A building concern? The health needs of families in temporary accommodation

2020 ◽  
Author(s):  
Laura Austin Croft ◽  
Agnes Marossy ◽  
Tracey Wilson ◽  
Alice Atabong
Keyword(s):  
Mental Health ◽  
Population Sample ◽  
Family Health ◽  
Population Group ◽  
Local Area ◽  
Healthcare Services ◽  
Poor Mental Health ◽  
Small Population ◽  
Health Needs ◽  
Temporary Accommodation

Abstract Background The number of families living in temporary accommodation in the UK is increasing. International evidence suggests that family homelessness contributes to poor mental health outcomes for both child and parent/carer, yet there is no routine way of understanding these health impacts at a local area level. Methods A homeless health needs audit was adapted to include questions about family health and completed in survey form by 33 people living in temporary accommodation in the London Borough of Bromley. Data were supplemented through an engagement event with 23 health and community care practitioners. Results The small population sample surveyed showed high levels of poor mental health in addition to behaviours that increase the risk of physical ill health (such as smoking) and a high use of secondary healthcare services. Engagement with practitioners showed awareness of poor health amongst this population group and challenges with regard to providing appropriate support. Conclusions There needs to be a sustainable and representative way of understanding the health needs of this population group including a comparison of the health needs of people placed in temporary accommodation in and out of their resident area.

scholarly journals Mental health and caregiving experiences of family carers supporting people with psychosis

2021 ◽  
Vol 30 ◽  
Author(s):  
J. Sin ◽  
J. Elkes ◽  
R. Batchelor ◽  
C. Henderson ◽  
S. Gillard ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
General Population ◽  
Large Scale ◽  
Controlled Trial ◽  
Population Sample ◽  
Poor Mental Health ◽  
Mental Wellbeing ◽  
Family Carers ◽  
Negative Experience

Abstract Aims Family carers supporting an individual with psychosis often experience poorer mental health, however, little is known about specific risk factors among these carers. We investigated the associations between demographic, caregiving characteristics and mental health outcomes in family carers supporting an individual with psychosis and compared carers' outcomes with general population norms. Methods We analysed baseline data from the COPe-support randomised controlled trial of online psychoeducation and peer support for adult carers supporting an individual with psychosis between 2018 and 2020. We collected carers' demographic and health outcome data, including wellbeing using Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS as primary outcome), quality of life using EQ-5D-5L and caregiving experience assessed with Experience of Caregiving Inventory. We tested associations between carers' demographic and caregiving characteristics for each outcome in turn and meta-analysed carers' WEMWBS and EQ-5D-5L with Health Survey England (HSE) general population data from 2016 and 2017, respectively. Results The 407 carers of people with psychosis had a mean WEMWBS score of 42.2 (s.d. 9.21) and their overall weighted pooled WEMWBS score was 7.3 (95% confidence interval (CI) −8.6 to −6.0, p < 0.01) lower than the HSE general population sample, indicating carers have poorer mental wellbeing by more than double the minimum clinically important difference of 3 points on WEMWBS. Among all caring relationships, partners had poorer wellbeing compared to parents with lower WEMWBS score (−6.8, −16.9 to 3.3, p = 0.03). Single carers had significantly poorer wellbeing (−3.6, −5.6 to −1.5, p < 0.01) and a more negative caregiving experience than those who were cohabiting. Spending more than 35 h per week caregiving increased carers' negative experience significantly (p = 0.01). Conclusion Carers of people with psychosis have poorer mental health than non-carers. Partners, lone carers and those spending more than 35 h per week on caring were found to be most at risk of poor mental health. Based on the results, we advocate that the details of carers for individuals with psychosis should be added to the existing carers or severe mental illness registers at all general practitioner surgeries and for their wellbeing screened routinely. Future large-scale prospective studies are needed to develop a predictive model to determine risk factors, hence to aid early identification of carers' support needs. Such understandings are also useful to inform tailored intervention development.

