There is no excuse for homelessness in Britain in 2018

Adebowale, Victor

doi:10.1136/bmj.k902

Cited by 8 publications

(9 citation statements)

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“…Individual factors include childhood poverty, abuse and parental neglect, parental illness, foster care, a lack of supportive networks, adult mental illness, and substance use 1 – 3. At a societal level, individual factors are compounded by inequality, unemployment, supply and affordability of housing, and the increase in debt and delayed benefit payments caused by the introduction of Universal Credit, associated with UK ‘austerity’ policies, recently outlined by Lord Adebowale 4 – 6. Overall, the issues homeless people face stem from vulnerability and poverty rather than merely a lack of housing.…”

Section: Introductionmentioning

confidence: 99%

Influence of past trauma and health interactions on homeless women’s views of perinatal care: a qualitative study

Gordon¹,

Lehane

Burr³

et al. 2019

Br J Gen Pract

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BackgroundHomeless women are twice as likely to become pregnant and are less likely to receive antenatal care than women who are not homeless. Prevalent biopsychosocial complexity and comorbidities, including substance use and mental illness, increase the risk of obstetric complications, postnatal depression, and child loss to social services.AimTo explore the perspectives of women who have experienced pregnancy and homelessness to ascertain how to improve perinatal care.Design and settingA qualitative study with a purposive sample of women who had experienced pregnancy and homelessness, recruited from three community settings.MethodSemi-structured interviews continued to data saturation and were recorded, transcribed, and analysed thematically using a self-conscious approach, with independent verification of emergent themes.ResultsEleven women, diverse in age (18–40 years) and parity (one to five children), participated. Most women had experienced childhood trauma, grief, mental illness, and substance use. Overarching themes of ‘mistrust‘ and ‘fear of child loss to social services’ (CLSS) influenced their interactions with practitioners. The women experienced stigma from practitioners, and lacked effective support networks. Women who mistrusted practitioners attended appointments but concealed their needs, preventing necessary care. Further themes were being seen to do ‘the best for the baby’; pregnancy-enabled access to necessary holistic biopsychosocial care; and lack of postnatal support for CLSS or parenting.ConclusionPregnancy offered a pivotal opportunity for homeless women to engage with care for their complex needs and improve self-care, despite mistrust of practitioners. Poor postnatal support and the distress of CLSS reinforced an ongoing cycle of grief, mental health crises, substance use relapse, and homelessness.

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Section: Introductionmentioning

confidence: 99%

Influence of past trauma and health interactions on homeless women’s views of perinatal care: a qualitative study

Gordon¹,

Lehane

Burr³

et al. 2019

Br J Gen Pract

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“…Studies have shown that the majority of the homeless population suffers from tri-morbidity, defined as concurrent physical and mental health problems alongside substance misuse. This is a significant risk factor for increased morbidity and mortality (Bradley, 2018).…”

Section: Homelessness In the Ukmentioning

confidence: 99%

“…The homeless population does not use the health services available to them as much as they should do (Bradley, 2018). There are many reasons for this situation, but one of the core reasons why the homeless do not engage with healthcare services is their lack of awareness of available services.…”

Section: Health Needs and Accessmentioning

confidence: 99%

Improving primary healthcare for the homeless

Krishnan

Metcalfe

2020

InnovAiT

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Homelessness is an increasing problem in the UK. One of the biggest issues faced by the homeless is their health; they have greater healthcare needs and significantly higher morbidity and mortality rates compared with the general population. However, the homeless population is far less likely to engage with community healthcare services, including general practice. Despite measures to help GPs treat the homeless population, there is still a lack of knowledge about how best to manage the health of the homeless within the community setting. This article aims to inform GPs about effective measures to improve the health of homeless patients.

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“…The main policy and support of each government in the countries have given priority to providing appropriate shelter for homeless persons (Adebowale, ; O'Connell et al, ). Despite these efforts, it has been estimated that nearly a quarter of the homeless population in the United States is chronically homeless (The U.S. Department of Housing & Urban Development, ).…”

Section: Introductionmentioning

confidence: 99%

Systematic review and meta‐analyses of randomized control trials of the effectiveness of psychosocial interventions for homeless adults

Hyun

Bae

Noh

2019

Journal of Advanced Nursing

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Aims To evaluate the effect of psychosocial interventions for homeless adults on their psychosocial outcomes. Design A systematic review and meta‐analyses were performed for critical appraisal and synthesis of the included studies. Data sources A systematic search of studies published before 10 September 2018 was performed using PubMed, Cochrane Library, EMBASE, PsycINFO, and CINAHL. Review methods The review included randomized controlled trials conducting psychosocial interventions and assessing psychosocial outcomes for homeless adults. After systematically describing study and intervention characteristics, we conducted meta‐analyses by the type of outcome and subgroup meta‐analyses by the type of intervention and outcome. Fourteen studies were included in this review and 11 were included in the meta‐analyses. Results A significant effect of psychosocial interventions in reducing anxiety and enhancing mental health status among homeless adults was noted. Conclusion The meta‐analyses showed that psychosocial interventions may reduce anxiety and enhance the mental health status of homeless people. Specifically, we suggest that relaxation response training may be effective in improving anxiety and mental health status and cognitive behavioural therapy may reduce anxiety. Impact Although psychosocial interventions for homeless persons have been implemented for a decade, their impact for psychosocial outcomes among homeless adults has not been evaluated. This review suggest that psychosocial interventions may improve anxiety and mental health status among homeless adults. The findings of the present study may provide directions for developing psychosocial interventions to help vulnerable homeless adults in managing psychological outcomes.

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There is no excuse for homelessness in Britain in 2018

Abstract: Homelessness is a neon sign that something is fundamentally wrong

Cited by 8 publications

References 0 publications

Influence of past trauma and health interactions on homeless women’s views of perinatal care: a qualitative study

Influence of past trauma and health interactions on homeless women’s views of perinatal care: a qualitative study

Improving primary healthcare for the homeless

Systematic review and meta‐analyses of randomized control trials of the effectiveness of psychosocial interventions for homeless adults

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