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Homelessness and mental illness

J Scott1

  • 1University Department of Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne.

The British Journal of Psychiatry : the Journal of Mental Science
|March 1, 1993
PubMed
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Homelessness in Great Britain affects 1-2 million people, with significant mental illness (30-50%) and co-occurring substance abuse (20%). Research highlights complex causes and social needs, with less focus on service solutions.

Area of Science:

  • Public Health
  • Mental Health Research
  • Social Sciences

Background:

  • 1-2 million individuals in Great Britain experience homelessness.
  • Homeless populations comprise primarily men, with 10-25% being women, often with children.
  • High rates of mental illness (30-50%), including functional psychoses, distress, and personality disorders, are prevalent.

Purpose of the Study:

  • To review current research on the extent and characteristics of homelessness in Great Britain.
  • To explore the complex pathways leading to homelessness.
  • To identify research gaps, particularly in evaluating service solutions for the homeless mentally ill.

Main Methods:

  • Literature review of recent research on homelessness and mental illness.
  • Analysis of demographic data and prevalence rates of mental and physical health conditions.

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  • Examination of social needs and potential contributing factors to homelessness.

    • Main Results:

    • Significant mental illness and physical morbidity are common among the homeless.
    • Co-morbidity of mental illness and substance abuse affects 20% of this population.
    • Complex factors contribute to homelessness, with deinstitutionalization being a potential, but not sole, cause.

    Conclusions:

    • The homeless mentally ill face substantial social and health challenges.
    • Further research is needed to evaluate effective service interventions.
    • A comprehensive understanding of homeless population classifications and service needs is crucial.