Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr 11:11:25.
doi: 10.1186/s13033-017-0133-7. eCollection 2017.

Family reintegration of homeless in Maputo and Matola: a descriptive study

Lídia Gouveia  1   2   3 , Honório Massanganhe  1 , Flávio Mandlate  1   2 , Dirceu Mabunda  1   2 , Wilza Fumo  1   2 , Ana Olga Mocumbi  2   4 , Jair de Jesus Mari  3
Affiliations

Family reintegration of homeless in Maputo and Matola: a descriptive study

Lídia Gouveia et al. Int J Ment Health Syst. .

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.

Keywords: Family reintegration; Homeless; Mental illness; Mozambique.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Patra S, Anand K. Homelessness: a hidden public health problem. Indian J Public Health. 2008;52(3):164–170. - PubMed
    1. Dennis DL, et al. A decade of research and services for homeless mentally ill persons. Where do we stand? Am Psychol. 1991;46(11):1129–1138. doi: 10.1037/0003-066X.46.11.1129. - DOI - PubMed
    1. Shipley SL, Tempelmeyer TC. Reflections on homelessness, mental illness, and crime. J Forensic Psychol Pract. 2012;12(5):409–423. doi: 10.1080/15228932.2012.713827. - DOI
    1. Scott J. Homelessness and mental illness. Br J Psychiatry. 1993;162(3):314–324. doi: 10.1192/bjp.162.3.314. - DOI - PubMed
    1. Crane M. The associations between mental illness and homelessness among older people: an exploratory study. Aging Ment Health. 1998;2(3):171–180. doi: 10.1080/13607869856641. - DOI

LinkOut - more resources