Mental illness in an adult sample admitted to public hostels in the Rio de Janeiro metropolitan area, Brazil
Abstract
Background The number of homeless people of any country is a major social and health issue, but to date only a few descriptive and focused studies have been undertaken in Brazil on the matter. Method In order to fill this gap, a cross-sectional study was carried out in a random representative sample (n=330) out of 1,977 homeless people lodged in the five public hostels of the Rio de Janeiro metropolitan area. Full data were collected by two trained researchers in a face-to-face interview with 319 (96.7 %) out of the 330 lodgers, using the CIDI (Composite International Development Interview) to assess psychiatric diagnosis. Results The main findings concern prevalence rate of major mental illness, which was 19.4% for the 12 months before data collection, and 22.6% lifetime prevalence rate. Other 12-month prevalence rates were 31% for alcohol abuse/dependence, 4.1% for drug abuse/addiction, 15% for severe cognitive impairment, and 49.2% for any mental disorder. The rate was 65.2% when organic mental disorders were added. Moreover, 23.9% of the sampled lodgers reported previous psychiatric admission. Their demographic characteristics were a mean age of 44.8 years old, 75.8% of them were male, 78.9% were single, 94.7% had a low level of schooling, and 79.2% were long-term unemployed. Conclusions This study demonstrates the high rates of psychiatric morbidity in the homeless, but these rates are exceeded by the apparent poverty and illiteracy of the sample. Given the lack of deliv…
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EXPERIENCE OF MENTAL ILLNESS IN THE CONTEXT OF POVERTY AND SERVICE REFORM
Breen, A. (2006) · SUNScholar (Stellenbosch University)
- Authors
- Lovisi, G. M., Mann, A. H., Coutinho, E., & Morgado, A. F.
- Affiliations
- Fundação Oswaldo Cruz (BR)
- Corresponding author
- Lovisi, G. M.
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2003-09-01
- Volume
- 38
- Issue
- 9
- Pages
- 493-498
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W2084181819
- Cited by
- 25
- References
- 9
- Citations by year
- 2023: 4 · 2019: 2 · 2018: 1 · 2017: 1 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- homelessness, mental illness, psychiatric morbidity, alcohol abuse, drug abuse, cognitive impairment, organic mental disorders, psychiatric hospital admissions, poverty, illiteracy, long-term unemployment, Rio de Janeiro
- MeSH terms
- Adult, Mental Disorders, Brazil, Catchment Area, Health, Community Mental Health Services, Cross-Sectional Studies, Demography, Female, Ill-Housed Persons, Humans, Male, Residential Facilities, Prevalence
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