Utilisation by homeless people of acute hospital services in London.

Black, Mary; Scheuer, Markus; Victor, Christina; Benzeval, Michaela; Gill, Maheen; Judge, Kate

doi:10.1136/bmj.303.6808.958

Cited by 19 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is well known that the environments of homelessness are hazardous and contribute to higher levels of physical and mental health morbidity and mortality (Black et al 1991, Keyes & Kennedy 1992, Pleace & Quilgars 1996, Victor 1997). To date, the research specifically into mental illness amongst homeless people in the United Kingdom has focused on bed and breakfast hotels, hostels, reception centres, lodging houses, soup kitchens, or night shelters (Priest 1971, Tidmarsh & Wood 1972, Weller et al 1987, Timms & Fry 1989, Marshall & Reed 1992, Victor 1992).…”

Section: Introductionmentioning

confidence: 99%

Homelessness and the use of acute psychiatric beds: findings from a one‐day survey of adult acute and low‐level secure psychiatric patients in North and South Thames regions

Koffman

Fulop

1999

Health & Social Care in the Community

View full text Add to dashboard Cite

This paper describes the impact of homelessness on the use of adult acute and low-level secure psychiatric beds in North and South Thames regions. We specifically focus on those homeless patients who no longer required the acute psychiatric facilities in order to determine the complement of accommodation and alternative services necessary to enable them to be discharged. A point prevalence survey of all patients occupying adult acute and low-level secure psychiatric beds in North and South Thames regions was carried out on 15 June 1994. All patients occupying adult acute and low-level secure psychiatric beds in 54 mental health providers and seven private psychiatric units in North and South Thames regions were included in the survey. Demographic, admission, and diagnosis data were collected. Homeless patients were identified as those patients not living in permanent accommodation. Ward managers (nurses) were also asked to identify patients who, in their opinion, no longer required acute care and to identify more appropriate provision for these patients. Of the 3978 adult and low-level secure patients enumerated 20.5% (817) were recorded as homeless. A total of 306 homeless patients were identified by ward staff as inappropriately located, of whom 58.2% of were unsuitable to be discharged into the community but still required some form of alternative health provision, for example staffed-housing in the community and in-patient rehabilitation services based in hospitals. However, 51.8% of patients were suitable to be discharged back into the community and the majority required housing as a key component within their 'package of care'. Homeless psychiatric in-patients have contributed to the increasingly precarious state of mental health services provision and represent a failure to provide a sufficient level of community alternatives for those who can no longer access the long-stay hospital services, and for whom the pool of acute psychiatric beds is ever reducing.

show abstract

Section: Introductionmentioning

confidence: 99%

Homelessness and the use of acute psychiatric beds: findings from a one‐day survey of adult acute and low‐level secure psychiatric patients in North and South Thames regions

Koffman

Fulop

1999

Health & Social Care in the Community

View full text Add to dashboard Cite

show abstract

“…This increase in mortality is explained by high rates of physical and mental illness, substance abuse, and accidents (1,5,6,(8)(9)(10)(11)(12). As a consequence, homeless people are more likely to use acute care services than the general population (1,(12)(13)(14)(15). They also have higher rates of hospitalizations (1,12,14,16), unplanned readmissions (17), and longer lengths of stay (LOSs) (12,16,18).…”

mentioning

confidence: 96%

Homeless Patients in the ICU

Bigé

Hejblum

Baudel

et al. 2015

Critical Care Medicine

View full text Add to dashboard Cite

Critically ill homeless patients benefit from the same level of care and have globally the same prognosis than housed patients but experience longer lengths of stay. Most precarious patients living in street have a higher mortality rate. The study perspective is not ICU centered but also concerns the global organization of healthcare since homeless patients are referred by numerous sources and discharged to different wards.

show abstract

“…Each night more than 4000 individuals sleep in homeless shelters in Toronto, Canada's largest city ( 2). London has a large homeless population ( 3), and about 2000 homeless people live in Madrid ( 4), but relatively little has been published on homelessness in other European cities.…”

mentioning

confidence: 99%

Mental illness and mortality among homeless people

Hwang

2001

Acta Psychiatr Scand

View full text Add to dashboard Cite

Utilisation by homeless people of acute hospital services in London.

Cited by 19 publications

References 4 publications

Homelessness and the use of acute psychiatric beds: findings from a one‐day survey of adult acute and low‐level secure psychiatric patients in North and South Thames regions

Homelessness and the use of acute psychiatric beds: findings from a one‐day survey of adult acute and low‐level secure psychiatric patients in North and South Thames regions

Homeless Patients in the ICU

Mental illness and mortality among homeless people

Contact Info

Product

Resources

About