{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T01:15:29Z","timestamp":1787620529818,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Homelessness is rising in Ireland, and people experiencing homelessness face disproportionately poor mental health outcomes due to intersecting structural and psychosocial factors. Access to mental healthcare remains limited, leaving generalist services to manage increasing need, particularly during crises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore healthcare professionals' experiences of managing mental health crisis episodes among people experiencing homelessness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A descriptive qualitative study informed by critical realism. We used semi\u2010structured interviews with 14 healthcare professionals, including GPs, nurses, a psychotherapist, a hospital consultant, and service leaders. Reflexive Thematic Analysis was used to identify key patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five themes were identified: (1) barriers to accessing mental health services; (2) the role of trust and therapeutic relationships; (3) trauma\u2010informed and holistic approaches to care; (4) the need for stability in housing, healthcare, and substance use; and (5) systemic and policy failures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Generalist professionals are increasingly required to provide complex mental health support in a fragmented system that often excludes the most vulnerable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>Findings reflect professional perspectives from a small sample and are not generalisable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Trauma\u2010informed, flexible, and integrated services are essential to support equitable care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recommendations<\/jats:title>\n                    <jats:p>Develop inclusive, housing\u2010linked mental health services that embrace harm reduction and reject rigid eligibility criteria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70116","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T18:28:15Z","timestamp":1772994495000},"page":"434-444","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinicians' Experiences in Responding to Mental Health Crisis Among People Experiencing Homelessness in Ireland"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3943-0724","authenticated-orcid":false,"given":"John P","family":"Gilmore","sequence":"first","affiliation":[{"name":"University College Dublin School of Nursing, Midwifery and Health Systems University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5411-1214","authenticated-orcid":false,"given":"Shubhangi","family":"Karmakar","sequence":"additional","affiliation":[{"name":"University College Dublin School of Nursing, Midwifery and Health Systems University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krupa","family":"Joy","sequence":"additional","affiliation":[{"name":"University College Dublin School of Nursing, Midwifery and Health Systems University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9763-7196","authenticated-orcid":false,"given":"Adam","family":"Chukwu","sequence":"additional","affiliation":[{"name":"University College Dublin School of Nursing, Midwifery and Health Systems University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctvx1hvww.8"},{"key":"e_1_2_11_3_1","volume-title":"A Realist Theory of Science","author":"Bhaskar R.","year":"1975"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010023\u201002011\u20104"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/phr\/117.5.426"},{"key":"e_1_2_11_8_1","volume-title":"Trauma\u2010Informed Care in Behavioral Health Services","author":"Center for Substance Abuse Treatment (US)","year":"2014"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01264"},{"key":"e_1_2_11_10_1","unstructured":"Department of Housing Local Government and Heritage.2022.\u201cHomelessness Data.\u201dGovernment of Ireland. Accessed February 14 2025.https:\/\/www.gov.ie\/en\/collection\/80ea8\u2010homelessness\u2010data\/#homelessness\u2010data."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119880234"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008461\u2010w"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1086\/JCE200920406"},{"key":"e_1_2_11_14_1","unstructured":"European Commission.2022.\u201cEmployment Social Affairs & Inclusion: Homelessness.\u201dEuropean Union.https:\/\/ec.europa.eu\/social\/main.jsp?catId=1061&langId=en. Accessed 8 Feb 2024."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(14)61132\u20106"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003750"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010019\u20107760\u20107"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10389\u2010023\u201001934\u20100"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010023010"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.5243\/jsswr.2013.8"},{"key":"e_1_2_11_21_1","volume-title":"Family Homelessness in Dublin: Causes, Housing Histories, and Finding a Home: Executive Summary","author":"Long A. E.","year":"2019"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010020\u201002392\u20103"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008265\u2010y"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.06.032"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010021\u201002546\u2010x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12012"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101387"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0014155"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010892"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010023\u201002029\u20108"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18094719"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12730"}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70116","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpm.70116","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T08:19:33Z","timestamp":1777969173000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpm.70116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,3]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/jpm.70116"],"URL":"https:\/\/doi.org\/10.1111\/jpm.70116","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,3]]},"assertion":[{"value":"2025-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}