Family reintegration of homeless in Maputo and Matola: a descriptive study
Abstract Background Homelessness is a global and local social problem with underestimated prevalence. It has been shown to increase the risk of mental illness, raising concerns from mental health providers about the need for effective interventions targeting this population. Objectives The aim of th...
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | International Journal of Mental Health Systems |
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| Online Access: | http://link.springer.com/article/10.1186/s13033-017-0133-7 |
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| author | Lídia Gouveia Honório Massanganhe Flávio Mandlate Dirceu Mabunda Wilza Fumo Ana Olga Mocumbi Jair de Jesus Mari |
| author_facet | Lídia Gouveia Honório Massanganhe Flávio Mandlate Dirceu Mabunda Wilza Fumo Ana Olga Mocumbi Jair de Jesus Mari |
| author_sort | Lídia Gouveia |
| collection | DOAJ |
| description | Abstract Background Homelessness is a global and local social problem with underestimated prevalence. It has been shown to increase the risk of mental illness, raising concerns from mental health providers about the need for effective interventions targeting this population. Objectives The aim of this paper is to describe the mental health status of the homeless people in two urban setting in a low-income country, through using standardised clinical and socio-demographic assessments as well assessing potential predictors of family integration versus non-family integration among a group of homeless individuals receiving psychiatric and psychosocial treatment. Methods A descriptive study was performed in Maputo and Matola cities between 2008 and 2010. Homeless people with apparent mental illness were mapped and recruited. The participants were referred from community to hospital, using a multidisciplinary treatment model, according to their clinical condition and later entered a family reintegration process. Results Seventy-one homeless people were recruited (93.0% male; 80.3% unemployed). The most common diagnosis was schizophrenia and other psychosis (46; 64.8%), followed by mental and behaviour disorder related to substance misuse (21; 29.6%), and intellectual disability (4; 5.6%). Family reintegration was achieved for 53.5% (38 patients). Patients with intellectual disability were less reintegrated and those with disorders related to substance use had better reinsertion in their families (Chi square (2) = 6.1; p = 0.047). Conclusions Family reintegration was achieved in more than half of participants after hospitalization. Integration was higher in cases of substance misuse, with those with associated intellectual disability being more difficult to reintegrate. Trial registration Trial Registration Number: NCT02936141, date of registration: 14/10/2016, retrospectively registered. |
| first_indexed | 2024-12-11T11:27:19Z |
| format | Article |
| id | doaj.art-50d3330dbc4740fdb6baabb7cb4acee2 |
| institution | Directory Open Access Journal |
| issn | 1752-4458 |
| language | English |
| last_indexed | 2024-12-11T11:27:19Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj.art-50d3330dbc4740fdb6baabb7cb4acee22022-12-22T01:08:58ZengBMCInternational Journal of Mental Health Systems1752-44582017-04-011111610.1186/s13033-017-0133-7Family reintegration of homeless in Maputo and Matola: a descriptive studyLídia Gouveia0Honório Massanganhe1Flávio Mandlate2Dirceu Mabunda3Wilza Fumo4Ana Olga Mocumbi5Jair de Jesus Mari6Department of Mental Health, Ministry of Health-MozambiqueDepartment of Mental Health, Ministry of Health-MozambiqueDepartment of Mental Health, Ministry of Health-MozambiqueDepartment of Mental Health, Ministry of Health-MozambiqueDepartment of Mental Health, Ministry of Health-MozambiqueFaculty of Medicine, University Eduardo MondlaneDepartment of Psychiatry, Universidade Federal de São Paulo (UNIFESP)Abstract Background Homelessness is a global and local social problem with underestimated prevalence. It has been shown to increase the risk of mental illness, raising concerns from mental health providers about the need for effective interventions targeting this population. Objectives The aim of this paper is to describe the mental health status of the homeless people in two urban setting in a low-income country, through using standardised clinical and socio-demographic assessments as well assessing potential predictors of family integration versus non-family integration among a group of homeless individuals receiving psychiatric and psychosocial treatment. Methods A descriptive study was performed in Maputo and Matola cities between 2008 and 2010. Homeless people with apparent mental illness were mapped and recruited. The participants were referred from community to hospital, using a multidisciplinary treatment model, according to their clinical condition and later entered a family reintegration process. Results Seventy-one homeless people were recruited (93.0% male; 80.3% unemployed). The most common diagnosis was schizophrenia and other psychosis (46; 64.8%), followed by mental and behaviour disorder related to substance misuse (21; 29.6%), and intellectual disability (4; 5.6%). Family reintegration was achieved for 53.5% (38 patients). Patients with intellectual disability were less reintegrated and those with disorders related to substance use had better reinsertion in their families (Chi square (2) = 6.1; p = 0.047). Conclusions Family reintegration was achieved in more than half of participants after hospitalization. Integration was higher in cases of substance misuse, with those with associated intellectual disability being more difficult to reintegrate. Trial registration Trial Registration Number: NCT02936141, date of registration: 14/10/2016, retrospectively registered.http://link.springer.com/article/10.1186/s13033-017-0133-7HomelessMental illnessFamily reintegrationMozambique |
| spellingShingle | Lídia Gouveia Honório Massanganhe Flávio Mandlate Dirceu Mabunda Wilza Fumo Ana Olga Mocumbi Jair de Jesus Mari Family reintegration of homeless in Maputo and Matola: a descriptive study International Journal of Mental Health Systems Homeless Mental illness Family reintegration Mozambique |
| title | Family reintegration of homeless in Maputo and Matola: a descriptive study |
| title_full | Family reintegration of homeless in Maputo and Matola: a descriptive study |
| title_fullStr | Family reintegration of homeless in Maputo and Matola: a descriptive study |
| title_full_unstemmed | Family reintegration of homeless in Maputo and Matola: a descriptive study |
| title_short | Family reintegration of homeless in Maputo and Matola: a descriptive study |
| title_sort | family reintegration of homeless in maputo and matola a descriptive study |
| topic | Homeless Mental illness Family reintegration Mozambique |
| url | http://link.springer.com/article/10.1186/s13033-017-0133-7 |
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