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Service innovations

a service for the homeless with mental illness in Aberdeen

Clerkseat Building, Royal Cornhill Hospital, Cornhill Road, Aberdeen AB25 2ZH

John Love, Lecturer in Sociology

Robert Gordon University, Kepplestone Annexe, Queen's Road, Aberdeen AB15 4PH

AIMS AND METHOD

To evaluate the first 3 years of a newly developed service for the homeless mentally ill in Aberdeen. All 86 referrals to the service between 1996 and 1999 were reviewed.

RESULTS

The majority of referrals came from social care staff and self-referrals.

Half were diagnosed as having severe and enduring mental illness and of these one-quarter (11 cases) were engaged in long-term psychiatric care. A total of 744 in-patient days were required, only one admission was a compulsory detention.

CLINICAL IMPLICATIONS

It has proven possible to identify and engage with a number of homeless individuals who have untreated serious mental illness by setting up a small dedicated service that has close links with an established adult mental health team and which establishes close working relationships with colleagues in social care settings.