Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-23T06:57:47.963Z Has data issue: false hasContentIssue false

The Role of Mental Health in Multiple Exclusion Homelessness

Published online by Cambridge University Press:  29 December 2020

Ben Pattison
Affiliation:
Centre for Regional Economic and Social Research (CRESR), Sheffield Hallam University, UK
Lindsey McCarthy
Affiliation:
Centre for Regional Economic and Social Research (CRESR), Sheffield Hallam University, UK E-mail: L.McCarthy@shu.ac.uk

Abstract

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.

Type
Article
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aubry, T., Nelson, G. and Tsemberis, S. (2015) ‘Housing First for people with severe mental illness who are homeless: a review of the research and findings from the At Home-Chez soi Demonstration Project’, Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 60, 11, 467-74.10.1177/070674371506001102CrossRefGoogle ScholarPubMed
Bowpitt, G. and Kaur, K. (2018) No Way Out: A Study of Persistent Rough Sleeping in Nottingham, Nottingham: Opportunity Nottingham, http://www.opportunitynottingham.co.uk/uploadedfiles/documents/32-1522334284-persistent_rough_sleeping_report._full_version._online._opportunity_nottingham.pdf [accessed 28.07.2020].Google Scholar
Bowpitt, G., Dwyer, P., Sundin, E. and Weinstein, M. (2011) ‘Comparing men’s and women’s experiences of multiple exclusion homelessness’, Social Policy and Society, 10, 4, 537-46.10.1017/S1474746411000285CrossRefGoogle Scholar
Bramley, G., Fitzpatrick, S., Edwards, J., Ford, D., Johnsen, S., Sosenko, F. and Watkins, D. (2015) Hard Edges: Mapping Severe and Multiple Disadvantage, London: Lankelly Chase Foundation, https://lankellychase.org.uk/wp-content/uploads/2015/07/Hard-Edges-Mapping-SMD-2015.pdf [accessed 28.07.2020].Google Scholar
Brown, P., Morris, G. J., Scullion, L. C. and Somerville, P. (2012) Losing and Finding a Home: Homelessness, Multiple Exclusion and Everyday Lives, Salford: University of Salford, http://usir.salford.ac.uk/id/eprint/35876/1/Losing%20and%20Finding%20a%20Home.pdf [accessed 28.07.2020].Google Scholar
Carter, M. (2007) Towards an ESRC Research Programme on Multiple Exclusion Homelessness, London: Homeless Link/Department for Communities and Local Government.Google Scholar
Clapham, D. (2003) ‘Pathways approaches to homelessness research’, Journal of Community and Applied Social Psychology, 13, 2, 119-27.10.1002/casp.717CrossRefGoogle Scholar
Conservative Party (2017) Forward, Together: Our Plan for a Stronger Britain and a Prosperous Future, London: Conservative Party, …https://s3.eu-west-2.amazonaws.com/conservative-party-manifestos/Forward+Together+-+Our+Plan+for+a+Stronger+Britain+and+a+More+Prosperous….pdf [accessed 28.07.2020].Google Scholar
Cornes, M., Joly, L., Manthorpe, J., O’Halloran, S. and Smyth, R. (2011) ‘Working together to address multiple exclusion homelessness’, Social Policy and Society, 10, 4, 513-22.10.1017/S1474746411000261CrossRefGoogle Scholar
Dumoulin, D., Orchard, B., Turner, S. and Glew, C. (2016) Stop the Scandal: An Investigation into Mental Health and Rough Sleeping, London: St. Mungo’s.Google Scholar
Fazel, S., Khosla, V., Doll, H. and Geddes, J. (2008) ‘The prevalence of mental disorders among the homeless in Western countries: systematic review and meta-regression analysis’, PLoS Med, 5, 12, e225, 1670-81.10.1371/journal.pmed.0050225CrossRefGoogle ScholarPubMed
Fitzpatrick, S. (2005) ‘Explaining homelessness: a critical realist perspective’, Housing, Theory and Society, 22, 1,117.10.1080/14036090510034563CrossRefGoogle Scholar
Fitzpatrick, S., Bramley, G. and Johnsen, S. (2013) ‘Pathways into multiple exclusion homelessness in seven UK cities’, Urban Studies, 50, 1, 148-68.10.1177/0042098012452329CrossRefGoogle Scholar
Fitzpatrick, S., Johnsen, S. and White, M. (2011) ‘Multiple exclusion homelessness in the UK: key patterns and intersections’, Social Policy and Society, 10, 4, 501-12.10.1017/S147474641100025XCrossRefGoogle Scholar
