The link between mental health and homelessness is a profound and intricate one. Navigating the daily challenges of homelessness is a struggle, even more so for those with mental health issues. To create genuinely effective interventions and support for homeless populations, understanding and addressing mental health is paramount. In this piece, we’ll delve into the complex intersection of homelessness and mental health, spotlighting the urgency for integrated mental health support within supported housing programs.
The Interwoven Tapestry of Mental Health and Homelessness
Mental health disorders are both a cause and consequence of homelessness. Many individuals may initially become homeless due to the exacerbation of untreated or poorly managed mental health conditions, which can compromise their ability to maintain employment or housing. Once homeless, the daily stresses, traumas, and uncertainties can further worsen mental health.
Prevalence and Impact
The rates of mental health disorders among homeless populations are substantially higher compared to the general population. It’s estimated that about 25-30% of the homeless population suffers from a severe mental illness, with many more grappling with other disorders such as depression or post-traumatic stress disorder. These conditions can perpetuate the cycle of homelessness, making it more challenging to seek or maintain housing and employment.
The Imperative for Integrated Services
Offering shelter isn’t enough. Supported housing programs need to incorporate accessible mental health services, ensuring that residents not only have a roof over their heads but also the psychological support and treatment they require. This holistic approach can significantly enhance long-term outcomes for individuals and reduce the recurrence of homelessness.
Tailored Therapeutic Approaches
Given the unique experiences and traumas associated with homelessness, tailored therapeutic interventions are vital. This includes trauma-informed care, which acknowledges the extensive adversities many homeless individuals face and ensures services are delivered in a way that avoids re-traumatisation.
Reducing Barriers to Mental Health Care
Homeless populations often face numerous barriers to accessing mental health care, from lack of insurance to stigma. Integrated models can help reduce these barriers by offering on-site mental health clinics, drop-in counselling sessions, and peer-led support groups within supported housing establishments.
Empowerment through Support
Encouraging self-efficacy and empowerment is paramount. Through mental health support, individuals can regain a sense of control, which not only aids in their personal mental health journey but also in other areas, such as job readiness and community reintegration.
Mental Health and Homelessness
Untangling the intricate web of homelessness and mental health requires compassionate, informed, holistic interventions. By integrating robust mental health services into supported housing initiatives, we can ensure that the most vulnerable among us are not just housed but are also provided with the tools and support to heal, thrive, and reintegrate into society.
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References
Fazel, S., Khosla, V., Doll, H., & Geddes, J. (2008). The prevalence of mental disorders among the homeless in western countries: Systematic review and meta-regression analysis. PLOS Medicine, 5(12).
Hopper, E. K., Bassuk, E. L., & Olivet, J. (2010). Shelter from the storm: Trauma-informed care in homelessness services settings. The Open Health Services and Policy Journal, 3.
Kresky-Wolff, M., Larson, M. J., O’Brien, R. W., & McGraw, S. A. (2010). Supportive housing approaches in the Collaborative Initiative to Help End Chronic Homelessness (CICH). Journal of Behavioural Health Services & Research, 37(2).
Shinn, M., Gottlieb, J., Wett, J. L., Bahl, A., Cohen, A., & Baron Ellis, D. (2007). Predictors of homelessness among older adults in New York City: Disability, economic, human and social capital and stressful events.Journal of Health Psychology, 12(5).