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Published online by Cambridge University Press: 23 March 2020
Homelessness is the most visible indicator for social marginalization and vulnerability. It is a risk factor for subsequent health threats and especially individuals with a history of trauma, substance use and severe persistent mental illness are at high risk to loose their homes, jobs and social networks.
The Canadian At Home/Chez Soi study aimed to better understand the entanglement of homelessness and mental illness and possible strategies to provide care to the most vulnerable. In 5 Canadian centers, over 2000 patients were included and randomized to different intervention arms based on a housing first approach.
Early trauma and foster care were as rampant as poly substance use, which explains a significant increase in mortality too.
The author has not supplied his declaration of competing interest.
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