How to care for the homeless: Describing the existing treatments for the psychotic homeless young adults, a systematic literature review

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"Background: Homelessness carries an increased risk of developing severe mental disorders and conversely psychosis is associated with homelessness.
In Montreal, approximately 15% of homeless people suffer from psychosis. The young ones are even more at risk. It hits them at a crucial time of their development while they should consolidate their personality and life choices.This population’s life conditions make it more difficult for mental health teams to engage them in treatment. In 2012, an intensive community care team (EQIIP SOL) was set-up to address the specific needs of young homeless adults (YHA) suffering from psychosis. Objectives: To determine functional and symptomatic outcome of YHA suffering from early psychosis and treated by a specialized assertive outreach community care team in Montreal Canada. Method Prospective longitudinal study of the impact of the addition of an assertive outreach team to a specialised early psychosis intervention clinic. Symptomatic (eg. PANSS, CDS, CGI) and functional outcome (eg. GAF, SOFAS, QOL) as well as service utilisation data has been collected at 3, 6, 12 and 18 months ResultsAbout 50 young adults have enrolled in the project EQIIP SOL. The data on demographic, symptomatic and functional evolution of this sample will be discussed as well as challenges in implantation of such a team. ConclusionYHA psychotic patients can be helped by a specialized team offering intensive integrated treatment in the community, which increases accessibility of mental health services and its effectiveness. Further research is warranted to compare this treatment team to treatments already available.

Poster First Author: 
Virginie Dore Gauthier
Additional Authors: 
Amal Abdel-Baki
Conference Presented At: 
IAYMH 2015
Poster Date: 
October, 2015
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