Utilization and Perceived Need for Mental Health Services Among Homeless Seniors.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Community Mental Health Journal Pub Date : 2024-07-16 DOI:10.1007/s10597-024-01314-2
Ingyu Moon, Kwi Kim Yun, Mark Jennings
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Abstract

Homeless seniors confront distinct challenges regarding their mental health needs and service access. This study aims to illuminate the mental health landscape of homeless seniors by examining the prevalence of mental illness, utilization of mental health services, and perceived need for mental health care. The study comprises 177 homeless seniors in New York, NY. Findings indicate 10.2% experiencing depression, 10.2% schizophrenia, and 5.7% bipolar disorder. Despite high prevalence, there is a significant gap between diagnosed mental health conditions and service utilization, with only 50% of those with depression seeking care. Perceived need for mental health services emerges as a critical aspect of the study, with over half of those suffering from depression (61.1%; n = 11), PTSD (75%; n = 3), schizophrenia (77.8%; n = 14), and other mental illnesses (100%; n = 1) expressing a need for mental health care. Also, mental health conditions, loneliness, and levels of social support play significant roles in a need for mental health services.

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无家可归的老年人对心理健康服务的利用和认知需求。
无家可归的老年人在心理健康需求和获得服务方面面临着独特的挑战。本研究旨在通过考察无家可归老年人的精神疾病患病率、对精神健康服务的利用率以及对精神健康护理的认知需求,来揭示无家可归老年人的精神健康状况。研究对象包括纽约州纽约市 177 名无家可归的老年人。结果显示,10.2% 的人患有抑郁症,10.2% 的人患有精神分裂症,5.7% 的人患有躁郁症。尽管患病率很高,但在确诊的精神健康状况和服务利用率之间却存在很大差距,只有 50%的抑郁症患者会寻求治疗。对心理健康服务的需求感是本研究的一个重要方面,一半以上的抑郁症患者(61.1%;n = 11)、创伤后应激障碍患者(75%;n = 3)、精神分裂症患者(77.8%;n = 14)和其他精神疾病患者(100%;n = 1)都表示需要心理健康护理。此外,精神健康状况、孤独感和社会支持水平在心理健康服务需求中也起着重要作用。
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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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