Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): One year of marontology, and one John Doe living with Diogenes syndrome
Background: In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa. Aims: The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in Januar...
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Veröffentlicht in: | International journal of social psychiatry 2024-02, Vol.70 (1), p.227-230 |
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container_title | International journal of social psychiatry |
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creator | Gama Marques, João Chesi, Daniela Coelho, Raquel Oliveira Castanheira Costa, Inês Santos Antão, Celso Pedro, Carlos Alberto Silva Santos, Paulo Xavier Diogo, José |
description | Background:
In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa.
Aims:
The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in January 1st 2022, as a collaboration including staff from the local state asylum, medical school and town hall in Lisboa, Portugal, in order to provide better treatment for the super difficult cases of psychiatric patients living homeless in Lisboa.
Method:
During 2022, the HOPE 4 team made night rounds, every 15 days on Tuesday’s night (20:30 to 23:30) trying to reach, at least, one dozen of homeless psychiatric patients, previously identified.
Results:
The HOPE 4 Lisboa interviewed 101 patients (53.4%) out of the 189 programed visits. From this group, 72 (72%) had already a previous psychiatric diagnosis. From those 101 patients, reports for 47 (47%) were sent for an eventual compulsory psychiatric assessment. From those 47 only 21 patients (21%) were admitted in the psychiatry ward. Finally we discuss the most super difficult patient we found, as a small case report: a John Doe living in complete Diogenes syndrome.
Conclusions:
there are still a few psychiatrists interested in treating homeless people completely or partially out of the classic mental health care systems. Some claim to be doing interstitial psychiatry, others street psychiatry, but we could also call it marontology. |
doi_str_mv | 10.1177/00207640231179322 |
format | Article |
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In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa.
Aims:
The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in January 1st 2022, as a collaboration including staff from the local state asylum, medical school and town hall in Lisboa, Portugal, in order to provide better treatment for the super difficult cases of psychiatric patients living homeless in Lisboa.
Method:
During 2022, the HOPE 4 team made night rounds, every 15 days on Tuesday’s night (20:30 to 23:30) trying to reach, at least, one dozen of homeless psychiatric patients, previously identified.
Results:
The HOPE 4 Lisboa interviewed 101 patients (53.4%) out of the 189 programed visits. From this group, 72 (72%) had already a previous psychiatric diagnosis. From those 101 patients, reports for 47 (47%) were sent for an eventual compulsory psychiatric assessment. From those 47 only 21 patients (21%) were admitted in the psychiatry ward. Finally we discuss the most super difficult patient we found, as a small case report: a John Doe living in complete Diogenes syndrome.
Conclusions:
there are still a few psychiatrists interested in treating homeless people completely or partially out of the classic mental health care systems. Some claim to be doing interstitial psychiatry, others street psychiatry, but we could also call it marontology.</description><identifier>ISSN: 0020-7640</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/00207640231179322</identifier><identifier>PMID: 37345729</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Brief Report ; Homeless people ; Medical diagnosis ; Medical schools ; Mental disorders ; Mental health care ; Mental health services ; Outreach programs ; Patient admissions ; Patients ; Psychiatric hospitals ; Psychiatrists ; Psychiatry</subject><ispartof>International journal of social psychiatry, 2024-02, Vol.70 (1), p.227-230</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023 2023 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-9cd4e8d7a69aee0ae2d4cc2701b9d24724fd911a81ee412ce9c825f0ec4848d03</citedby><cites>FETCH-LOGICAL-c495t-9cd4e8d7a69aee0ae2d4cc2701b9d24724fd911a81ee412ce9c825f0ec4848d03</cites><orcidid>0000-0003-0662-5178</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00207640231179322$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00207640231179322$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,315,782,786,887,21826,27931,27932,31006,33781,43628,43629</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37345729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gama Marques, João</creatorcontrib><creatorcontrib>Chesi, Daniela</creatorcontrib><creatorcontrib>Coelho, Raquel Oliveira</creatorcontrib><creatorcontrib>Castanheira Costa, Inês</creatorcontrib><creatorcontrib>Santos Antão, Celso</creatorcontrib><creatorcontrib>Pedro, Carlos Alberto</creatorcontrib><creatorcontrib>Silva Santos, Paulo</creatorcontrib><creatorcontrib>Xavier Diogo, José</creatorcontrib><title>Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): One year of marontology, and one John Doe living with Diogenes syndrome</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>Background:
In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa.
Aims:
The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in January 1st 2022, as a collaboration including staff from the local state asylum, medical school and town hall in Lisboa, Portugal, in order to provide better treatment for the super difficult cases of psychiatric patients living homeless in Lisboa.
Method:
During 2022, the HOPE 4 team made night rounds, every 15 days on Tuesday’s night (20:30 to 23:30) trying to reach, at least, one dozen of homeless psychiatric patients, previously identified.
Results:
The HOPE 4 Lisboa interviewed 101 patients (53.4%) out of the 189 programed visits. From this group, 72 (72%) had already a previous psychiatric diagnosis. From those 101 patients, reports for 47 (47%) were sent for an eventual compulsory psychiatric assessment. From those 47 only 21 patients (21%) were admitted in the psychiatry ward. Finally we discuss the most super difficult patient we found, as a small case report: a John Doe living in complete Diogenes syndrome.
