scholarly journals Illness and drug modifiable factors associated with violent behavior in homeless people with severe mental illness: results from the French Housing First (FHF) program

2019 ◽  
Vol 90 ◽  
pp. 92-96 ◽  
Author(s):  
G. Fond ◽  
L. Boyer ◽  
M. Boucekine ◽  
V. Girard ◽  
S. Loubière ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Violent Behavior ◽  
Homeless People ◽  
Housing First ◽  
Factors Associated ◽  
Modifiable Factors

scholarly journals Long-term effects of a housing support intervention in homeless people with severe mental illness

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Lemoine ◽  
S Loubiere ◽  
A Tinland ◽  
M Boucekine ◽  
V Girard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Homeless People ◽  
Housing First ◽  
Long Term Effects ◽  
Mental Symptoms ◽  
Social Recovery

Abstract Objectives Recent studies have suggested that the Housing First model is a promising strategy for providing effective services to homeless people with mental illness at a short-term horizon. The paper assesses the long-term effects of an independent housing with a recovery-oriented approach in homeless people with severe mental illness on social recovery, mental symptoms and quality of life among homeless adults with high support needs for mental and physical health services. Design and methods “Un Chez Soi d’Abord” was a randomized controlled trial conducted in 4 French cities: Lille, Marseille, Paris and Toulouse. From August 2011 to April 2014, homeless participants with a DSM-IV-TR diagnosis of bipolar disorder or schizophrenia (N = 703) were randomly assigned to Housing First (n = 353) or Treatment as Usual (n = 350). Mental symptoms (MCSI), social recovery (RAS), global physical and mental status (SF-36), subjective quality of life (S-QoL) and addictions (MINI) were collected every 6 months over 48 months. Mixed models using a longitudinal and cluster design were performed, and adjusted to age on the street, gender and mental disorder diagnosis and testing for time*group and site*time interactions. Results HF patients exhibited higher recovery (β = 3.6, 95%CI: 0.4 to 6.9), higher S-QoL (4.7, 1.1 to 8.3) such as the self-esteem (10.9, 5.8 to 15.6) and physical well-being (8.4, 3.1 to 13.8) sub-dimensions, and improved mental health symptoms (-3.1, -5.4 to -0.9) over the 4-year follow-up. No significant differences were observed for SF36 scores. HF and TAU participants experienced similar alcohol or substance dependence evolution between baseline and 48 months. Conclusions HF is a highly effective intervention associated with improved relational environment, enhancing recovery and quality of life in homeless people with schizophrenia or bipolar disorders. Addiction issues have been identified and should be targeted so as to further improve the Housing First approach. Key messages Housing First model is a highly effective intervention. Housing First model enhances recovery and quality of life in homeless people.

Psychiatry trainee welfare – from words to action

2018 ◽  
Vol 27 (3) ◽  
pp. 212-214 ◽  
Author(s):  
Hannah Kim ◽  
Shuichi Suetani ◽  
Malcolm Forbes ◽  
David Nguyen
Keyword(s):  
Mental Illness ◽  
Culture Change ◽  
Practical Advice ◽  
Factors Associated ◽  
Modifiable Factors ◽  
Individual Strategies ◽  
Psychiatry Trainee

Objective: To review selected literature available on trainee welfare and reflect on our own experiences to provide practical advice to our colleagues and suggest strategies to enhance trainee welfare. Conclusions: Promoting the welfare of psychiatry trainees requires a three-pronged approach. We must care for ourselves through individual strategies; we must advocate for optimization of the systems we work in to minimize modifiable factors associated with burnout; and we must continue on the perennial challenge of culture change to reduce stigma around stress and mental illness and promote a healthier workplace.

scholarly journals Household poverty in people with severe mental illness in rural China: 1994–2015

BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Yue-Hui Yu ◽  
Wei Luo ◽  
Man-Xi He ◽  
Xin Yang ◽  
Bo Liu ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Socioeconomic Development ◽  
Rural China ◽  
Work And Family ◽  
Factors Associated ◽  
Household Poverty ◽  
Poor Households ◽  
Icd 10