scholarly journals Interrogating the Prevention Approach of the Housing (Wales) Act 2014 for People with Mental Health Needs Who Are Homeless

2019 ◽  
Vol 19 (1) ◽  
pp. 109-120 ◽  
Author(s):  
Michaela Rogers ◽  
Anya Ahmed ◽  
Iolo Madoc-Jones ◽  
Andrea Gibbons ◽  
Katy Jones ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Homeless People ◽  
Poor Mental Health ◽  
Health Needs ◽  
Critical Examination ◽  
Welfare Regimes ◽  
Prevention Policy ◽  
Mental Health Needs ◽  
New Evidence

Rates of homelessness and poor mental health present significant challenges across the globe. In this article, we explore how these intersecting issues have been addressed in Wales through Part 2 of the Housing (Wales) Act 2014 through a paradigm shift towards a prevention model. This article reports findings from a study (conducted between 2016 and 2018) which evaluated the processes and impacts of the Act against the backdrop of welfare reform and systemic changes taking place in Wales and the UK. Using new evidence, we offer a critical examination of how homelessness prevention policy operates in practice and how social values and power affect policy implementation. We offer new evidence of the translation of policy into practice through the experiences of two stakeholder groups: people with mental health needs and service providers. In doing so, we offer a critique of how policy and practice could be modified to improve outcomes for homeless people with implications for prevention policy in Wales and in other contexts and different welfare regimes.

scholarly journals Factors Associated to Health Needs from Homeless Perspective in Spain

2016 ◽  
Vol 1 (1) ◽  
pp. 61
Author(s):  
David Martin-Baena ◽  
Isabel Montero-Pinar ◽  
Maria Isabel Fuertes-Lanzuela
Keyword(s):  
Mental Health ◽  
Homeless People ◽  
Poor Mental Health ◽  
Health Needs ◽  
Health Conditions ◽  
Coordinated Care ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mental Health Conditions

<p>Purpose: This pilot study aims to identify factors associated to roofless own health self-perception.<br />Design: Cross-sectional study with a sample of homeless people (n=68) who come for help to one of the homeless service centers founded by a non-profit organization. Socio-demographic characteristics, years living on streets, unhealthy habits, chronic morbidity, basic needs and self-reported physical and mental health were described. To identify factors related to mental and physical health from roofless own perspective, a binary logistic analysis was held. <br />Findings: The majority of participants were under 40 years, male and Spanish, alcohol or drug consumers, 80% have lived in the street for one to five years with high levels of pain and poor mental health conditions. Living on the street over a year, exposure to violence, lack of hygiene and female gender, affect negatively the own perception of physical and mental health conditions.<br />Conclusions: Our results show the different and complex homeless health needs. Given the duration of homelessness affected their health condition, recent roofless homeless should be identified as soon as possible.<br />Clinical relevance and further research: Those providing care for homeless people must promote a more coordinated care, maximizing flexibility and fostering relationships to better response to the multiple and different needs of this one vulnerable population. Further study is needed to allow identify the different experiences of homeless women and men.</p>

scholarly journals Integration of mental healthcare into primary healthcare in Lagos, Nigeria: the way forward

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Ayodele O. Coker ◽  
Olufemi B. Olugbile ◽  
Olufemi Oluwatayo
Keyword(s):  
Mental Health ◽  
Primary Healthcare ◽  
Mental Health Policy ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The State ◽  
Health Needs ◽  
Treatment Gap ◽  
Mental Health Needs ◽  
Lagos State

The Lagos State Ministry of Health recently launched its Mental Health Policy aimed at addressing the mental health needs the residents of the State. The policy also aimed at reducing the mental disorders treatment gap in the state by integrating mental healthcare into the primary healthcare in order to make mental healthcare services closer and accessible for residents of the State. This paper therefore critically reviews the rationale for the integration, magnitude of problems in Lagos State with regards to mental healthcare services, available resources, challenges in providing mental healthcare services, recommendations for successful integration, the necessary advocacy needed to implement the integration and benefits of the integration.

