The mental health of single homeless people in Northampton hostels

Much research evidence about homelessness and health relates to large population centres with correspondingly large homeless populations. Such results may not necessarily apply to small towns such as Northampton. A local need was identified for information relating to health and access to health care for homeless people. Seventy five single, homeless people temporarily residing at open access hostels in Northampton were interviewed. The interviews covered: recent accommodation histories recent physical health mental health access to health care current social contacts, life style and aspirations The General Health Questionnaire (GHQ30) was administered to allow assessment of the levels of mental morbidity in the population studied. The results presented here relate to mental health issues. Current mental health problems were reported by 53% of the sample (40 people); of these only 40% (16 people) were receiving treatment. Three people had been admitted to a psychiatric hospital within the past year. Using standard scoring, the GHQ30 identified as cases 72% (44) of the 61 homeless people who completed the GHQ. It was concluded that levels of mental morbidity were higher in the homeless group than would be expected in the general population. This finding, mirrors those of studies in larger population centres. The main form of access to mental health services appeared to be via hospital admission. Any GP treatment offered was likely to be medication. There was no mention of Community Psychiatric Nurse involvement in treatment or care. The results may indicate a significant level of unmet need for mental health intervention amongst the local homeless population.