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Characteristics and Effectiveness of Co-Designed Mental Health Interventions in Primary Care for People Experiencing Homelessness: A Systematic Review

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  • Tobias Schiffler

    (Center for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria)

  • Ali Kapan

    (Center for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria)

  • Alina Gansterer

    (Center for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria)

  • Thomas Pass

    (Center for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria)

  • Lisa Lehner

    (Center for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria
    Department of Science & Technology Studies, Cornell University, 303 Morrill Hall, Ithaca, NY 14853, USA)

  • Alejandro Gil-Salmeron

    (International Foundation for Integrated Care, Wolfson College, Linton Rd., Oxford OX2 6UD, UK)

  • Daragh T. McDermott

    (NTU Psychology, School of Social Sciences, Nottingham Trent University, Nottingham NG1 4FQ, UK)

  • Igor Grabovac

    (Center for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria)

Abstract

People experiencing homelessness (PEH) face a disproportionately high prevalence of adverse mental health outcomes compared with the non-homeless population and are known to utilize primary healthcare services less frequently while seeking help in emergency care facilities. Given that primary health services are more efficient and cost-saving, services with a focus on mental health that are co-designed with the participation of users can tackle this problem. Hence, we aimed to synthesize the current evidence of such interventions to assess and summarize the characteristics and effectiveness of co-designed primary mental healthcare services geared towards adult PEH. Out of a total of 10,428 identified records, four articles were found to be eligible to be included in this review. Our findings show that co-designed interventions positively impacted PEH’s mental health and housing situation or reduced hospital and emergency department admissions and increased primary care utilization. Therefore, co-designed mental health interventions appear a promising way of providing PEH with continued access to primary mental healthcare. However, as co-designed mental health interventions for PEH can improve overall mental health, quality of life, housing, and acute service utilization, more research is needed.

Suggested Citation

  • Tobias Schiffler & Ali Kapan & Alina Gansterer & Thomas Pass & Lisa Lehner & Alejandro Gil-Salmeron & Daragh T. McDermott & Igor Grabovac, 2023. "Characteristics and Effectiveness of Co-Designed Mental Health Interventions in Primary Care for People Experiencing Homelessness: A Systematic Review," IJERPH, MDPI, vol. 20(1), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:1:p:892-:d:1024271
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    References listed on IDEAS

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    1. Stefan Gutwinski & Stefanie Schreiter & Karl Deutscher & Seena Fazel, 2021. "The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis," PLOS Medicine, Public Library of Science, vol. 18(8), pages 1-22, August.
    2. Jennifer Cumming & Fiona J. Clarke & Mark J. G. Holland & Benjamin J. Parry & Mary L. Quinton & Sam J. Cooley, 2022. "A Feasibility Study of the My Strengths Training for Life™ (MST4Life™) Program for Young People Experiencing Homelessness," IJERPH, MDPI, vol. 19(6), pages 1-17, March.
    3. Maeva Jego & Julien Abcaya & Diana-Elena Ștefan & Céline Calvet-Montredon & Stéphanie Gentile, 2018. "Improving Health Care Management in Primary Care for Homeless People: A Literature Review," IJERPH, MDPI, vol. 15(2), pages 1-21, February.
    4. Md Mahbub Hossain & Abida Sultana & Samia Tasnim & Qiping Fan & Ping Ma & E Lisako J McKyer & Neetu Purohit, 2020. "Prevalence of mental disorders among people who are homeless: An umbrella review," International Journal of Social Psychiatry, , vol. 66(6), pages 528-541, September.
    5. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    6. Amanda Stafford & Lisa Wood, 2017. "Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants," IJERPH, MDPI, vol. 14(12), pages 1-12, December.
    7. Lasser, K.E. & Himmelstein, D.U. & Woolhandler, S., 2006. "Access to care, health status, and health disparities in the United States and Canada: Results of a Cross-National Population Based Survey," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1300-1307.
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