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Related Experiment Videos

Homelessness and mental illness.

P W Timms, A H Fry

    Health Trends
    |July 8, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Many homeless men, particularly those newly arriving at shelters, meet diagnostic criteria for schizophrenia but lack psychiatric care. This highlights a critical gap in follow-up services for individuals with schizophrenia, contributing to homelessness.

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    Area of Science:

    • Psychiatry
    • Public Health
    • Social Work

    Background:

    • Homelessness is a significant public health issue.
    • Schizophrenia is a severe mental illness often associated with homelessness.
    • Gaps in psychiatric care can lead to individuals with schizophrenia becoming lost to follow-up.

    Purpose of the Study:

    • To investigate the prevalence of schizophrenia among men newly arriving at a homeless shelter.
    • To assess the contact with psychiatric services among homeless men with schizophrenia.
    • To understand the implications for service provision for this population.

    Main Methods:

    • A representative sample of newly arrived men at a Salvation Army hostel was interviewed.
    • This sample was compared with long-term residents of the hostel.

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  • Diagnostic and Statistical Manual of Mental Disorders, 111R (DSM-111R) criteria were used for diagnosis.

    • Main Results:

    • 31% of newly arrived men met DSM-111R criteria for schizophrenia.
    • Over 50% of these individuals were not receiving psychiatric services.
    • A significant number of men with schizophrenia appear to be lost to follow-up and become homeless.

    Conclusions:

    • There is a substantial unmet need for psychiatric services among homeless men with schizophrenia.
    • Current service provision may be failing to identify and support individuals with schizophrenia, leading to chronic homelessness.
    • Improved outreach and integrated care models are needed to address this population's needs.