Homelessness youth and mental health service utilization: A long‐term follow‐up study

Russell, Melissa; Soong, Wei Tsuen; Nicholls, Craig; Griffiths, Jennifer; Curtis, Kerry; Follett, Denise; Smith, Warwick; Waters, Flavie

doi:10.1111/eip.12985

Cited by 9 publications

(3 citation statements)

References 21 publications

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“…We considered individuals with this disposition to not have been admitted. This disposition was more common among PEH, likely because a larger proportion of PEH were admitted to psychiatric care . Thus, we may be underestimating the percentage of PEH who received medical care, including psychiatric care, after injury.…”

Section: Discussionmentioning

confidence: 96%

Injury Patterns and Hospital Admission After Trauma Among People Experiencing Homelessness

et al. 2023

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ImportanceTraumatic injury is a major cause of morbidity for people experiencing homelessness (PEH). However, injury patterns and subsequent hospitalization among PEH have not been studied on a national scale.ObjectiveTo evaluate whether differences in mechanisms of injury exist between PEH and housed trauma patients in North America and whether the lack of housing is associated with increased adjusted odds of hospital admission.Design, Setting, and ParticipantsThis was a retrospective observational cohort study of participants in the 2017 to 2018 American College of Surgeons’ Trauma Quality Improvement Program. Hospitals across the US and Canada were queried. Participants were patients aged 18 years or older presenting to an emergency department after injury. Data were analyzed from December 2021 to November 2022.ExposuresPEH were identified using the Trauma Quality Improvement Program’s alternate home residence variable.Main Outcomes and MeasuresThe primary outcome was hospital admission. Subgroup analysis was used to compared PEH with low-income housed patients (defined by Medicaid enrollment).ResultsA total of 1 738 992 patients (mean [SD] age, 53.6 [21.2] years; 712 120 [41.0%] female; 97 910 [5.9%] Hispanic, 227 638 [13.7%] non-Hispanic Black, and 1 157 950 [69.6%] non-Hispanic White) presented to 790 hospitals with trauma, including 12 266 PEH (0.7%) and 1 726 726 housed patients (99.3%). Compared with housed patients, PEH were younger (mean [SD] age, 45.2 [13.6] years vs 53.7 [21.3] years), more often male (10 343 patients [84.3%] vs 1 016 310 patients [58.9%]), and had higher rates of behavioral comorbidity (2884 patients [23.5%] vs 191 425 patients [11.1%]). PEH sustained different injury patterns, including higher proportions of injuries due to assault (4417 patients [36.0%] vs 165 666 patients [9.6%]), pedestrian-strike (1891 patients [15.4%] vs 55 533 patients [3.2%]), and head injury (8041 patients [65.6%] vs 851 823 patients [49.3%]), compared with housed patients. On multivariable analysis, PEH experienced increased adjusted odds of hospitalization (adjusted odds ratio [aOR], 1.33; 95% CI, 1.24-1.43) compared with housed patients. The association of lacking housing with hospital admission persisted on subgroup comparison of PEH with low-income housed patients (aOR, 1.10; 95% CI, 1.03-1.19).Conclusions and RelevanceInjured PEH had significantly greater adjusted odds of hospital admission. These findings suggest that tailored programs for PEH are needed to prevent their injury patterns and facilitate safe discharge after injury.

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Section: Discussionmentioning

confidence: 96%

Injury Patterns and Hospital Admission After Trauma Among People Experiencing Homelessness

et al. 2023

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“…psychosozialer Notfälle. Damit werden Behandlungsanlässe in der Notaufnahme beschrieben, die einerseits eine „durch eine soziale Mangelsituation getriggerte Exazerbationen einer psychischen Erkrankung“ [ 17 ] darstellen oder ausschließlich durch soziale Umstände wie beispielsweise Obdachlosigkeit bedingt sind [ 11 , 14 , 17 , 22 ]. Als Ursache für eine steigende Inzidenz psychosozialer Notfälle wird ein Zusammenhang zu sich ändernden sozioökonomischen Ressourcen und Lebensumständen der Patient*innen genannt [ 17 , 24 ].…”

