Department of Occupational Therapy, Faculty of Rehabilitation Medicine, College of Health Science, University of Alberta, Alberta, Canada.
Health Soc Care Community. 2022 Nov;30(6):e3579-e3592. doi: 10.1111/hsc.13996. Epub 2022 Sep 4.
Homeless individuals are disproportionately likely to experience mental health conditions, and typically face many systemic barriers to access mental health services. This study sought to determine the mental health needs of homeless and recently housed individuals in Canada. A meta-ethnography was conducted to synthesise existing qualitative data and translate themes across a broader context. Thirty-five studies on the experiences of 1511 individuals with a history of homelessness were included. Themes were interpreted by comparing and contrasting findings across multiple contexts. Distinct, yet highly interrelated, unmet mental health needs were revealed through personal narratives of trauma, stigmatisation, victimisation, and a lack of basic necessities. Six themes that characterised this population's mental health needs were ontological security, autonomy, hope and purpose, empowerment, social connection and belonging, and access to services. This study revealed homeless individuals' unmet mental health needs to inform social and policy change and improve psychological well-being.
无家可归者更有可能经历心理健康问题，并且通常面临许多获得心理健康服务的系统障碍。本研究旨在确定加拿大无家可归者和最近有住房者的心理健康需求。采用元人种学法对现有的定性数据进行综合分析，并在更广泛的背景下对主题进行翻译。共纳入 35 项关于 1511 名有流浪史者经历的研究。通过对多个背景下的发现进行比较和对比来解释主题。通过创伤、污名化、受害和缺乏基本必需品的个人叙述揭示了截然不同但又高度相关的未满足的心理健康需求。有六个主题体现了这一人群的心理健康需求，分别是本体论安全、自主性、希望和目标、赋权、社会联系和归属感以及服务的获取。本研究揭示了无家可归者未满足的心理健康需求，以推动社会和政策变革，改善心理健康。
