Needs for mental health care and service provision in single homeless people

Salize, H. J., Horst, A., Dillmann-Lange, C., Killmann, U., Stern, G., Wolf, I., Henn, F., Rossler, W. (April 2001) Needs for mental health care and service provision in single homeless people. Soc Psychiatry Psychiatr Epidemiol, 36 (4). pp. 207-16. ISSN 0933-7954 (Print)0933-7954 (Linking)

DOI: 10.1007/s001270170065


BACKGROUND: Specific problems in sampling methodology, case-finding strategies and a standardised needs assessment in mentally ill homeless people have contributed to their being neglected as a mental health care clientele. METHOD: We assessed a representative sample of homeless people (n=102) in the highly industrialised city of Mannheim (Germany) regarding their prevalence of mental disorders (using the SCID) and their needs for mental health care (using the NCA). RESULTS: We found high prevalences, with 68.6% of all assessed homeless persons having a current mental disorder. Thus, needs for mental health care were very common, with unmet needs predominating in all problem areas, which was supported by a very weak service utilization. Thus, even in a region with a comprehensive community mental health care network, like the study area, mentally ill homeless people are widely under-provided. CONCLUSIONS: Results suggest that the traditional shelter system for homeless people carries most of the mental health care burden for their clientele and must be supported by adequate interventions from community-based mental health care services. A closer connection of both sectors and a better co-ordination of the care offers seems to be a prerequisite for helping to reduce unmet mental health care needs in this specific high-risk group.

Item Type: Paper
Uncontrolled Keywords: Adolescent Adult Community Mental Health Services/methods/ utilization Family Characteristics Female Germany/epidemiology Health Services Accessibility/ statistics & numerical data Health Services Needs and Demand/ statistics & numerical data Homeless Persons/ psychology Humans Male Mental Disorders/diagnosis/ epidemiology/therapy Middle Aged Needs Assessment/statistics & numerical data Prevalence Psychiatric Status Rating Scales/statistics & numerical data Sampling Studies Socioeconomic Factors
Subjects: diseases & disorders > mental disorders
CSHL Authors:
Communities: CSHL labs > Henn lab
Depositing User: Matt Covey
Date: April 2001
Date Deposited: 17 Jan 2014 15:18
Last Modified: 17 Jan 2014 15:18
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