Development of effective policy responding to recent increases in rough sleeping in England requires an understanding of the needs of people experiencing homelessness. Research on multiple exclusion homelessness (MEH) should be central to policy development as it highlights the interactions between ‘homelessness’ and ‘deep social exclusion’. This article focuses on the nexus between mental health and homelessness within MEH. Mixed methods findings from Nottingham, England, are used to investigate the role of mental ill-health in the pathways into MEH. This included a survey of the mental health needs of homeless people and ‘homeless pathway’ interviews. Survey results demonstrated high levels of diagnosed and self-reported mental health issues. Interviews highlighted that mental ill-health and homelessness were closely associated with adverse life experiences and could not be viewed in isolation from them. The article contributes further insight on the specificities of mental health issues, their temporal ordering, and interrelationship with homelessness experiences.

制定有效的政策来应对最近英国露宿街头的增加需要了解无家可归者的需求。对多重排斥无家可归（MEH）的研究应该是政策制定的核心，因为它强调了“无家可归”和“深度社会排斥”之间的相互作用。本文重点关注 MEH 中心理健康与无家可归者之间的关系。来自英格兰诺丁汉的混合方法研究结果用于调查精神疾病在进入 MEH 途径中的作用。这包括对无家可归者心理健康需求的调查和“无家可归途径”访谈。调查结果表明，被诊断和自我报告的心理健康问题水平很高。采访强调，精神疾病和无家可归与不良生活经历密切相关，不能孤立地看待。本文对心理健康问题的特殊性、它们的时间顺序以及与无家可归经历的相互关系提供了进一步的见解。