Background Little is known about poverty trends in people with severe mental illness (SMI) over a long time span, especially under conditions of fast socioeconomic development. Aims This study aims to unravel changes in household poverty levels among people with SMI in a fast-changing rural community in China. Method Two mental health surveys, using ICD-10, were conducted in the same six townships of Xinjin county, Chengdu, China. A total of 711 and 1042 people with SMI identified in 1994 and 2015, respectively, participated in the study. The Foster-Greer-Thorbecke poverty index was adopted to measure the changes in household poverty. These changes were decomposed into effects of growth and equity using a static decomposition method. Factors associated with household poverty in 1994 and 2015 were examined and compared by regression analyses. Results The proportion of poor households, as measured by the headcount ratio, increased significantly from 29.8% in 1994 to 39.5% in 2015. Decomposition showed that poverty in households containing people with SMI had worsened because of a redistribution effect. Factors associated with household poverty had also changed during the study period. The patient's age, ability to work and family size were of paramount significance in 2015. Conclusions This study shows that the levels of poverty faced by households containing people with SMI has become more pressing with China's fast socioeconomic development. It calls for further integration of mental health recovery and targeted antipoverty interventions for people with SMI as a development priority.

scholarly journals The Social–Environmental Context of Violent Behavior in Persons Treated for Severe Mental Illness

2002 ◽  
Vol 92 (9) ◽  
pp. 1523-1531 ◽  
Author(s):  
Jeffrey W. Swanson ◽  
Marvin S. Swartz ◽  
Susan M. Essock ◽  
Fred C. Osher ◽  
H. Ryan Wagner ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Violent Behavior ◽  
Environmental Context ◽  
The Social ◽  
Social Environmental

scholarly journals Homelessness and severe mental illness in low- and middle-income countries: scoping review

BJPsych Open ◽  
2019 ◽  
Vol 5 (4) ◽  
Author(s):  
Caroline Smartt ◽  
Martin Prince ◽  
Souci Frissa ◽  
Julian Eaton ◽  
Abebaw Fekadu ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Scoping Review ◽  
Homeless People ◽  
Middle Income ◽  
Middle Income Countries ◽  
Manual Search ◽  
Cultural Responses ◽  
Key Aspects ◽  
Low And Middle Income

Background Despite being a global problem, little is known about the relationship between severe mental illness (SMI) and homelessness in low- and middle-income countries (LMICs). Homeless people with SMI are an especially vulnerable population and face myriad health and social problems. In LMICs, low rates of treatment for mental illness, as well as differing family support systems and cultural responses to mental illness, may affect the causes and consequences of homelessness in people with SMI. Aims To conduct a systematic, scoping review addressing the question: what is known about the co-occurrence of homelessness and SMI among adults living in LMICs? Method We conducted an electronic search, a manual search and we consulted with experts. Two reviewers screened titles and abstracts, assessed publications for eligibility and appraised study quality. Results Of the 49 included publications, quality was generally low: they were characterised by poor or unclear methodology and reporting of results. A total of 7 publications presented the prevalence of SMI among homeless people; 12 presented the prevalence of homelessness among those with SMI. Only five publications described interventions for this population; only one included an evaluation component. Conclusions Evidence shows an association between homelessness and SMI in LMICs, however there is little information on the complex relationship and direction of causality between the phenomena. Existing programmes should undergo rigorous evaluation to identify key aspects required for individuals to achieve sustainable recovery. Respect for human rights should be paramount when conducting research with this population. Declaration of interest None.

Psychometric properties of the recovery measurement in homeless people with severe mental illness

2015 ◽  
Vol 169 (1-3) ◽  
pp. 292-297 ◽  
Author(s):  
Vincent Girard ◽  
Aurelie Tinland ◽  
El had Mohamed ◽  
Laurent Boyer ◽  
Pascal Auquier
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychometric Properties ◽  
Homeless People
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