Homeless persons with mental illness during COVID-19

Sharma, Mohit; Aggarwal, Shashi

doi:10.1016/j.ajp.2020.102408

Cited by 5 publications

(3 citation statements)

References 4 publications

(5 reference statements)

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“…Homelessness is an indicator of mental health, whereas homelessness is often preceded by mental health difficulties (Sharma & Aggarwal, 2020). A 2015 county report on homelessness revealed 74 sheltered homeless persons.…”

Section: Resultsmentioning

confidence: 99%

Identifying Mental Health Needs in the Faith Community

Gallo

2022

Journal of Christian Nursing

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:Nearly one in five Americans suffers from a mental health disorder, and mental health issues have escalated during the COVID-19 pandemic. As trusted members of the community, faith community nurses are in a key position to assess mental health needs and take leadership roles in the faith community to address these needs. The aim of this project was to assess the mental health needs of one faith community. Qualitative data with quantitative data from secondary sources were gathered. Analysis revealed three problems for those suffering from mental health disorders: lack of resilience and coping strategies, fear and/or ignorance of mental health disorders, and unfamiliarity with community and health resources.

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Section: Resultsmentioning

confidence: 99%

Identifying Mental Health Needs in the Faith Community

Gallo

2022

Journal of Christian Nursing

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“…Desse modo, em meio às dificuldades de distanciamento social e efetivação de direito, a saúde mental e bem-estar das pessoas em situação de rua tem sido relativamente menos discutida. Em contrapartida, tal problemática sempre se fez presente e agravada durante a crise da COVID-19 (Honorato;Oliveira, 2020;Lima et al, 2020;Sharm;Aggarwal, 2020).…”

Section: Discussionunclassified

Efetivação do direito de acesso à saúde das pessoas em situação de rua frente à pandemia da COVID-19

Silva

Neto²,

Vidal³

et al. 2022

RSD

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O presente estudo buscou avaliar, a partir da literatura especializada, como o direito de acesso à saúde pelas pessoas em situação de rua tem sido afetado frente à pandemia da COVID-19. Trata-se de uma pesquisa de revisão integrativa realizada por meio de uma busca avançada nas bases de dados SciELO, PubMed, Science Direct, BVS e LILACS, com seleção dos artigos feita com os seguintes Descritores em Ciências da Saúde (DeCS): “Pessoas em Situação de Rua”, “Direito à Saúde”, “Acesso aos Serviços de Saúde” e “COVID-19”, e seus respectivos termos traduzidos no idioma inglês. Entre os documentos e artigos encontrados, 16 foram selecionados por se adequarem ao objetivo do estudo. São notórias as barreiras impostas pela pandemia de COVID-19 às populações em situação de rua, em especial, quando se verifica o direito de acesso à saúde por esse grupo social. Especificamente em sua fase mais aguda, a pandemia foi e tem sido ainda marcada por insuficiência em medidas de higienização e isolamento social para esse segmento. Além disso, a vulnerabilidade em saúde é observada nas maiores taxas de mortalidade entre as pessoas em situação de rua comparado à população em geral, bem como a fragmentação do cuidado em saúde mental agravada pela pandemia. Estratégias foram tomadas para proteção e cuidado em saúde à população em situação de rua. Contudo, é observado uma insuficiência na efetivação de tais estratégias por parte dos estados e municípios, demonstrando a necessidade de um cuidado em saúde efetivo para a garantia dos direitos dessa população.

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“…Second, individuals with SPMIs carry a disproportionately more significant burden of comorbid conditions, including disorders that increase their vulnerability to acquiring COVID-19 and experiencing severe COVID-19 illness (19). Third, individuals with SPMIs are more likely to have poorer social determinants of health, such as unstable housing (20), stigma, marginalization, and fewer resources to practice physical distancing and basic hygiene (21). Fourth, individuals with SPMIs residing in crowded spaces, particularly those in criminal justice settings and shelters, are at higher risk for acquiring COVID-19 (22).…”

mentioning

confidence: 99%

Strategies to aid self‐isolation and quarantine for individuals with severe and persistent mental illness during the COVID‐19 pandemic: A systematic review

Bahji

Bach

Danilewitz

et al. 2021

PRCP

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Background Individuals with severe and persistent mental illness (SPMI) have a higher risk of contracting COVID‐19 than individuals without SPMI. In combination with physical distancing, hygiene protocols, and vaccines, quarantine and self‐isolation are primary means of viral containment. However, individuals with SPMI may experience more difficulties with mandated quarantine or self‐isolation because of their illness(es), stigma, and marginalization. To date, there is a lack of consensus on strategies that could aid such individuals in completing isolation. Aim This review aimed to synthesize evidence for interventions to support self‐isolation and mandated quarantine for COVID‐19 among individuals with SPMIs. Methods We followed the PRISMA guidelines, searching 19 electronic databases (9 published literature registries and 10 gray literature sources). We looked for relevant randomized controlled trials, quasi‐experimental studies, and program evaluations of the effectiveness of relevant psychosocial, pharmacological, harm reduction, and addiction management strategies to support isolation settings or quarantine requirements for individuals with any SPMI (e.g., any mental disorder, substance use disorder, or their combination). Findings Of 10,298 total records that were located, 5582 were duplicate citations. Upon screening the remaining 4716 unique records by title and abstract, we excluded a further 3562 records. Only one original article met our inclusion criteria after reviewing the full texts of the remaining 1154 citations. To support individuals experiencing homelessness during the COVID‐19 pandemic, San Francisco developed an isolation hotel that reduced COVID‐19 hospital strain for 1009 participants (25% had a mental health disorder and 26% had a substance use disorder). While 81% completed their hotel stay, 48 patients had behavioral health needs that exceeded the hotel's capabilities. No other studies met our review's eligibility criteria. Most articles located by the search simply proposed solutions or discussed the challenges brought by COVID‐19 for people with SPMIs. While some documents went a step further (e.g., shelter guidance documents to support individuals experiencing homelessness), these rarely addressed individuals with SPMIs directly. Conclusions This systematic review evaluated evidence from published and gray literature on interventions to support self‐isolation and mandated COVID‐19 quarantine for individuals with SPMIs. Only one study met our inclusion criteria. This study found a beneficial effect of a dedicated isolation hotel for individuals experiencing homelessness and COVID‐19—where approximately 25%–50% of the study sample had a mental or substance use disorder. While there has been an abundance of COVID‐19 protocols in general, information for SPMIs is lacking. As the pandemic continues and we better prepare for future pandemics, developing prot...

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Homeless persons with mental illness during COVID-19

Cited by 5 publications

References 4 publications

Identifying Mental Health Needs in the Faith Community

Identifying Mental Health Needs in the Faith Community

Efetivação do direito de acesso à saúde das pessoas em situação de rua frente à pandemia da COVID-19

Strategies to aid self‐isolation and quarantine for individuals with severe and persistent mental illness during the COVID‐19 pandemic: A systematic review

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