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Evaluating referrals to three urban specialist mental health services for people experiencing homelessness over a 1-year period

Author

Listed:
  • Margaret Gallagher
  • Rona Hunt
  • Eimear Kelly
  • Jo-Hanna Ivers

Abstract

Background: There are high numbers of people experiencing homelessness (PEH) in Ireland. PEH have complex needs, and have higher rates of mental disorder than their housed counterparts. To date, there has been limited research conducted on this population, and their specific needs. Aims: In this study, we explored the demand for the three specialist mental health services for people experiencing homelessness (MHSPEH) in Dublin by evaluating all referrals received over a 1 year period. Methods: Participants included all persons referred to the three (MHSPEH) over 1 year between 1st July 2022 and 30th June 2023. We examined several key aspects of psychiatric service provision for the population including; population characteristics, psychiatric and Medical History, referral outcomes, alternative pathways and complex health needs. Results: In total 284 referrals were analysed in the study across the three teams. One third of referrals were accepted overall. Many of the referrals declined did not meet referral criteria, either due to paucity of information, or insufficient evidence of serious mental illness within the referral. Of the referrals accepted, more than half had a previous diagnosis of major mental illness, and 59% were found to be actively psychotic on initial assessment. The majority of those accepted had previous contact with mental health services. One third of the cohort had specific vulnerabilities including: intravenous drug use, international protection applicants and recent release from prison. There were high rates of co-morbid substance and alcohol use in the referrals that were accepted and declined. The majority of referrals were from other psychiatry teams. Conclusions: There are high rates of mental illness and co-morbid vulnerabilities found in this population. Appropriately addressing the needs of this population will require an integrated, multisystem approach.

Suggested Citation

  • Margaret Gallagher & Rona Hunt & Eimear Kelly & Jo-Hanna Ivers, 2025. "Evaluating referrals to three urban specialist mental health services for people experiencing homelessness over a 1-year period," International Journal of Social Psychiatry, , vol. 71(7), pages 1259-1270, November.
    • Handle: RePEc:sae:socpsy:v:71:y:2025:i:7:p:1259-1270
    DOI: 10.1177/00207640251317021
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    References listed on IDEAS

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    1. Srebnik, D. & Connor, T. & Sylla, L., 2013. "A pilot study of the impact of housing first-supported housing for intensive users of medical hospitalization and sobering services," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 316-321.
    2. Tsemberis, S. & Gulcur, L. & Nakae, M., 2004. "Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 651-656.
    3. Mejia-Lancheros, Cilia & Lachaud, James & Woodhall-Melnik, Julia & O'Campo, Patricia & Hwang, Stephen W. & Stergiopoulos, Vicky, 2021. "Longitudinal interrelationships of mental health discrimination and stigma with housing and well-being outcomes in adults with mental illness and recent experience of homelessness," Social Science & Medicine, Elsevier, vol. 268(C).
    4. repec:plo:pmed00:0050225 is not listed on IDEAS
    5. Barrett A. Lee & Marybeth Shinn & Dennis P. Culhane, 2021. "Homelessness as a Moving Target," The ANNALS of the American Academy of Political and Social Science, , vol. 693(1), pages 8-26, January.
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