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Prevalence of housing needs among inpatients: a 1 year audit of housing needs in the acute mental health unit in Tallaght Hospital

Published online by Cambridge University Press:  16 February 2016

J. Cowman  and
P. Whitty
J. Cowman*
Affiliation:
Tallaght Adult Mental Health Service, Sheaf House, Exchange Hall, Belgard Square North, Tallaght, Dublin, Ireland
P. Whitty
Affiliation:
Tallaght Adult Mental Health Service, Sheaf House, Exchange Hall, Belgard Square North, Tallaght, Dublin, Ireland
*
*Address for correspondence: J. Cowman, Tallaght Adult Mental Health Service, Sheaf House, Exchange Hall, Belgard Square North, Tallaght, Dublin 24, Ireland. (Email: [email protected])
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Abstract

Objective

There is a dearth of information relating to the prevalence of housing needs among psychiatric in-patients in Ireland. Most of the information we have to date emerged as a result of attempts to plan for the closure of old psychiatric hospitals and inappropriate community residences. This study sought to identify the prevalence of housing needs among in-patients in the acute psychiatric unit in Tallaght Hospital.

Methods

Each week, over a 12-month period, nursing managers and/or key nurses who knew the patients well were asked for numerical data. Information was collected on the numbers of in-patients with accommodation needs, number of delayed discharges due to accommodation needs and number of discharges to homeless accommodation in the previous week.

Results

On average, 38% of in-patients had accommodation related needs at any one time. Most (98%) of delayed discharges had accommodation related needs. Delayed discharge in-patients with accommodation needs accounted for 28% of all inpatients and for 72% of all inpatients with accommodation related needs.

Conclusions

Accommodation need among psychiatric in-patients is underreported. Housing need data should be routinely collected and effective interagency strategies developed to address housing needs.

Keywords

Delayed dischargehomelesshousinghousing needshousing pathwaymental health
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 33 , Issue 3 , September 2016 , pp. 159 - 164
Copyright
© College of Psychiatrists of Ireland 2016 

