Risk of psychiatric readmission in the homeless population: A 10-year follow-up study
Homelessness continues to be a major social and clinical problem. The homeless population has a higher burden of disease that includes psychiatric disorders. In addition, they have a lower use of ambulatory health services and a higher use of acute care. Few investigations analyze the use of service...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1128158/full |
| _version_ | 1797924591567372288 |
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| author | Jesús Herrera-Imbroda Jesús Herrera-Imbroda José Guzmán-Parra Antonio Bordallo-Aragón Berta Moreno-Küstner Berta Moreno-Küstner Fermín Mayoral-Cleríes |
| author_facet | Jesús Herrera-Imbroda Jesús Herrera-Imbroda José Guzmán-Parra Antonio Bordallo-Aragón Berta Moreno-Küstner Berta Moreno-Küstner Fermín Mayoral-Cleríes |
| author_sort | Jesús Herrera-Imbroda |
| collection | DOAJ |
| description | Homelessness continues to be a major social and clinical problem. The homeless population has a higher burden of disease that includes psychiatric disorders. In addition, they have a lower use of ambulatory health services and a higher use of acute care. Few investigations analyze the use of services of this population group in the long term. We analyzed the risk of psychiatric readmission of homeless individuals through survival analysis. All admissions to a mental health hospitalization unit in the city of Malaga, Spain, from 1999 to 2005, have been analyzed. Three analyses were carried out: two intermediate analyses at 30 days and 1 year after starting follow-up; and one final analysis at 10 years. In all cases, the event was readmission to the hospitalization unit. The adjusted Hazard Ratio at 30 days, 1-year, and 10-year follow-ups were 1.387 (p = 0.027), 1.015 (p = 0.890), and 0.826 (p = 0.043), respectively. We have found an increased risk of readmission for the homeless population at 30 days and a decreased risk of readmission at 10 years. We hypothesize that this lower risk of long-term readmission may be due to the high mobility of the homeless population, its low degree of adherence to long-term mental health services, and its high mortality rate. We suggest that time-critical intervention programs in the short term could decrease the high rate of early readmission of the homeless population, and long-term interventions could link them with services and avoid its dispersion and abandonment. |
| first_indexed | 2024-04-10T15:03:25Z |
| format | Article |
| id | doaj.art-b5e91b164f8345a8b95197f97e436d56 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-10T15:03:25Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-b5e91b164f8345a8b95197f97e436d562023-02-15T09:01:05ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-02-011410.3389/fpsyg.2023.11281581128158Risk of psychiatric readmission in the homeless population: A 10-year follow-up studyJesús Herrera-Imbroda0Jesús Herrera-Imbroda1José Guzmán-Parra2Antonio Bordallo-Aragón3Berta Moreno-Küstner4Berta Moreno-Küstner5Fermín Mayoral-Cleríes6Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, SpainDepartamento de Farmacología y Pediatría, Facultad de Medicina, Universidad de Málaga, Andalucía Tech, Málaga, SpainUnidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, SpainUnidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, SpainUnidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, SpainDepartamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Málaga, Andalucía Tech, Málaga, SpainUnidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, SpainHomelessness continues to be a major social and clinical problem. The homeless population has a higher burden of disease that includes psychiatric disorders. In addition, they have a lower use of ambulatory health services and a higher use of acute care. Few investigations analyze the use of services of this population group in the long term. We analyzed the risk of psychiatric readmission of homeless individuals through survival analysis. All admissions to a mental health hospitalization unit in the city of Malaga, Spain, from 1999 to 2005, have been analyzed. Three analyses were carried out: two intermediate analyses at 30 days and 1 year after starting follow-up; and one final analysis at 10 years. In all cases, the event was readmission to the hospitalization unit. The adjusted Hazard Ratio at 30 days, 1-year, and 10-year follow-ups were 1.387 (p = 0.027), 1.015 (p = 0.890), and 0.826 (p = 0.043), respectively. We have found an increased risk of readmission for the homeless population at 30 days and a decreased risk of readmission at 10 years. We hypothesize that this lower risk of long-term readmission may be due to the high mobility of the homeless population, its low degree of adherence to long-term mental health services, and its high mortality rate. We suggest that time-critical intervention programs in the short term could decrease the high rate of early readmission of the homeless population, and long-term interventions could link them with services and avoid its dispersion and abandonment.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1128158/fullhomelessnesspsychiatric readmissionhealth managementsocial psychiatrypsychopathology |
| spellingShingle | Jesús Herrera-Imbroda Jesús Herrera-Imbroda José Guzmán-Parra Antonio Bordallo-Aragón Berta Moreno-Küstner Berta Moreno-Küstner Fermín Mayoral-Cleríes Risk of psychiatric readmission in the homeless population: A 10-year follow-up study Frontiers in Psychology homelessness psychiatric readmission health management social psychiatry psychopathology |
| title | Risk of psychiatric readmission in the homeless population: A 10-year follow-up study |
| title_full | Risk of psychiatric readmission in the homeless population: A 10-year follow-up study |
| title_fullStr | Risk of psychiatric readmission in the homeless population: A 10-year follow-up study |
| title_full_unstemmed | Risk of psychiatric readmission in the homeless population: A 10-year follow-up study |
| title_short | Risk of psychiatric readmission in the homeless population: A 10-year follow-up study |
| title_sort | risk of psychiatric readmission in the homeless population a 10 year follow up study |
| topic | homelessness psychiatric readmission health management social psychiatry psychopathology |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1128158/full |
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