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

• Verfasst von: Salize, Hans Joachim [VerfasserIn]
• Verfasst von: Horst, A. [VerfasserIn]
• Verfasst von: Dillmann-Lange, C. [VerfasserIn]
• Verfasst von: Killmann, U. [VerfasserIn]
• Verfasst von: Stern, G. [VerfasserIn]
• Verfasst von: Wolf, I. [VerfasserIn]
• Verfasst von: Henn, Fritz A. [VerfasserIn]
• Verfasst von: Rössler, Wulf [VerfasserIn]
• Titel: Needs for mental health care and service provision in single homeless people
• Verf.angabe: H.J. Salize, A. Horst, C. Dillmann-Lange, U. Killmann, G. Stern, I. Wolf, F. Henn, W. Rössler
• E-Jahr: 2001
• Jahr: April 2001
• Umfang: 10 S.
• Fussnoten: Gesehen am 12.11.2020
• Titel Quelle: Enthalten in: Social psychiatry and psychiatric epidemiology
• Ort Quelle: Darmstadt : Steinkopff, 1966
• Jahr Quelle: 2001
• Band/Heft Quelle: 36(2001), 4, Seite 207-216
• ISSN Quelle: 1433-9285
• DOI: doi:10.1007/s001270170065
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1738537633

Abstract

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.