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
Hauptverfasser: Gama Marques, João, Chesi, Daniela, Coelho, Raquel Oliveira, Castanheira Costa, Inês, Santos Antão, Celso, Pedro, Carlos Alberto, Silva Santos, Paulo, Xavier Diogo, José
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container_end_page 230
container_issue 1
container_start_page 227
container_title International journal of social psychiatry
container_volume 70
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.
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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. 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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. 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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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