Mental illness and housing outcomes among a sample of homeless men in an Australian urban centre

Spicer, Bridget; Smith, David; Conroy, Elizabeth; Flatau, Paul; Burns, Lucy

doi:10.1177/0004867414563187

Cited by 31 publications

(27 citation statements)

References 45 publications

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“…In a sample of 1158 people experiencing homelessness in Western Australia, half had trimorbidity (the coexistence of substance use, serious medical problem and mental illness) 16 . In an intervention study of homeless men in Sydney, 71% of respondents at baseline reported a previous psychiatric diagnosis, and 20% fulfilled criteria for post‐traumatic stress disorder in the past month 17 …”

Section: Health As Consequence and Cause Of Homelessnessmentioning

confidence: 99%

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Homeless health care: meeting the challenges of providing primary care

Davies

Wood

2018

Medical Journal of Australia

109

137

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People experiencing homelessness have multiple complex health conditions yet are typically disengaged from primary health care services and place a significant burden on the acute health system. Barriers preventing people who are homeless from accessing primary care can be both personal and practical and include competing needs and priorities, illness and poor health, physical access to health services, difficulty in contacting services, medication security, and the affordability of health care. Differences in social status and perceptions of being judged can lead to relationship barriers to accessing primary care. Key solutions include prioritising access to stable housing, continuity of health care, specialised homeless general practice, hospital inreach, discharge planning and coordinated care, general practice outreach, and medical recovery centres.

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Section: Health As Consequence and Cause Of Homelessnessmentioning

confidence: 99%

“…16 In an intervention study of homeless men in Sydney, 71% of respondents at baseline reported a previous psychiatric diagnosis, and 20% fulfilled criteria for post-traumatic stress disorder in the past month. 17…”

Section: Health As Consequence and Cause Of Homelessnessmentioning

confidence: 99%

Homeless health care: meeting the challenges of providing primary care

Davies

Wood

2018

Medical Journal of Australia

109

137

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“…It is important to note that comorbidities are common in homeless populations (The Lancet 2014). In particular, a significant proportion of homeless individuals suffer from substance dependence and mental illness (The Lancet 2014; Fazel, Geddes et al 2014;Cheung, Somers et al 2015;Spicer, Smith et al 2015). Homelessness, substance abuse and mental illness have all individually been associated with higher use of emergency departments and higher rates of hospitalisation (Kushel, Vittinghoff et al 2001;Kushel, Perry et al 2002;Culhane, Metraux et al 2002;Kim, Kertesz et al 2006;Chartier, Carrico et al 2012), and so the impact on health service use and costs are compounded when these circumstances are clustered together.…”

Section: Relationship Between Homelessness and Healthmentioning

confidence: 99%

What are the health, social and economic benefits of providing public housing and support to formerly homeless people?

et al. 2016

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AHURI is a national independent research network with an expert not-for-profit research management company, AHURI Limited, at its centre. AHURI has a public good mission to deliver high quality research that influences policy development to improve the housing and urban environments of all Australians. Through active engagement, AHURI's work informs the policies and practices of governments and the housing and urban development industries, and stimulates debate in the broader Australian community. AHURI undertakes evidence-based policy development on a range of issues, including: housing and labour markets, urban growth and renewal, planning and infrastructure development, housing supply and affordability, homelessness, economic productivity, and social cohesion and wellbeing. We would like to extend special thanks to the Data Linkage Branch of the Western Australian Department of Health and the Western Australian Housing Authority for their support and assistance with respect to the linkage of health and housing data and the implementation of the public housing Tenant Survey. We also wish to thank Jessica Smith, Georgina Carson and Daniel Sutton for their excellent research assistance on the study. DISCLAIMER The opinions in this report reflect the views of the authors and do not necessarily reflect those of AHURI Limited, its Board or its funding organisations. No responsibility is accepted by AHURI Limited, its Board or funders for the accuracy or omission of any statement, opinion, advice or information in this publication. AHURI JOURNAL AHURI Final Report journal series is a refereed series presenting the results of original research to a diverse readership of policy-makers, researchers and practitioners. PEER REVIEW STATEMENT An objective assessment of reports published in the AHURI journal series by carefully selected experts in the field ensures that material published is of the highest quality.

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“…Recent systematic reviews have highlighted the lack of consensus in definitions of housing stability [ 5 , 6 ]. Most studies categorize participants as either housed or homeless [ 7 , 8 , 9 ] and include relatively few dimensions in defining housing trajectories, such as type of accommodation (e.g., living with family or friends, in supportive housing, etc.) and housing duration (e.g., 90 consecutive days, or longer) [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study

Kaltsidis

Grenier

Cao

et al. 2020

IJERPH

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Housing stability is a key outcome in studies evaluating housing services for the homeless population. Housing stability has typically been defined dichotomously and based on a fixed duration of maintenance in housing accommodations, which does not fully capture change in housing status among homeless individuals. Moreover, few typologies have examined housing trajectories across different housing types. Cluster analysis was used to develop a typology of housing status change for 270 currently or formerly homeless individuals in Quebec (Canada) residing in shelters and temporary and permanent housing. Participants were interviewed at baseline (T0) and 12 months later (T1). The Gelberg–Andersen Model was used to organize housing-related variables into predisposing, needs and enabling factors. Comparison analyses were conducted to assess group differences. Three groups (Groups 1, 3 and 4) had more favorable and two (Groups 2 and 5) less favorable, housing status at T1. Findings suggest that maintenance or improvement of housing status requires suitable types and frequencies of service use (enabling factors) that are well adapted to the nature and complexity of health problems (needs factors) among homeless individuals. Specific interventions, such as outreach programs and case management, should be prioritized for individuals at higher risk for returning to homelessness.

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Mental illness and housing outcomes among a sample of homeless men in an Australian urban centre

Abstract: This study provides evidence to support an innovative support model for homeless people in Australia and contributes to the limited Australian research on mental illness in this population.

Cited by 31 publications

References 45 publications

Homeless health care: meeting the challenges of providing primary care

Homeless health care: meeting the challenges of providing primary care

What are the health, social and economic benefits of providing public housing and support to formerly homeless people?

Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study

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