scholarly journals Correction to: Mental Health Needs and Psychoactive Drug Use in a User Population of the Family Health Strategy (FHS) in Ribeirão Preto, São Paulo, Brazil

2018 ◽  
Vol 54 (5) ◽  
pp. 672-672
Author(s):  
Margarita Antonia Villar Luis ◽  
Sara Pinto Barbosa ◽  
Jacqueline de Souza ◽  
Kelly Graziani Giacchero Vedana ◽  
Ana Carolina Guidorizzi Zanetti ◽  
...  
Keyword(s):  
Mental Health ◽  
Drug Use ◽  
Family Health ◽  
Sao Paulo ◽  
Psychoactive Drug ◽  
Health Needs ◽  
Mental Health Needs ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals Associations between Accessibility to Health Care Service, Social Support, and Korean Americans’ Mental Health Status Amid the COVID-19 Pandemic

2020 ◽  
Author(s):  
Jihyun Min ◽  
Shinwoo Choi
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Problems ◽  
Care Service ◽  
Health Care Service ◽  
Korean Americans ◽  
Healthcare Services ◽  
Poor Mental Health ◽  
Least Square ◽  
Community Healthcare

Abstract Background: While previous studies have examined the relationships between social support and healthcare accessibility among ethnic minority populations, studies on Korean Americans remain scarce. Therefore, this study aims to assess the relationship between Korean Americans’ mental health, accessibility to healthcare, and how they perceive their level of social support during the COVID-19 pandemic. Result: We distributed online surveys to Korean Americans from May 24, 2020 to June 14, 2020, generating 790 responses from participants residing in 42 states. Binary Logistic and Ordinary Least Square regression analyses revealed that poor mental health was associated with language barriers inhibiting Korean Americans’ access to COVID-19-related information. Their perceived social support from family members and close friends was positively associated with mental health. Conclusion: Our findings recommend that equipping community healthcare services with translators or interpreters is necessary. Additionally, health practitioners and staff should be trained to utilize telehealth tools to effectively treat individuals with mental health problems. American policymakers and healthcare professionals need to understand and address the unique hardships Korean Americans experience amid COVID-19.

scholarly journals GPs’ views and experiences of managing patients with personality disorder: a qualitative interview study

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e026616 ◽  
Author(s):  
Lydia French ◽  
Paul Moran ◽  
Nicola Wiles ◽  
David Kessler ◽  
Katrina M Turner
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Mental Health Services ◽  
Health Services ◽  
Waiting Times ◽  
Treatment Options ◽  
Poor Mental Health ◽  
Health Needs ◽  
Mental Health Needs ◽  
Qualitative Interview Study

ObjectiveThe aim of this study was to explore GPs’ views and experiences of managing patients with personality disorder (PD), and their views on the role of the Improving Access to Psychological Therapies (IAPT) programme as a support service.DesignIn-depth interviews, analysed thematically.ParticipantsFifteen GPs (7 women and 8 men) of varying age and clinical experience, working in practices that differed in terms of the socio-demographic characteristics of their patient populations.SettingTwelve general practices based in the West of England, UK.ResultsGPs described patients with PD as being challenging to work with and that this work required dedicated time and care. They described experiencing particular difficulty with monitoring their patient’s mental health, as well as having little knowledge about the efficacy or availability of treatments for their attenders with PD. They were aware that this patient population often experienced poor mental health and reported a propensity for them to fall into the gap between primary and secondary mental health services, leaving GPs with little choice but to improvise their own management plans, which occasionally involved funding third-sector treatment options. In terms of IAPT services’ role in managing these patients, GPs wanted shorter waiting times, better inter-agency communication, more highly trained therapists and more treatment options for patients with PD. They also wanted the service to be able to ‘hold’ patients with PD in treatment over a longer period than currently offered.ConclusionsFindings suggest that, overall, GPs did not consider National Health Service mental health services to offer an effective treatment for patients with PD. While they considered the IAPT programme to be a valuable service for patients with less complex mental health needs, such as depression and anxiety; they felt that the current service provision struggled to meet the needs of patients with more complex mental health needs, as exemplified by people with PD.

