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A psychiatric clinic for the single homeless in a primary care setting in Inner London

Published online by Cambridge University Press:  02 January 2018

J. A. Bridgewater
Affiliation:
Wytham Hall, London W9 2QJ
S. S. Ramsden
Affiliation:
Great Chapel Street Medical Centre
D. J. El Kabir
Affiliation:
Great Chapel Street Medical Centre
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It is well recognised that there is an increased psychiatric morbidity, in particular psychosis, personality disorder and substance abuse, among the single homeless (Lodge Patch et al, 1971). The reasons for this are complex. There is evidence that these people are mentally ill before becoming homeless and that their illness may be a cause of their homelessness. In a study of newly presenting patients at the DHSS Reception Centre in Camberwell, London, Tidmarsh & Wood found that 87% of those with mental illness had been staying recently with their families just before their first hospital admission, suggesting that mental illness may have led to homelessness in these patients (Tidmarsh & Wood, 1972). Although direct evidence is scant in the UK, it is felt that the closure of long-stay psychiatric hospitals could lead to some of their in-patients becoming homeless.

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Articles
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1989

References

El-Kabir, D. J. (1982) Great Chapel Street Medical Centre. British Medical Journal, 284, 1679.CrossRefGoogle ScholarPubMed
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Tidmarsh, D. & Wood, S. (1972) Psychiatric aspects of destitution. In Evaluating a Community Psychiatric Service: The Camberwell Register 1964–1971 (eds. Wing, J. K. and Hailey, A. M.). Oxford: Oxford University Press.Google Scholar
Tyrer, P. (1984) Psychiatric clinics in general practice. British Journal of Psychiatry, 145, 914.CrossRefGoogle ScholarPubMed
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