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References

Bartlett, C, Holloway, J, Evans, M, Ownes, J, Harrison, G (2001). Alternatives to psychiatric inpatient care: a case-by-case survey of clinical judgements. Journal of Mental Health 1, 535–546.Google Scholar
Beck, A, Croudace, TJ, Singh, S, Harrison, G (1997). The Nottingham Acute Bed Study: alternatives to acute psychiatric care. British Journal of Psychiatry 170, 247–252.Google Scholar
Bradshaw, J (1972). The concept of social need. New Society 496, 640–643.Google Scholar
Brooke, S (2014). Assessments of housing need. Housing Ireland: A Journal for Irish Housing Professionals 6, 28–31.Google Scholar
Browne, M (2007). The Right Living Space: Housing and Accommodation Needs of People with Disabilities. Dublin Citizens Information Board/Disability Federation of Ireland: Dublin.Google Scholar
Carling, PJ (1993). Housing and supports for persons with mental illness: emerging approaches to research and practice. Hospital and Community Psychiatry 44, 439–449.Google ScholarPubMed
Clifford, P, Charman, A, Webb, Y, Craig, TJK, Cowan, D (1991). Planning for community care: the community placement questionnaire. British Journal of Psychology 30, 193–211.Google Scholar
Commander, M, Rooprai, D (2008). Survey of long stay patients on acute psychiatric wards. The Psychiatrist 32, 380–383.Google Scholar
Corbluth, M (2011). Delayed discharge and lack of housing for inpatients. Mental Health Practice 14, 28–30.Google Scholar
Daly, A, Walsh, D (2013). Activities of Irish Psychiatric Units and Hospitals 2012 Dublin: Health Research Board (http://www.hrb.ie/publications/hrb-publication/publications//622). Accessed 27 October 2014.Google Scholar
Department of Health and Children (2006). A vision for change. Report of the expert group on mental health policy. (http://www.irishpsychiatry.ie/Libraries/External_Events_Documents/vision_for_change_full_document.sflb.ashx). Accessed 28 October 2014.Google Scholar
Department of the Environment, Community and Local Government (DECLG) (2011). National Housing Strategy for People with a Disability 2011-2016 Dublin (http://www.environ.ie/en/Publications/DevelopmentandHousing/Housing/FileDownLoad, 30737,en.pdf). Accessed 29 October 2014.Google Scholar
Department of the Environment, Community and Local Government (DECLG) (2014). National guidelines for the assessment and allocation process for housing provision for people with a disability 2014 Dublin (http://www.dpoc.ie/cmsAdmin/uploads/guidance-for-housing-provision-for-pwds-v1-11.pdf). Accessed 29 October 2014.Google Scholar
Durbin, J, Cochrane, J, Goering, P, Macfarlane, D (2001). Needs based planning: evaluation of a level of care planning model. Journal of Behavioural Health Services and Research 28, 67–80.Google Scholar
Farragher, B, Fahy, S, Carey, T, Ownes, J (1999). Towards mental health hospital closure, a study of residual long stay population. Irish Journal of Psychological Medicine 16, 93–96.Google Scholar
Greenwood, RM, Schaefer-McDaniel, NJ, Winkel, G, Tsemberis, S (2005). Decreasing psychiatric symptoms by increasing choice in services for adults with histories of homelessness. American Journal of Community Psychology 36, 223–238.Google Scholar
Health Service Executive (HSE) (2009). The Efficiency and Effectiveness of Long-Stay Residential Care for Adults within the Mental Health Services: Evaluation Report Prepared Under the Value for Money and Policy Review Initiative. Health Service Executive: Dublin.Google Scholar
The Housing Agency (2013). Summary of Social Housing Assessments: Key Findings. The Housing Agency: Dublin. (http://www.environ.ie/en/PublicationsDocuments/FileDownLoad,34857,en.pdf). Accessed 29 October 2014.Google Scholar
Kennedy, S (1985). But Where Can I Go–Homeless Women in Dublin. Arlen Press: Dublin (http://www.focusireland.ie/files/publications/TheMentalPhysicalHealthofHomelessFamilies).Google Scholar
Keogh, F, Roche, A, Walsh, D (1999). We Have No Beds: An Enquiry into the Availability and Use of Acute Psychiatric Beds in the Eastern Health Board Region. Health Research Board: Dublin (http://www.hrb.ie/health-information-in-house-research/mental-health/research/previous-research/we-have-no-beds/). Accessed 27 October 2014.Google Scholar
Macpherson, R, Shepherd, G, Edwards, T (2004). Supported accommodation for people with severe mental illness: a review. Advances in Psychiatric Treatment 10, 180–188.Google Scholar
Parks, J, Radke, AQ (editors) (2014). The Vital Role of State Psychiatric Hospitals. National Association of State Mental Health Program Directors: Alexandria (http://www.nasmhpd.org). Accessed 28 October 2014.Google Scholar
Royal Collage of Psychiatrists (2010). Looking ahead. Future developments of UK mental health services: recommendations from a Royal Collage of Psychiatrists’ enquiry (http://www.rcpsych.ac.uk/usefulresources/publications/collegereports/op/op75.aspxLondon: Royal Collage of Psychiatrists). Accessed 28 October 2014.Google Scholar
Srebnik, D, Livingston, J, Gordon, L, King, D (1995). Housing choice and community success for individuals with serious and persistent mental illness. Community Mental Health Journal 31, 139–152.Google Scholar
Substance Abuse and Mental Health Services Administration (2010). Permanent supportive housing: the evidence (http://scholar.google.com/scholar?q=substance+abuse+and+mental+health+services+administration+2010+permanent+supportive+housing&hl=en&as_sdt=0&as_vis=1&oi=scholart&sa=X&ved=0CB0QgQMwAGoVChMIm6SLsMCryAIVQWw-Ch1ZkgVb). Accessed 29 October 2014.Google Scholar
Tanzman, B (1993). An overview of surveys of mental health consumers’ preferences for housing and support services. Hospital and Community Psychiatry 44, 450–455.Google Scholar
Tedstone Doherty, D, Walsh, D, Moran, R (2007). Happy Living Here: A Survey and Evaluation of Community Residential Mental Health Services in Ireland. Mental Health Commission/Health Research Board: Dublin (http://www.mhcirl.ie/File/happylivinghere.pdf). Accessed 26 October 2014.Google Scholar
Tsemberis, S (2010). Housing first: the pathways model to end homelessness for people with mental illness and addiction (https://books.google.ie/books?hl=en&lr=&id=Gr5WAwAAQBAJ&oi=fnd&pg=PA37&dq=housing+first+tsemberis+2010&ots=onHTmfQNDy&sig=Gz1bN3zNiBMvsIGA-rKWZMReCcI#v=onepage&q=housing%20first%20tsemberis%202010&f=false). Accessed 27 October 2014.Google Scholar