Psychopathology, Social and Cognitive Functioning in a Hostel for Homeless Women

Adams, Clive E; Pantelis, Christos; Duke, Peter J.; Barnes, Thomas R. E.

doi:10.1192/bjp.168.1.82

Cited by 33 publications

(41 citation statements)

References 6 publications

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“…Ten studies were published before 1990 [6–8,10,39,40,42,45,46,49]. Ten reports were from the US ( n = 2,019) [6,8,10,38,39,42,49,51,52,55], eight from the UK ( n = 1645) [7,44,45,53,56–58,61], six from Germany ( n = 624) [9,41,47,48,59,60], two from Australia ( n = 473) [40,46], and one each from France ( n = 715) [50], The Netherlands ( n = 150) [43], and Greece ( n = 58) [54]. …”

Section: Resultsmentioning

confidence: 99%

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The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

et al. 2008

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BackgroundThere are well over a million homeless people in Western Europe and North America, but reliable estimates of the prevalence of major mental disorders among this population are lacking. We undertook a systematic review of surveys of such disorders in homeless people.Methods and FindingsWe searched for surveys of the prevalence of psychotic illness, major depression, alcohol and drug dependence, and personality disorder that were based on interviews of samples of unselected homeless people. We searched bibliographic indexes, scanned reference lists, and corresponded with authors. We explored potential sources of any observed heterogeneity in the estimates by meta-regression analysis, including geographical region, sample size, and diagnostic method. Twenty-nine eligible surveys provided estimates obtained from 5,684 homeless individuals from seven countries. Substantial heterogeneity was observed in prevalence estimates for mental disorders among the studies (all Cochran's χ2 significant at p < 0.001 and all I 2 > 85%). The most common mental disorders were alcohol dependence, which ranged from 8.1% to 58.5%, and drug dependence, which ranged from 4.5% to 54.2%. For psychotic illness, the prevalence ranged from 2.8% to 42.3%, with similar findings for major depression. The prevalence of alcohol dependence was found to have increased over recent decades.ConclusionsHomeless people in Western countries are substantially more likely to have alcohol and drug dependence than the age-matched general population in those countries, and the prevalences of psychotic illnesses and personality disorders are higher. Models of psychiatric and social care that can best meet these mental health needs requires further investigation.

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Section: Resultsmentioning

confidence: 99%

“…Eight studies reported response rate of above 90% [6–8,38,45,49,53,55], the others were mostly above 70%. Three reports did not provide response rates [54,56,61], a further one did not cite the response rate for part of the sample [40], and five surveys reported response rates between 60% and 70% [42–44,47,52]. …”

Section: Resultsmentioning

confidence: 99%

The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

et al. 2008

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“…27 The cut-off score of 24 to distinguish between impaired and not impaired subjects was derived from screening elderly hospitalized patients with delirium or fairly advanced dementia. 28 In homeless samples, 0% to 21% (weighted mean 4.22%) of participants scored less than 24 on the MMSE (Figure 1) [29][30][31][32][33][34][35][36][37][38] ; in 4 studies, 2% to 28% (weighted mean 6.82%) scored less than 18 33,36,38,39 ; and in 1 study, 35% scored 26 or less on the MMSE. 40 41 was administered in a Milwaukee sample.…”

Section: Global Cognitive Functioningmentioning

confidence: 99%

A Systematic Review of Cognitive Deficits in Homeless Adults: Implications for Service Delivery

2009

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Objective: The primary goals of this systematic review were to assess studies of homeless adults and cognitive functioning, and to explore the clinical implications and potential impacts on social functioning of these cognitive deficits. Method:The MEDLINE, CINAHL, EMBASE, PsycINFO, Applied Social Sciences Index and Abstracts, ERIC, Social Sciences Abstracts, Social Sciences Citation Index, Social Services Abstracts, and Sociological Abstracts databases were searched from 1970 (or their inception) to October 2007. Abstracts from 582 studies were screened and 22 studies were found to meet inclusion criteria (published in the English language, reported results of neuropsychological tests, or screening tests for cognitive dysfunction in homeless people aged 18 years or older). Two investigators independently reviewed each study and rated its quality based on well-defined criteria.Results: Ten studies were of good or fair quality. Studies that administered the Mini Mental State Examination indicate about 4% to 7% of homeless people exhibit global cognitive deficits. Focal deficits in verbal and visual memory, attention, speed of cognitive processing, and executive function were also apparent. No studies of the functional implications of cognitive deficits were found.

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“…First, not all researchers assessed the full range of psychiatric disorders. For example, information regarding anxiety disorders was often not provided [22][23][24][25][26][27] and only a few researchers reported detailed prevalence rates for individual subtypes of anxiety disorders. For mood disorders, information on bipolar disorder and/or differential diagnoses distinguishing bipolar from unipolar disorders was often lacking.…”

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confidence: 99%

“…For mood disorders, information on bipolar disorder and/or differential diagnoses distinguishing bipolar from unipolar disorders was often lacking. [24][25][26][27][28] Second, little is known about concurrent disorders among homeless women, an issue related to both differential diagnostics and severity of mental health problems. The authors of a recent meta-analysis comparing different housing models for homeless individuals with mental disorders found poorer outcomes for persons with concurrent substance use disorders across interventions.…”

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confidence: 99%

Mental Health, Concurrent Disorders, and Health Care Utilization in Homeless Women

Strehlau

Torchalla

et al. 2012

Journal of Psychiatric Practice

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Prevalence rates of mental disorders among homeless participants were substantially higher than among women from the general Canadian population. The percentage of participants with moderate or high suicide risk and concurrent disorders indicates a high severity of mental health symptomatology. Treatment and housing programs need to be accompanied by multidisciplinary, specialized interventions that account for high rates of complex mental health conditions.

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Psychopathology, Social and Cognitive Functioning in a Hostel for Homeless Women

Abstract: The study affirmed findings of earlier studies employing case-studies methodology. Women with high levels of psychiatric morbidity and social dysfunction were being managed by care workers in a way that may promote stability rather than a drift into street-life.

Cited by 33 publications

References 6 publications

The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis

A Systematic Review of Cognitive Deficits in Homeless Adults: Implications for Service Delivery

Mental Health, Concurrent Disorders, and Health Care Utilization in Homeless Women

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