Home > Health and use of health services of people who are homeless and at risk of homelessness who receive free primary health care in Dublin.

Keogh, Claire and O'Brien, Kirsty K and Hoban, Anthony and O'Carroll, Austin and Fahey, Tom (2015) Health and use of health services of people who are homeless and at risk of homelessness who receive free primary health care in Dublin. BMC Health Services Research , 15 , (1) , p. 58.

URL: http://www.biomedcentral.com/1472-6963/15/58

Background: Homeless populations experience poorer physical and mental health, and more barriers to accessing adequate healthcare. This study investigates the health of this population, following the provision of a free to access primary care service for homeless people in Dublin (Safetynet). The health of this group will be compared to previous studies on homelessness conducted in Dublin prior to the establishment of this service (in 1997 and 2005).

Methods: Participants were recruited through Safetynet clinics. A 133-item questionnaire was administered to determine participants’ physical and mental well-being, use of health services and healthcare needs. Prescription data was extracted from participants’ electronic health records.

Results: A total of 105 participants were recruited. The majority were < 45 years of age (69%), male (75%), single (52%), Irish (74%) and had children (52%). Multimorbidity was common; with 5.3 ± 2.7 (mean ± SD) physical conditions reported per person. A large proportion of participants had at some point received a formal diagnosis of a mental health condition (70%; 73/105), including depression (50%; 52/105), addiction disorder (39%), anxiety (36%; 38/105), schizophrenia (13%; 14/105) and bipolar disorder (6%; 6/105). With regards to illicit drug use, 60% (63/105) of participants reported ever using drugs, while 33% (35/105) reported being active drug users. Based on AUDIT C criteria, 53% had an alcohol problem. Compared to previous studies, participants reported more positive ratings of health (70% vs. 57% in 1997 and 46% in 2005). The proportion of participants on one or more prescription medication was higher than in previous studies (81% vs. 32% in 1997 and 49% in 2005) and there was a decrease in attendance at outpatients departments (17% vs. 27% in 2005) and a trend towards a decrease in attendance at Accident and Emergency departments (A & E) (29% vs. 37% in 2005).

Conclusions: This vulnerable population has many physical and mental health problems. Use of drugs, alcohol and smoking is common. Following the establishment of Safetynet, self-reported health was rated more positively, there was also a decrease in the use of A & E and outpatient services and an increase in prescription medicines.

Item Type:Article
Date:February 2015
Page Range:p. 58
Publisher:BioMed Central
Accession Number:HRB (Electronic Only)
Subjects:A Substance use, abuse, and dependence > Prevalence > Problem substance use
G Health and disease > State of health > Mental health
J Health care, prevention and rehabilitation > Health care delivery
MA-ML Social science, culture and community > Social condition > Homelessness
T Demographic characteristics > Homeless person
VA Geographic area > Europe > Ireland > Dublin

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