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Roofless in a steel city: learning from the homeless mentally ill

  • Sean A. Spence (a1)
Abstract

A small, city-wide clinical outreach service for the homeless mentally ill in Sheffield, UK, attained its present configuration 6 years ago. This paper discusses the lessons learnt in the course of the service's existence.

The homeless mentally ill identified by the service have disengaged from the ‘mainstream’ services and society. Most are from disturbed homes, nearly all have had prior contact with psychiatric services and as many as half have served prison terms. As service users, they must be actively sought out and engaged, which places specific demands upon a mental health team: flexibility of approach, patience and a willingness not to judge others' values.

Though largely anecdotal, the inferences drawn in Sheffield may have parallels elsewhere, not least since individual lives can turn upon pivotal (‘anecdotal’) encounters and those evinced by the homeless tell us much about society, psychiatry and the values of contemporary healthcare providers. Also, most of the time, the proposed model has been successful.

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Copyright
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.
References
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Appleby, L. (2000) Safer services: conclusions from the report of the National Confidential Inquiry. Advances in Psychiatric Treatment, 6, 515.
Bittner, E. (1967) Police discretion in emergency apprehension of mentally ill persons. Social Problems, 24, 278292.
Girgis, S. & Spence, S. (2003) Is it worth treating mentally ill roofless people? Schizophrenia Research, 60 (suppl.), 284285.
Jaffee, S. R., Moffitt, T. E., Caspi, A., et al (2003) Life with (or without) father: the benefits of living with two biological parents depend on the father's antisocial behaviour. Child Development, 74, 109126.
Livingstone-Smith, D. (2004) Why We Lie. the Evolutionary Roots of Deception and the Unconscious Mind. St Martin's Press.
Maguire, N. (2006) Cognitive behavioural therapy and homelessness: a case series pilot study. Behavioural and Cognitive Psychotherapy, 34, 107111.
Mitchell, A. J. & Selmes, T. (2007) Why don't patients attend their appointments? Maintaining engagement with psychiatric services. Advances in Psychiatric Treatment, 13, 423434.
Nelson, H. E. & O'CONNELL, A. (1978) Dementia: the estimation of premorbid intelligence levels using the New Adult Reading Test. Cortex, 14, 234244.
Phillips, A. (1988) Winnicott. Fontana.
Spence, S., Stevens, R. & Parks, R. (2004) Cognitive dysfunction in homeless adults: a systematic review. Journal of the Royal Society of Medicine, 97, 375379.
Summerfield, D. (2002) Commentary. Advances in Psychiatric Treatment, 8, 247248.
Thomas, S. & Spence, S. (2005) In bed at midday: missing lunch on an acute psychiatric ward. Poster and abstract presented at Annual Meeting of the Royal College of Psychiatrists, Edinburgh 20 June 2005 [available on CD].
Timms, P. (1996) Management aspects of care for the homeless mentally ill. Advances in Psychiatric Treatment, 2, 158165.
Tribe, R. (2002) Mental health of refugees and asylum-seekers. Advances in Psychiatric Treatment, 8, 240247.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Roofless in a steel city: learning from the homeless mentally ill

  • Sean A. Spence (a1)
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