Conclusions:
there are still a few psychiatrists interested in treating homeless people completely or partially out of the classic mental health care systems. Some claim to be doing interstitial psychiatry, others street psychiatry, but we could also call it marontology.</description><subject>Brief Report</subject><subject>Homeless people</subject><subject>Medical diagnosis</subject><subject>Medical schools</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Outreach programs</subject><subject>Patient admissions</subject><subject>Patients</subject><subject>Psychiatric hospitals</subject><subject>Psychiatrists</subject><subject>Psychiatry</subject><issn>0020-7640</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kc1u1DAUhS0EokPhAdggS2yKRIrtOGObDULtwIBGmi5gbXmcm8RVYrd2UpR34KHxaIbyJ1bW1fnu8bk6CD2n5JxSId4QwohYcsLKPKqSsQdoQQWnBZMVf4gWe73YAyfoSUrXJM-UlI_RSSlKXgmmFuj7OgzQQ0p4O40RjO3wVZpt58wYncUr35oWBvAjbkLEG5d2weCz9fZqhflxfPUWbz3gGUzEocGDicGPoQ_t_BobX-OQxc-h8_gyAO7dnfMt_ubGDl-60IKHhNPs65hzPEWPGtMneHZ8T9HXD6svF-tis_346eL9prBcVWOhbM1B1sIslQEgBljNrWWC0J2qGReMN7Wi1EgKwCmzoKxkVUPAcsllTcpT9O7gezPtBqhtPi-aXt9El8PPOhin_1S863Qb7jQlcknKSmaHs6NDDLcTpFEPLlnoe-MhTEkzyaSoFJEqoy__Qq_DFH2-TzPFeGYYo5miB8rGkFKE5j4NJXpftv6n7Lzz4vcz7jd-tpuB8wOQcom_vv2_4w89QLJa</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Gama Marques, João</creator><creator>Chesi, Daniela</creator><creator>Coelho, Raquel Oliveira</creator><creator>Castanheira Costa, Inês</creator><creator>Santos Antão, Celso</creator><creator>Pedro, Carlos Alberto</creator><creator>Silva Santos, Paulo</creator><creator>Xavier Diogo, José</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0662-5178</orcidid></search><sort><creationdate>20240201</creationdate><title>Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): One year of marontology, and one John Doe living with Diogenes syndrome</title><author>Gama Marques, João ; Chesi, Daniela ; Coelho, Raquel Oliveira ; Castanheira Costa, Inês ; Santos Antão, Celso ; Pedro, Carlos Alberto ; Silva Santos, Paulo ; Xavier Diogo, José</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-9cd4e8d7a69aee0ae2d4cc2701b9d24724fd911a81ee412ce9c825f0ec4848d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Brief Report</topic><topic>Homeless people</topic><topic>Medical diagnosis</topic><topic>Medical schools</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Outreach programs</topic><topic>Patient admissions</topic><topic>Patients</topic><topic>Psychiatric hospitals</topic><topic>Psychiatrists</topic><topic>Psychiatry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gama Marques, João</creatorcontrib><creatorcontrib>Chesi, Daniela</creatorcontrib><creatorcontrib>Coelho, Raquel Oliveira</creatorcontrib><creatorcontrib>Castanheira Costa, Inês</creatorcontrib><creatorcontrib>Santos Antão, Celso</creatorcontrib><creatorcontrib>Pedro, Carlos Alberto</creatorcontrib><creatorcontrib>Silva Santos, Paulo</creatorcontrib><creatorcontrib>Xavier Diogo, José</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of social psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gama Marques, João</au><au>Chesi, Daniela</au><au>Coelho, Raquel Oliveira</au><au>Castanheira Costa, Inês</au><au>Santos Antão, Celso</au><au>Pedro, Carlos Alberto</au><au>Silva Santos, Paulo</au><au>Xavier Diogo, José</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): One year of marontology, and one John Doe living with Diogenes syndrome</atitle><jtitle>International journal of social psychiatry</jtitle><addtitle>Int J Soc Psychiatry</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>70</volume><issue>1</issue><spage>227</spage><epage>230</epage><pages>227-230</pages><issn>0020-7640</issn><eissn>1741-2854</eissn><abstract>Background:
In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa.
Aims:
The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in January 1st 2022, as a collaboration including staff from the local state asylum, medical school and town hall in Lisboa, Portugal, in order to provide better treatment for the super difficult cases of psychiatric patients living homeless in Lisboa.
Method:
During 2022, the HOPE 4 team made night rounds, every 15 days on Tuesday’s night (20:30 to 23:30) trying to reach, at least, one dozen of homeless psychiatric patients, previously identified.
Results:
The HOPE 4 Lisboa interviewed 101 patients (53.4%) out of the 189 programed visits. From this group, 72 (72%) had already a previous psychiatric diagnosis. From those 101 patients, reports for 47 (47%) were sent for an eventual compulsory psychiatric assessment. From those 47 only 21 patients (21%) were admitted in the psychiatry ward. Finally we discuss the most super difficult patient we found, as a small case report: a John Doe living in complete Diogenes syndrome.
Conclusions:
there are still a few psychiatrists interested in treating homeless people completely or partially out of the classic mental health care systems. Some claim to be doing interstitial psychiatry, others street psychiatry, but we could also call it marontology.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>37345729</pmid><doi>10.1177/00207640231179322</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-0662-5178</orcidid><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | Access via SAGE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
subjects | Brief Report Homeless people Medical diagnosis Medical schools Mental disorders Mental health care Mental health services Outreach programs Patient admissions Patients Psychiatric hospitals Psychiatrists Psychiatry |
title | Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): One year of marontology, and one John Doe living with Diogenes syndrome |
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