals are at an elevated risk of substance abuse (Baggett et al, 2015), health-risk behaviors and delinquency especially among homeless youth (Chondraki et al, 2014). Studies have cited substance use as normative of homelessness, with evidence indicating as high as 69% to 71% of homeless youth reporting abuse of alcohol or drugs (Fox et al, 2016; Urbanoski et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Studies have cited substance use as normative of homelessness, with evidence indicating as high as 69% to 71% of homeless youth reporting abuse of alcohol or drugs (Fox et al, 2016; Urbanoski et al, 2018). Abuse of drugs and alcohol places homeless youths at an increased risk of negative health consequences such as risk of disease infection, depression, suicide, physical victimization, and illegal activities (Chondraki et al, 2014; Fekadu et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Assessing psychosocial distress associated with homelessness in Ghana: A springboard for interventional policy design

Amissah

Amponsah

2022

J Health Psychol

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This study investigated the causes of homelessness in Ghana and associated psychosocial distress. A sample of 86 homeless participants listed perceived causes of their homelessness and completed measures of psychosocial distress, and 97 non-homeless participants completed the same measures psychosocial distress. Causes of homelessness among the participants included poverty (30.1%), migration (10.4%), unemployment (2.2%), parental demise (2.2%), parental neglect (0.5%), and parental divorce (0.5%). Multivariate analysis revealed higher psychosocial distress among the homeless than the non-homeless. Homeless females reported higher levels of stress and suicidality than their male counterparts. The study demonstrates the need for timely and effective implementation of interventions such as provision of affordable housing, financial assistance, job-creation, and skill training for the homeless directly related to known causes of homelessness and accounting for gender differences.

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Homeless mentally ill in Athens area: A cross-sectional study on unmet needs and help-seeking

Abstract: The vast majority of the homeless mentally ill persons were lacking any current psychiatric care. The planning of a mental health-care delivery parallel to the existing social welfare system is needed to serve the unmet mental health needs of this population.

Cited by 8 publications

References 49 publications

The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis

The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis

Die gesundheitliche Versorgung von wohnungslosen Menschen mit psychischen Problemen

Assessing psychosocial distress associated with homelessness in Ghana: A springboard for interventional policy design

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