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Multi-morbidity: Psychosis early childhood adversity and substance use within homeless people

Published online by Cambridge University Press:  23 March 2020

M. Krausz*
Affiliation:
Institute of Mental Health at UBC, Vancouver, BC, Canada

Abstract

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Homelessness is the most visible indicator for social marginalization and vulnerability. It is a risk factor for subsequent health threats and especially individuals with a history of trauma, substance use and severe persistent mental illness are at high risk to loose their homes, jobs and social networks.

The Canadian At Home/Chez Soi study aimed to better understand the entanglement of homelessness and mental illness and possible strategies to provide care to the most vulnerable. In 5 Canadian centers, over 2000 patients were included and randomized to different intervention arms based on a housing first approach.

Early trauma and foster care were as rampant as poly substance use, which explains a significant increase in mortality too.

Disclosure of interest

The author has not supplied his declaration of competing interest.

Type
S11
Copyright
Copyright © European Psychiatric Association 2016
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