Home > Breaking the cycle: addressing mental health and homelessness through integrated care.

Depaul, Mental Health Reform. (2025) Breaking the cycle: addressing mental health and homelessness through integrated care. Dublin: Depaul and Mental Health Ireland.

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This report from Depaul and Mental Health Reform highlights the severe mental health crisis among Ireland’s homeless population. While 1 in 5 Irish individuals experience mental health challenges, this figure dramatically increases for those experiencing homelessness. The report reveals that at least 1 in 2 residents in Depaul services are struggling with depression, anxiety, and suicidal thoughts – a crisis hidden in plain sight. The report’s findings are based on Depaul’s administrative data of 4,504 individuals and self-reported experiences, but given the barriers to self-reporting and the limitations of data collection, the actual figure is likely even higher.

Ireland ranks 3rd highest in Europe for mental health difficulties, with 19% of the population affected (European Commission, 2019). However, within Depaul’s services, 36.9% of residents (2018-2023) reported enduring mental health difficulties, requiring intervention – nearly twice the national rate.

Key findings of the report include:

  • 16% of Depaul residents have been hospitalised for mental health issues, rising to 38% among those who self-report mental health difficulties.
  • Only 4% of Depaul residents have access to a psychiatric nurse, and just 9.4% can see a counsellor.
  • 88% of service providers cite staff shortages and long waiting lists as major barriers to accessing care.
  • 39% of people experiencing homelessness struggle with both mental health and substance misuse issues.

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