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Sectioning on the street - futility or utility?
Philip Timms1, Jennifer Perry1
1South London and Maudsley NHS Foundation Trust, London, UK.
Bjpsych Bulletin
|April 6, 2017
Summary
Compulsory hospital admission under the Mental Health Act for rough sleepers is linked to improved accommodation and healthcare engagement after one year. This intervention shows positive outcomes for homeless individuals needing mental health care.
Area of Science:
- Mental Health Services Research
- Public Health Policy
- Social Psychiatry
Background:
- Street homelessness presents significant challenges to accessing mental health services.
- Compulsory admission under the Mental Health Act is a critical intervention for individuals with severe mental illness who lack capacity or insight.
- Evaluating outcomes for this vulnerable population is essential for service improvement.
Purpose of the Study:
- To evaluate the 1-year outcomes for street homeless individuals compulsorily admitted to hospital under the Mental Health Act 1983.
- To determine if this specific intervention leads to improvements in social determinants of health and clinical engagement.
- To inform clinical practice and policy regarding the mental health care of rough sleepers.
Main Methods:
- A service evaluation design was employed.
- Data were retrospectively collected from the case notes of patients who were street homeless and compulsorily admitted.
- Outcomes were assessed at a 1-year follow-up point.
Main Results:
- Patients demonstrated positive outcomes regarding accommodation status at 1-year follow-up.
- Improved registration with a general practitioner was observed.
- Enhanced engagement with clinical teams was a notable positive outcome.
Conclusions:
- Mental Health Act assessment and compulsory hospital admission are associated with positive 1-year outcomes for street homeless individuals.
- This intervention appears to facilitate improvements in housing stability and healthcare integration.
- The findings support the utility of compulsory admission as a pathway to improved outcomes for this population.
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