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Prevalence of Mental Disorders and Addictions among Homeless People in the Greater Paris Area, France

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Listed:
  • Anne Laporte

    (Observatoire du Samusocial de Paris, 75012 Paris, France
    Santé publique France, French National Public Health Agency, 94410 Saint-Maurice, France)

  • Stéphanie Vandentorren

    (Observatoire du Samusocial de Paris, 75012 Paris, France
    Santé publique France, French National Public Health Agency, 94410 Saint-Maurice, France
    INSERM, Sorbonne Université, Institut Pierre Louis d’épidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, 75012 Paris, France)

  • Marc-Antoine Détrez

    (Observatoire du Samusocial de Paris, 75012 Paris, France)

  • Caroline Douay

    (Observatoire du Samusocial de Paris, 75012 Paris, France)

  • Yann Le Strat

    (Santé publique France, French National Public Health Agency, 94410 Saint-Maurice, France)

  • Erwan Le Méner

    (Observatoire du Samusocial de Paris, 75012 Paris, France)

  • Pierre Chauvin

    (INSERM, Sorbonne Université, Institut Pierre Louis d’épidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, 75012 Paris, France)

  • The Samenta Research Group

    (The Samenta Research Group: François Beck, Christine Chan-Chee, Jean-Marie Firdion, Marie-Jeanne Guedj, Marie Jauffret-Roustide, Stéphane Legleye, Valérie Le Masson, Alain Mercuel, Sylvie Zucca, 75012 Paris, France.)

Abstract

The Samenta study was conducted in 2009 in the Greater Paris area to estimate the prevalence of psychiatric disorders in homeless people. A cross-sectional survey was performed with a three-stage random sample of homeless people ( n = 859), including users of day services, emergency shelters, hot meal distribution, long-term rehabilitation centres, and social hotels. Information was collected by a lay interviewer, using the Mini International Neuropsychiatric Interview, and completed by a psychologist through an open clinical interview. In the end, a psychiatrist assessed the psychiatric diagnosis according to the International Statistical Classification of Diseases and Related Health Problems (ICD, 10th revision). One third of homeless people in the Paris area had at least one severe psychiatric disorder (SPD): psychotic disorders (13%), anxiety disorders (12%), or severe mood disorders (7%). One in five was alcohol-dependent and 18% were drug users. Homeless women had significantly higher prevalence of anxiety disorders and depression compared to men, who were more likely to suffer from psychotic disorders. Homeless people of French origin were at higher risk of SPD, as well as people who experienced various adverse life events before the age of 18 (running away, sexual violence, parental disputes, and/or addictions) and those who experienced homelessness for the first time before the age of 26. The prevalence rates of the main psychiatric disorders within the homeless population of our study are consistent with those reported in other Western cities. Our results advocate for an improvement in the detection, housing, and care of psychiatric homeless people.

Suggested Citation

  • Anne Laporte & Stéphanie Vandentorren & Marc-Antoine Détrez & Caroline Douay & Yann Le Strat & Erwan Le Méner & Pierre Chauvin & The Samenta Research Group, 2018. "Prevalence of Mental Disorders and Addictions among Homeless People in the Greater Paris Area, France," IJERPH, MDPI, vol. 15(2), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:241-:d:129556
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    References listed on IDEAS

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    Cited by:

    1. Fran Calvo & Oriol Turró-Garriga & Carles Fàbregas & Rebeca Alfranca & Anna Calvet & Mercè Salvans & Cristina Giralt & Sandra Castillejos & Mercè Rived-Ocaña & Paula Calvo & Paz Castillo & Josep Garre, 2021. "Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain): A 10-Year Retrospective Cohort Study," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    2. Valérie Dauriac-Le Masson & Alain Mercuel & Marie Jeanne Guedj & Caroline Douay & Pierre Chauvin & Anne Laporte, 2020. "Mental Healthcare Utilization among Homeless People in the Greater Paris Area," IJERPH, MDPI, vol. 17(21), pages 1-13, November.

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