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The Social Disablement of Men in Hostels for Homeless People II. a Comparison with Patients from Long-stay Wards

Published online by Cambridge University Press:  02 January 2018

Walid Abdul Hamid ,
Til Wykes  and
Stephen Stansfeld
Walid Abdul Hamid*
Affiliation:
Department of Epidemiology and Public Health, University College and Middlesex School of Medicine, London
Til Wykes
Affiliation:
Department of Psychology, Institute of Psychiatry
Stephen Stansfeld
Affiliation:
Princess Alexandra Hospital, Harlow, Essex
*
Dr W. A. Hamid, Institute of Psychiatry, DeCrespigny Park, Denmark Hill, London SE5 8AF
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Extract

Background

Some authors have argued that hostels for homeless people are increasingly taking over the role of psychiatric long-stay wards, and that this creates a problem. We set out to test this hypothesis.

Method

The social disablement of a random sample of 101 homeless men, described in Part 1, was compared with that of a sample of 66 psychiatric patients from a long-stay ward.

Results

The study sample rated significantly lower for social disablement than the long-stay ward sample. Thirteen subjects of the hostel sample had psychotic social behaviour problems. These had no history of being long-stay psychiatric patients.

Conclusions

The hostel sample differ significantly in their social disablement from the chronic psychiatric patients. There is a small proportion of severely disturbed residents who might have been over-represented in previous non-random surveys.

Type
Papers
Information
The British Journal of Psychiatry , Volume 166 , Issue 6 , June 1995 , pp. 809 - 812
Copyright
Copyright © Royal College of Psychiatrists, 1995 

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References

American Psychiatric Association (1987) Diagnostic Criteria from DSM–III–R (eds Williams, R. L. Spitzer ft J. B.). New York: APA.Google Scholar
Bebbington, P. E. (1990) Population surveys of psychiatric disorder and the need for treatment. Social Psychiatry and Psychiatric Epidemiology, 25, 33–40.CrossRefGoogle ScholarPubMed
Craig, T. & Timms, P. W. (1992) Out of the wards and onto the street? deinstutionalization and homelessness in Britain. Journal of Mental Health, 1, 265–275.CrossRefGoogle Scholar
Crossly, B. & Denmark, J. C. (1966) Community care – a study of the psychiatric morbidity of a Salvation Army hostel. British Journal of Sociology, 20, 443–449.CrossRefGoogle Scholar
Dayson, D. (1993) Crime, vagrancy, death and readmission of the long-term mentally ill during their first year of local provision. British Journal of Psychiatry, suppl. 19, 43–47.Google Scholar
Fleiss, J. I. & Cohen, J. (1973) The equivalence of weighted kappa and the interclass correlation coefficient as measures of reliability. Educational and Psychological Measurement, 33, 613–619.CrossRefGoogle Scholar
Hall, J. & Baker, R. (1983) REHAB, a User Manual. Aberdeen: Vine Publishing.Google Scholar
Hamid, W. A. (1991) Homeless People and Community Care: an assessment of the needs of homeless people for mental health services. PhD Thesis, University of London.Google Scholar
Jones, B. E., Goldstein, D. B. & Gray, B. A. (1984) Psychodynamic profile of the urban homeless. 137th Annual Conference, Los Angeles, CA. Google Scholar
Kostrzewski, J. (1979) The interface of health and social services. In Measurement of Level of Health (eds Holland, W., Ipsen, J. & Kostrzewski, J.). Copenhagen: World Health Organization.Google Scholar
Leff, J. (1993) All the homeless people – where do they all come from? British Medical Journal, 306, 669–670.CrossRefGoogle ScholarPubMed
Lodge Patch, I. C. (1971) Homeless men in London: I. Demographic findings in a lodging house sample. British Journal of Psychiatry, 118, 313–317.CrossRefGoogle Scholar
Marshall, M. (1989) Collected and neglected: Are Oxford hostels for the homeless filling up with disabled psychiatric patients? British Medical Journal, 299, 706–709.CrossRefGoogle ScholarPubMed
Marshall, M. (1993) Untreated schizophrenia in hostels for the homeless: a cause for concern? Psychiatric Bulletin, 17, 16–17.CrossRefGoogle Scholar
Myers, T. (1984) Alcohol and violence: self-reported alcohol consumption among violent and non violent male prisoners. In Alcohol-related Problems: Room for Manoeuvre (eds Krasner, N., Madden, J. S. & Walker, R. J.). Chichester: Wiley.Google Scholar
Schlesselman, J. J. (1982) Case-control Studies: Design, Conduct, Analysis. New York: Oxford University Press.Google Scholar
Sturt, E. & Wykes, T. (1987) Assessment schedule for chronic psychiatric patients. Psychological Medicine, 17, 485–493.CrossRefGoogle ScholarPubMed
Timms, P. W. & Fry, A. H. (1989) Homelessness and mental illness. Health Trends, 21, 70–71.Google ScholarPubMed
Toro, P. A. & McDonnell, D. M. (1992) Beliefs, attitudes and knowledge about homelessness: a survey of the general public. American Journal of Community Psychology, 20, 53–80.CrossRefGoogle ScholarPubMed
Wing, J. K. (1989) The measurement of ‘social disablement$’: The MRC social behaviour and social role performance schedules. Social Psychiatry and Psychiatric Epidemiology, 24, 173–178.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Wykes, T. & Sturt, E. (1986) The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the SBS schedule. British Journal of Psychiatry, 148, 1–11.CrossRefGoogle ScholarPubMed
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