Section: Hintergrund Und Fragestellungunclassified

Blackbox: Psychosoziale Fälle in der Notaufnahme

Ruegenberg

Schmiedhofer

Kreutzberg

et al. 2023

Med Klin Intensivmed Notfmed

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Zusammenfassung Ziel der Studie Ziel der Studie ist a) die Prävalenzerfassung psychosozialer Notfälle in der Notaufnahme, b) die Ermittlung des Anteils der nicht als (Neben‑)Diagnose kodierten psychosozialen Fälle (Dunkelziffer) und c) die Charakterisierung identifizierter Patient*innen. Methodik In einer retrospektiven Studie wurden psychosoziale Notfälle einer Kalenderwoche aus der Routinedokumentation der zentralen Notaufnahme (ZNA) der Charité – Universitätsmedizin Berlin, Charité Campus Mitte (CCM) identifiziert. Nach Ausschluss von geplant aufgenommenen Fällen wurden 862 Patient*innen in die Studie eingeschlossen. Die identifizierten psychosozialen Notfälle wurden hinsichtlich ihrer soziodemografischen und klinischen Merkmale deskriptiv analysiert und mit anderen Notfällen verglichen. Ergebnisse Die Prävalenz psychosozialer Notfälle unter Notaufnahmepatient*innen im angegebenen Zeitraum betrug 11,9 % (n = 103). Ein Großteil der psychosozialen Notfälle war in den Diagnosen nicht (35,9 %) oder nicht vollständig (20,4 %) kodiert. Es gab einen statistisch relevanten Unterschied in der Geschlechterverteilung mit einem signifikant höheren Männeranteil unter den psychosozialen Notfällen (70,9 %) im Vergleich zu anderen Notfällen (50,7 %; p < 0,0001). Die 2 häufigsten Behandlungsanlässe unter den psychosozialen Notfällen waren Substanzmissbrauch (66,0 %) und Obdachlosigkeit (20,4 %). Schlussfolgerungen Diese Studie zeigt einen relevanten Anteil an in den Routinedaten dokumentierten psychosozialen Behandlungsanlässen an allen Behandlungsanlässen in der Notaufnahme und einen hohen Anteil von in den kodierten Diagnosen nicht erfassten Fällen (Dunkelziffer) auf. Notaufnahmen stellen somit eine wichtige Anlaufstelle für vulnerable Patient*innengruppen dar, die dort bisher nicht ausreichend identifiziert werden.

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“…| 349 SHEHADE AnD KYRIAKOPOULOS IEH have higher rates and complexity of mental and physical health issues than non-homeless individuals, leading to increased mortality (Elwell-Sutton et al, 2016;Fazel et al, 2014), and frequent contact with mental health services (Russell et al, 2020). They also report experiences of abuse, stigmatisation and social exclusion (Boydell et al, 2000;Hwang & Burns, 2014), which have a negative impact at the interpersonal and intrapersonal level, leading to exacerbation of mental health issues and social isolation (Williams & Stickley, 2011).…”

mentioning

confidence: 99%

Exploring the experiences of non‐statutory homeless individuals who engaged in an adventure therapy intervention

Shehade

Kyriakopoulos

2021

Couns and Psychother Res

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Johnstone et al. (2016, p.421) identify homelessness as "a significant and worldwide problem". Whilst homelessness is often associated with "sleeping rough" (Ministry of Housing, Communities, & Local Government, 2018), UK legislation (Housing Act, 1996) identifies individuals as homeless if they do not have the legal right to occupy habitable accommodation (non-statutory homelessness). The current paper refers to "individuals experiencing homelessness" (IEH) in relation to "non-statutory" homelessness and individuals who do not meet "priority need" legislative criteria and therefore are not legally entitled to housing.

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Homelessness youth and mental health service utilization: A long‐term follow‐up study

Cited by 9 publications

References 21 publications

Injury Patterns and Hospital Admission After Trauma Among People Experiencing Homelessness

Injury Patterns and Hospital Admission After Trauma Among People Experiencing Homelessness

Blackbox: Psychosoziale Fälle in der Notaufnahme

Exploring the experiences of non‐statutory homeless individuals who engaged in an adventure therapy intervention

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