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Effectiveness of psychosocial intervention and functionality among homeless persons with mental illness
K Janaki Raman1, D Muralidhar1, E Aravind Raj1
1Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Background:
Homelessness is a deeply ingrained aspect of our culture. It has a detrimental influence on people of all ages' physical and mental well-being, child development, academic success and the establishment and upkeep of families. Homelessness and mental illness have a reciprocal relationship that makes them two interrelated social issues that affect people's ability to function and communities all over the world.
Methods:
The study followed a Quasi-experimental research design - Pre and Post without control group, conducted in an urban rehabilitation center. A basic random sampling technique was used to select a sample of the respondents. All eligible participants who gave their consent were given the WHO Disability Assessment Schedule (WHODAS 2.0) and a semi-structured interview schedule. Statistics procedures used frequency distribution and inferential statistics such as t-tests, chi-square and correlation.
Results:
The results of the study show that the majority of the respondents (60.00%) were in the age group 20 to 40 years, 73.3% were male, 50% were married, 62.7% had no children and their educational status shows that the majority of them (63.3%) were literate 56.7% were unemployed prior to institutionalisation. The mean percentage of disability of the respondents followed by the intervention (30.9 ± 16.4) was found to be significantly lesser than (t = 11.6, df = 29, p < .001) their level of disability (52.7 ± 17.8) before the psychosocial intervention. A significant negative correlation exists between disability and income (r = -.48, p < .01).
Discussion:
Psychosocial intervention plays an essential role in enhancing functionality among homeless persons with mental illness in terms of self-help skills, social skills development, casework, group work, working with family and community and networking with community-based organisations to develop a support system. The present study revealed a significant negative correlation between disability and income.
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