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Directorate of Child and Adolescent Mental Health, Lewisham & Guy's Mental Health NHS Trust, 307 Borough High Street, London SE1 1JJ (work completed while on placement at St Bartholomew's Hospital);
Milton Court, Moor Lane, London EC2Y 9BL;
St Bartholomew's and the Royal London Medical and Dental School, London EC1A 7BE
Aims and method To describe the outcome of rough sleepers admitted to an acute psychiatric ward; the professional most involved with the person was interviewed.
Results Eleven out of 12 people admitted with a psychosis were accommodated and in touch with mental health services at follow-up (median of 21 months) compared with two out of 10 people, admitted without a psychosis, accommodated and four out of 10 people in touch with mental health services.
Clinical implications Psychiatric admission with good aftercare is worthwhile for rough sleepers with a psychosis, even if it requires involuntary admission.
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