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Related Experiment Videos

Homeless shelter users in the postdeinstitutionalization era.

H L Stuart1, J Arboleda-Flórez

  • 1Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario. hh11@post.queensu.ca

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|March 4, 2000
PubMed
Summary

Homeless individuals in Calgary shelters often experience significant mental health issues and alcohol abuse. Many need mental health services but lack access, highlighting a critical gap in care for this vulnerable population.

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Area of Science:

  • Public Health
  • Psychiatry
  • Sociology

Background:

  • Homelessness is a complex issue with significant public health implications.
  • Understanding the mental health status of homeless populations is crucial for effective intervention.
  • Previous research indicates a high prevalence of mental health disorders among those experiencing homelessness.

Purpose of the Study:

  • To assess psychiatric symptoms and mental health service needs among homeless shelter users in Calgary, Alberta.
  • To inform a community action initiative aimed at reducing homelessness.
  • To identify specific mental health challenges faced by this demographic.

Main Methods:

  • A semistructured interview was administered to 250 emergency shelter users.
  • Self-reports were used to measure psychiatric symptoms including depression, anxiety, and psychoses.

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  • The CAGE alcohol screen was employed to assess alcohol abuse.
  • Main Results:

    • Three-quarters of participants reported psychiatric symptomatology.
    • Approximately one-third were estimated to have significant mental health problems.
    • A lifetime prevalence of alcohol abuse was found in 33.6% of the sample.
    • Psychiatric symptoms correlated with hardships, health risks, substance abuse, victimization, and life stressors.
    • Individuals with significant symptoms often required mental health services but faced access barriers.

    Conclusions:

    • Mental health and substance abuse problems are prevalent and severe among homeless populations.
    • These issues are linked to substantial hardship and pose personal and public health risks.
    • There is a clear need for improved access to mental health care for homeless individuals.