Mental health problems as one of the factors in the development and persistence of homelessness

Habánik, Tomáš

doi:10.1016/j.kontakt.2018.03.004

Cited by 11 publications

(7 citation statements)

References 10 publications

(9 reference statements)

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“…Individuals with schizophrenia or other psychotic disorders are highly likely to be marginalized by society but also by themselves. In addition, due to their condition, they can experience severe and long-term consequences such as unemployment, addiction, poverty, and homelessness (Evensen et al, 2016 ; Habánik, 2018 ; Ayano et al, 2019 ), which could explain why patients in the psychotic class are more likely to have risky network members. Moreover, our findings are in line with the study of Bogaerts et al ( 2020 ), which also found that psychotic symptoms can indeed diminish the patient's ability to complete essential daily tasks independently.…”

Section: Discussionmentioning

confidence: 99%

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

et al. 2021

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Forensic psychiatric patients form a very heterogeneous population regarding psychopathology, criminal history, and risk factors for reoffending. Therefore, the present study aimed to investigate whether there are more homogeneous classes of forensic patients based on DSM-IV-TR Axis I and II diagnoses and previously committed offenses, by means of explorative latent class analysis (LCA). It was also investigated which risk and protective factors are significantly more prevalent in one class compared to other classes. The study sample contained 722 male forensic psychiatric patients who were unconditionally released between 2004 and 2014 from high-security forensic clinics. Data were retrospectively derived from electronic patient files. Five distinctive patient classes emerged: class with only Axis II diagnosis, class with multiple problems, antisocial class, psychotic class, and intellectually disabled class. These classes differed significantly in risk and protective factors. This study contributes to the understanding of patient classes and provides directions for future, class-tailored interventions.

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Section: Discussionmentioning

confidence: 99%

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

et al. 2021

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“…Many factors contribute to such social and vital circumstances: domestic violence, unemployment, economic and family problems, childhood trauma, sexual assault, etc. (Habánik, 2018;Nishio et al, 2017). Among other factors, mental disorders play an important role, including psychotic disorders (Caton et al, 1994) and bipolar disorders (Maremmani et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

COVID pandemic as an opportunity for improving mental health treatments of the homeless people

Martin

Andrés

Bullón

et al. 2020

Int J Soc Psychiatry

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Background: Homeless population has been severely affected by the COVID-19 pandemic. Their living conditions, comorbidity with different pathologies and a greater frequency of mental disorders, make this population vulnerable. Method: We implemented a program of serial visits in a hostel for confined homeless of the city council social services, for the monitoring and treatment of mental disorders and substance abuse problems. Accompanied by serial phone and email contacts. Results: A highly significant percentage (63%) had mental disorders or substance abuse, requiring pharmacological intervention, and 37% began follow-up in resources of the Mental Health and Addiction network of the Psychiatric Service at the end of the program. Hospital emergency service visits were drastically reduced. None of them were infected with COVID-19. An individualized Social plan was drawn up in order to reintegrate them with support in the community. Conclusions: The Results have been really positive, meeting all the objectives and opening up developing new programs in the future, in the pandemic outbreak and out of it.

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“…Globally, as many as 100 million people were categorized as homeless, and over 1.6 billion individuals lacked adequate housing [1]. A wide range of multiple and interrelated factors contributes to homelessness such as domestic violence, social isolation, unemployment, addictions, mental illness, sexual assault, poverty, a critical shortage of affordable housing, financial difficulties, family breakdown, and adverse childhood experiences [2–6].…”

Section: Introductionmentioning

confidence: 99%

The prevalence of schizophrenia and other psychotic disorders among homeless people: a systematic review and meta-analysis

Ayano¹,

2019

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BackgroundSchizophrenia and other psychotic disorders constitute a huge global burden of disease and they are major contributors to disability as well as premature mortality among homeless people. This systematic review and meta-analysis aimed to estimate the pooled prevalence of schizophrenia and other psychotic disorders among homeless people.MethodsPubMed, Embase, and Scopus were searched to identify pertinent studies. We used a fixed- or random-effect meta-analysis to pool data from the included studies depending on the anticipated heterogeneity. A predesigned search strategy, as well as inclusion and exclusion criteria, were used. We also performed subgroup and sensitivity analysis and Cochran’s Q- and the I2 test was employed to compute heterogeneity. Egger’s test and visual inspection of the symmetry in funnel plots were used to assess publication bias.ResultsThirty-one studies involving 51,925 homeless people were included in the final analysis. The meta-analysis showed a remarkably higher prevalence of psychosis [21.21% (95% CI:13.73, 31.29), I2 = 99.43%], schizophrenia [10.29% (95%, CI: 6.44, 16.02), I2 = 98.76%], schizophreniform disorder [2.48% (95% CI: 6.16, 28.11), I2 = 88.84%] schizoaffective disorder [3.53% (95% CI: 1.33, 9.05), I2 = 31.63%,] as well as psychotic disorders not otherwise specified [9% (95% CI: 6.92, 11.62), I2 = 33.38%] among homeless people. The prevalence estimate of psychosis was higher in developing (29.16%) as compared to developed (18.80%) countries. Similarly, the prevalence of schizophrenia was highest in developing (22.15%) than developed (8.83%) countries.ConclusionThis systematic review and meta-analysis revealed that schizophrenia and other psychotic disorders are highly prevalent among homeless people, indicating an urgent need for studies to help develop better mechanisms of prevention, detection as well as treatment of those disorders among homeless people.

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Mental health problems as one of the factors in the development and persistence of homelessness

Cited by 11 publications

References 10 publications

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

COVID pandemic as an opportunity for improving mental health treatments of the homeless people

The prevalence of schizophrenia and other psychotic disorders among homeless people: a systematic review and meta-analysis

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