11/8/2023 0 Comments Mental regression in adults![]() Part 1: point-in-time estimates of homelessness. The 2018 Annual Homeless Assessment Report (AHAR) to Congress. Henry M, Mahathey A, Morrill T, Robinson A, Shivji A, Watt R. Lifetime and 1-year prevalence of homelessness in the US population: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Paris: Organisation for Economic Co-operation and Development 2020. ĭirectorate of Employment, Labour and Social Affairs. New York: United Nations Commission for Social Development 2019Nov27. Affordable housing and social protection systems for all to address homelessness. United Nations Commission for Social Development. This systematic review and meta-analysis has been registered with PROSPERO (CRD42018085216). The high burden of substance use disorders and schizophrenia spectrum disorders need particular attention in service development. Our findings suggest that the burden of psychiatric morbidity in homeless persons is substantial, and should lead to regular reviews of how healthcare services assess, treat, and follow up homeless people. Public health and policy interventions to improve the health of homeless persons should consider the pattern and extent of psychiatric morbidity. Limitations included lack of information on certain subpopulations (e.g., women and immigrants) and unmet healthcare needs. We found substantial heterogeneity in prevalence rates between studies, which was partially explained by sampling method, study location, and the sex distribution of participants. The most common diagnostic categories were alcohol use disorders, at 36.7% (95% CI 27.7% to 46.2%), and drug use disorders, at 21.7% (95% CI 13.1% to 31.7%), followed by schizophrenia spectrum disorders (12.4% ) and major depression (12.6% ). The mean prevalence of any current mental disorder was estimated at 76.2% (95% CI 64.0% to 86.6%). Random effects meta-analyses of prevalence rates were conducted, and heterogeneity was assessed by meta-regression analyses. Study quality was assessed using the JBI critical appraisal tool for prevalence studies and a risk of bias tool. ![]() We identified 39 publications with a total of 8,049 participants. Studies were included if they sampled exclusively homeless persons, diagnosed mental disorders by standardized criteria using validated methods, provided point or up to 12-month prevalence rates, and were conducted in high-income countries. We updated a previous systematic review and meta-analysis conducted in 2007, and searched until 1 April 2021. We systematically searched for observational studies that estimated prevalence rates of mental disorders in samples of homeless individuals, using Medline, Embase, PsycInfo, and Google Scholar. We conducted a systematic review and meta-analysis of studies on the prevalence of any mental disorder and major psychiatric diagnoses in clearly defined homeless populations in any high-income country. Many primary studies have estimated prevalence rates for mental disorders in homeless individuals. Homelessness continues to be a pressing public health concern in many countries, and mental disorders in homeless persons contribute to their high rates of morbidity and mortality.
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