scholarly journals Unmet need for chronic mental ill health: A population-based record linkage study

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Michael Rosato ◽  
Foteini Tseliou ◽  
Dermot O'Reilly
Keyword(s):  
Mental Health ◽  
Ethnic Minorities ◽  
Psychotropic Medication ◽  
Record Linkage ◽  
Unmet Need ◽  
Healthcare Services ◽  
Poor Mental Health ◽  
White Background ◽  
Receive Treatment ◽  
To Receive

IntroductionIt is widely recognised that many people with chronic mental ill health do not receive the treatment they need, with socio-demographic and socio-economic factors contributing to mental healthcare access and receipt of treatment. However, recently different perceptions have emerged following reports of over-treatment or over-medication of a proportion of the population presenting to primary care settings with poor mental health. ObjectivesThis study aimed to investigate which factors are associated with the presence of poor mental health and the likelihood of being in receipt of pharmacological treatment for those who report chronic mental ill health. MethodsThe methodology was a record linkage of the 2011 Northern Ireland Census returns and a population-wide database of prescribed medications. The presence of a chronic mental health condition, as assessed through a self-reported question in the 2011 Census, was compared to electronic administrative records on psychotropic medication use in the twelve months following the Census. ResultsThis study shows that those of non-white background (OR 0.38 95%CI 0.26-0.54), who were never married (OR 0.67 95%CI 061-0.73), unemployed (OR 0.65 95%CI 0.53-0.81) or living in a rural area (OR 0.88 95%CI 0.79-0.98) were less likely than their peers to receive medication for their poor mental health. ConclusionsSome but not all of the observed variations may represent unmet need, but further studies are required to understand the knowledge of and attitudes towards healthcare services of groups (such as ethnic minorities and unemployed) who are identified as being less likely to receive treatment. Highlights Self-reported chronic mental ill health varied by socio-demographic and socio-economic characteristics. Although a high proportion of people received psychotropic medication for their mental ill health, there were evident social patterns among those who do not receive treatment. Ethnic minorities, those whose were not married or unemployed were considerably more likely to experience unmet need.

scholarly journals Disparities in Health Outcomes of Return Migrants in Mexico

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Fernando A. Wilson ◽  
Jim P. Stimpson ◽  
José A. Pagán
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Health Outcomes ◽  
Cox Regression ◽  
Healthcare Services ◽  
Health Problems ◽  
Poor Mental Health ◽  
Mexican Migration ◽  
Increased Risk ◽  
The Usa

Objective. The epidemiological paradox posits that immigrants in USA experience better health outcomes than nonimmigrants with similar socioeconomic status. However, little is known about the development of health problems over the life course for immigrants who return to their country of origin. Methods. The Mexican Migration Project provides detailed information on immigration, health, and socioeconomic status for 671 unauthorized migrants, 101 legal migrants, and 3,748 nonmigrants. Cox regression estimated the adjusted hazard of developing hypertension, diabetes/prediabetes, poor mental health, and heart and lung problems. Results. Legal immigrants to USA did not have a significantly higher risk of having a self-reported diagnosis of hypertension, diabetes, heart or lung problems, or poor mental health compared to nonmigrants. However, the hazard ratio for unauthorized deported immigrants ranged from 2.25 (CI: 1.29–3.93) for diabetes to 4.43 (CI: 2.33–8.40) for poor mental health compared to nonmigrants. Conclusions. Health problems occur several years earlier among unauthorized immigrants compared to individuals who never migrated. Poor access to healthcare services combined with USA lifestyle and working conditions after migration to the USA may contribute to an increased risk for the development of chronic health conditions later in life.

Sign in / Sign up

Export Citation Format

Share Document