Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-25T17:21:53.618Z Has data issue: false hasContentIssue false

Admission of the homeless mentally ill in the UK

Published online by Cambridge University Press:  02 January 2018

Martin Commander*
Affiliation:
University of Birmingham and Northern Birmingham Mental Health Trust, Trust Headquarters, 71 Fentham Road, Erdington, Birmingham B23 6AL
Sue Odell
Affiliation:
University of Birmingham
*
Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The reduction in psychiatric beds over the past few decades has coincided with burgeoning homelessness in the UK. What effect has this had on the provision of in-patient care to this neglected section of the population? Admissions of people of ‘no fixed abode’ in Birmingham were compared for the years 1961–1964 and 1995–1996. Both the number of admissions and duration of in-patient episodes had decreased and many patients continued to receive no aftercare. Solutions to the problem of homelessness among the severely mentally ill must address failings in hospital as well as community services.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

Footnotes

See editorial pp. 195–197, this issue.

References

Anderson, I., Kemp, P. & Quiglars, D. (1993) Single Homeless People. London: HMSO.Google Scholar
Berry, B. & Orwin, A. (1966) No fixed abode: a survey of mental hospital admissions. British Journal of Psychiatry, 112, 10191025.Google Scholar
Birmingham City Council Housing (1993) Strategy for Homeless 1992/93. Birmingham: Birmingham City Council.Google Scholar
Caton, L. M., Wyatt, R. J., Grunberg, J., et al (1990) An evaluation of a mental health program for homeless men. American Journal of Psychiatry, 147, 286289.Google Scholar
Coid, J. (1991) Difficult to place psychiatric patients: the game of pass the parcel must stop. British Medical Journal, 302, 603604.Google Scholar
Commander, M. J., Odell, S. & Sashidharan, S. P. (1997a) Birmingham community mental health team for the homeless: one year of referrals. Psychiatric Bulletin, 21, 7476.Google Scholar
Commander, M. J., Odell, S. & Sashidharan, S. P. (1997b) Psychiatric admission for homeless people: the impact of a specialist community mental health team. Psychiatric Bulletin, 21, 260263.Google Scholar
Commander, M. J., Odell, S. & Sashidharan, S. P. et al (1997c) A comparison of the socio-demographic and clinical characteristics of private household and communal establishment residents in a multi-ethnic inner-city area. Social Psychiatry and Psychiatric Epidemiology, 32, 421427.Google Scholar
Cowan, C. & MacMillan, F. (1996) No fixed abode – Its definition in clinical practice. Journal of Mental Health, 5, 161165.CrossRefGoogle Scholar
Leff, J. L., Trieman, N. & Gooch, C. (1996) Team for the Assessment of Psychiatric Services (TAPS) Project 33: Prospective follow-up study of long stay patients discharged from two psychiatric hospitals. American Journal of Psychiatry, 163, 13181324.Google Scholar
Orwin, A. & Berry, C. (1968) The social problem of the no fixed abode mental hospital admission: a controlled study. British Journal of Social Psychiatry, 3, 513.Google Scholar
Ritchie, J., Dick, D. & Lingham, R. (1994) The Report into the Inquiry into the Care and Treatment of Christopher Clunis. London: HMSO.Google Scholar
Royal College of Physicians (1994) Homelessness and Ill Health (eds Connelly, J. & Crown, J.). London: Royal College of Physicians.Google Scholar
Scott, J. (1993) Homelessness and mental illness. British Journal of Psychiatry, 162, 314324.CrossRefGoogle ScholarPubMed
Wing, J. K. (1994) Mental illness. In Health Care Needs Assessment (eds Steven, A. & Raftery, J.), chapter 15. Oxford: Radcliffe Medical Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.