Fitzpatrick, S., Pawson, H., Bramley, G., Wilcox, S. and Watts, B. (2017) The Homelessness Monitor: England 2017, London: Crisis, https://www.crisis.org.uk/media/236823/homelessness_monitor_england_2017.pdf [accessed 28.07.2020].Google Scholar
Fitzpatrick, S., Pawson, H., Bramley, G., Wilcox, S., Watts, B. and Wood, J. (2018) The Homelessness Monitor: England 2018, London: Crisis, https://www.researchgate.net/profile/Hal_Pawson/publication/324560989_The_homelessness_monitor_England_2018/links/5ad58cbea6fdcc293580acf4/The-homelessness-monitor-England-2018.pdf [accessed 28.07.2020].Google Scholar
Framework (2014) Mental Health and Substance Misuse Problems Experienced by Residents of Framework in Nottingham, Nottingham: Framework.Google Scholar
Homeless Link (2014) The Unhealthy State of Homelessness: Health Audit Results 2014, London: Homeless Link, https://www.homeless.org.uk/sites/default/files/site-attachments/The%20unhealthy%20state%20of%20homelessness%20FINAL.pdf [accessed 28.07.2020].Google Scholar
Homeless Link (2015) Support for Single Homeless People in England: Annual Review 2015, London: Homeless Link, https://www.homeless.org.uk/sites/default/files/site-attachments/Full%20report%20-%20Single%20homelessness%20support%20in%20England%202015.pdf [accessed 28.07.2020].Google Scholar
Kerman, N., Sylvestre, J., Aubry, T. and Distasio, J. (2018) ‘The effects of housing stability on service use among homeless adults with mental illness in a randomized controlled trial of housing first’, BMC Health Services Research, 18, 190, https://doi.org/10.1186/s12913-018-3028-7 [accessed 28.07.2020].CrossRefGoogle Scholar
Kuhn, R. and Culhane, D. P. (1998) ‘Applying cluster analysis to test a typology of homelessness by pattern of shelter utilization: results from the analysis of administrative data’, American Journal of Community Psychology, 26, 2, 207-32.10.1023/A:1022176402357CrossRefGoogle Scholar
Labour Party (2017) Labour’s New Deal on Housing, London: Labour Party, https://labour.org.uk/wp-content/uploads/2017/10/Housing-Mini-Manifesto.pdf [accessed 28.07.2020].Google Scholar
McDonagh, T. (2011) Tackling Homelessness and Exclusion: Understanding Complex Lives, York: JRF, https://www.jrf.org.uk/sites/default/files/jrf/migrated/files/homelessness-exclusion-services-summary.pdf [accessed 28.07.2020].Google Scholar
England, NHS (2017) Quality and Outcomes Framework 2016-17: Recorded Disease Prevalence, Achievements and Exceptions, Clinical Commissioning Group (CCG) level, https://digital.nhs.uk/data-and-information/publications/statistical/quality-and-outcomes-framework-achievement-prevalence-and-exceptions-data/quality-and-outcomes-framework-qof-2016-17 [accessed 28.07.2020].Google Scholar
Rees, S. (2009) Mental Ill Health in the Adult Single Homeless Population: A Review of the Literature, London: Crisis, https://www.crisis.org.uk/media/20611/crisis_mental_ill_health_2009.pdf [accessed 28.07.2020].Google Scholar
Reeve, K. and Batty, E. (2011) The Hidden Truth about Homelessness: Experiences of Single Homelessness in England, London: Crisis, https://www.crisis.org.uk/media/236816/the_hidden_truth_about_homelessness_es.pdf [accessed 28.07.2020].Google Scholar
Reeve, K., Casey, R. and Goudie, R. (2006) Homeless Women: Still Being Failed yet Striving to Survive, London: Crisis, https://www4.shu.ac.uk/research/cresr/sites/shu.ac.uk/files/homeless-women-striving-survive.pdf [accessed 28.07.2020].Google Scholar
Tsemberis, S. (2010) Housing First: The Pathways Model to End Homelessness for People with Mental Illness and Addiction, Minnesota: Hazelden Foundation.Google Scholar
Woodhall-Melnik, J. R. and Dunn, J. R. (2016) ’A systematic review of outcomes associated with participation in Housing First programs’, Housing Studies, 31, 3, 287-304.10.1080/02673037.2015.1080816CrossRefGoogle Scholar