Mental Health Problems of the Edinburgh ‘Roofless’

Newton, Richard; Geddes, John; Bailey, Suzanne; Freeman, Carla; McAleavy, A; Young, Gillian

doi:10.1192/bjp.165.4.537

Cited by 12 publications

(12 citation statements)

References 7 publications

(2 reference statements)

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“…The studies included a total of 5,684 homeless individuals. Eleven reports reported data on men ( n = 1,827) [7,38,40–43,45,47–49,60], 14 included mixed gender samples ( n = 3,381) [6,8,39,44,50–54,61], and four investigated women ( n = 476) [9,10,40,55]. In the surveys with mixed samples, 82% of the individuals were men (weighted average).…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies were published before 1990 [6–8,10,39,40,42,45,46,49]. Ten reports were from the US ( n = 2,019) [6,8,10,38,39,42,49,51,52,55], eight from the UK ( n = 1645) [7,44,45,53,56–58,61], six from Germany ( n = 624) [9,41,47,48,59,60], two from Australia ( n = 473) [40,46], and one each from France ( n = 715) [50], The Netherlands ( n = 150) [43], and Greece ( n = 58) [54]. …”

Section: Resultsmentioning

confidence: 99%

“…Eight studies reported response rate of above 90% [6–8,38,45,49,53,55], the others were mostly above 70%. Three reports did not provide response rates [54,56,61], a further one did not cite the response rate for part of the sample [40], and five surveys reported response rates between 60% and 70% [42–44,47,52]. …”

Section: Resultsmentioning

confidence: 99%

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The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

et al. 2008

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BackgroundThere are well over a million homeless people in Western Europe and North America, but reliable estimates of the prevalence of major mental disorders among this population are lacking. We undertook a systematic review of surveys of such disorders in homeless people.Methods and FindingsWe searched for surveys of the prevalence of psychotic illness, major depression, alcohol and drug dependence, and personality disorder that were based on interviews of samples of unselected homeless people. We searched bibliographic indexes, scanned reference lists, and corresponded with authors. We explored potential sources of any observed heterogeneity in the estimates by meta-regression analysis, including geographical region, sample size, and diagnostic method. Twenty-nine eligible surveys provided estimates obtained from 5,684 homeless individuals from seven countries. Substantial heterogeneity was observed in prevalence estimates for mental disorders among the studies (all Cochran's χ2 significant at p < 0.001 and all I 2 > 85%). The most common mental disorders were alcohol dependence, which ranged from 8.1% to 58.5%, and drug dependence, which ranged from 4.5% to 54.2%. For psychotic illness, the prevalence ranged from 2.8% to 42.3%, with similar findings for major depression. The prevalence of alcohol dependence was found to have increased over recent decades.ConclusionsHomeless people in Western countries are substantially more likely to have alcohol and drug dependence than the age-matched general population in those countries, and the prevalences of psychotic illnesses and personality disorders are higher. Models of psychiatric and social care that can best meet these mental health needs requires further investigation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

et al. 2008

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“…Homelessness has been associated with high risk for mental health-related problems and disorders such as self-harm (Tyler et al, 2003), depression (Unger et al, 1997;Cauce et al, 2000), anxiety, post-traumatic stress disorder (Whitbeck et al, 2004), and alcohol and drug misuse (Newton et al, 1994, Ginzler et al, 2003Slesnick & Prestopnik, 2005). A number of studies in the US and the UK found that these mental health problems were significantly predicted by previous adverse experiences of family breakdown, abuse, residential care, poor educational attainment, and instability of accommodation (Herman et al, 1997;Wrate & Blair, 1999;Craig & Hodson, 1998;Tyler & Cauce, 2002).…”

Section: Introductionmentioning

confidence: 97%

Why a ‘roof’ is not enough: The characteristics of young homeless people referred to a designated Mental Health Service

Taylor

Stuttaford

Broad

et al. 2006

Journal of Mental Health

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Background: Mental health is a growing concern for organizations offering temporary accommodation to young homeless people. Aim: To establish the characteristics of homeless young people referred to a mental health service provided by the non-statutory sector, to determine the appropriateness of referral. Method: The service was provided by five mental health practitioners to 18 Foyers in five regions. Data was collected on 150 consecutively referred young people aged 16 -25 years on their psychosocial history, mental health problems and risk factors. Results: Young people reported multiple needs such as use of illicit drugs, experience of physical or sexual abuse, and self-harm. They presented with lengthy and recurrent mental health problems from childhood, with intermittent and usually fragmented contact with services. Young people presented with a range of mental complaints, predominantly depressive, anxiety and post-traumatic stress symptoms, as well as different risk factors. Conclusions: The young homeless people referred to the mental health service reported a range of complex mental health needs, the majority of which could not be met by statutory specialist services. Young people's lower to medium level mental health needs could be met by services operating on the interface with specialist services, if these are jointly planned and co-coordinated.

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“…A pesar de todo ello, los estudios más recientes son indicativos de que casi la mitad de la población de los «sin techo" está afectada por algún trastorno mental, y un porcentaje similar presenta patología médica considerable (Newton et al, 1994).…”

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La violencia social e institucional sobre los "sin techo"

Hernández¹,

Expósito²

2002

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Mental Health Problems of the Edinburgh ‘Roofless’

Abstract: The roofless have multiple severe medical, social, and psychiatric problems. These all must be addressed when considering the provision of services.

Cited by 12 publications

References 7 publications

The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

Why a ‘roof’ is not enough: The characteristics of young homeless people referred to a designated Mental Health Service

La violencia social e institucional sobre los "sin techo"

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