{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:06:55Z","timestamp":1792156015071,"version":"4.4.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T00:00:00Z","timestamp":1604620800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Homelessness is correlated with significant mental illness. Homelessness is a key psychosocial issue leading to significant use of hospital resources outside medical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study examines the characteristics, post-discharge pathway and length of stay of individuals presenting with homelessness in an acute young adult psychiatric ward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Prospective chart audit was conducted to assess the demographic information, acute presentation, clinical risk and length of stay for homelessness referrals to Social Work. Participants ( N\u2009=\u200988) were aged 18 to 25\u2009years old and admitted to a tertiary level psychiatric ward specifically for this age group. Acute risk presentations of all psychiatric conditions, such as Schizophrenia, Emotionally Unstable Personality Disorder, Bipolar Affective Disorder, Drug Induced Psychosis and Anorexia Nervosa, may be admitted to the unit. Descriptive statistics, one sample t-tests and Pearson\u2019s correlations were completed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No homeless patient was accommodated by local area services due to lack of availability. Change in homelessness status tended to worsen during hospitalisation, with 24% having worse accommodation upon discharge compared to 13% who improved. Length of stay was significantly longer for homeless patients compared to non-homeless patients, but not when excluding the length of time spent attempting to address homeless risk. Homeless patients presenting with an eating disorder acute presentation spent longer time in hospital, and those with psychotic acute presentations had more dynamic risk factors. Length of stay and static risk factors were positively correlated with government mental health community follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Hospitalisation is not an effective intervention for homelessness and the Gold Coast Mental Health units are not resourced or linked to provide accommodation outcomes in a positive or economic manner. Future consideration should be given to health and community resources around homelessness, including health-specific housing interventions and community mental health teams incorporating homelessness risk vulnerability into their ongoing clinical risk mitigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0020764020970239","type":"journal-article","created":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T21:05:29Z","timestamp":1604696729000},"page":"713-719","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Factors associated with homelessness referrals for an acute young adult psychiatric unit"],"prefix":"10.1177","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6080-2297","authenticated-orcid":false,"given":"Alexander","family":"Dymond","sequence":"first","affiliation":[{"name":"Gold Coast Hospital and Health Service, Mental Health and Specialist Services, Gold Coast, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Branjerdporn","sequence":"additional","affiliation":[{"name":"Gold Coast Hospital and Health Service, Mental Health and Specialist Services, Gold Coast, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,6]]},"reference":[{"key":"bibr1-0020764020970239","doi-asserted-by":"crossref","unstructured":"Archard P. J., Murphy D. (2015). A practice research study concerning homeless service user involvement with a programme of social support work delivered in a specialized psychological trauma service. Journal of Psychiatric and Mental Health Nursing, 22(6), 360\u2013370. https:\/\/doi.org\/10.1111\/jpm.12229","DOI":"10.1111\/jpm.12229"},{"key":"bibr2-0020764020970239","unstructured":"Australian Bureau of Statistics. (2016). Census of population and housing: Estimating homelessness, 2016. Retrieved October 8, 2020, from https:\/\/www.abs.gov.au\/statistics\/people\/housing\/census-population-and-housing-estimating-homelessness\/latest-release"},{"issue":"9","key":"bibr3-0020764020970239","first-page":"30","volume":"86","author":"Bush H.","year":"2012","journal-title":"Hospitals & Health Networks"},{"key":"bibr4-0020764020970239","doi-asserted-by":"crossref","unstructured":"Byrne T., Nelson R. E., Montgomery A. E., Brignone E., Gundlapalli A. V., Fargo J. D. (2017). Comparing the utilization and cost of health services between veterans experiencing brief and ongoing episodes of housing instability. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 94(1), 54\u201363. https:\/\/doi.org\/10.1007\/s11524-016-0110-5","DOI":"10.1007\/s11524-016-0110-5"},{"key":"bibr5-0020764020970239","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.063321"},{"key":"bibr6-0020764020970239","doi-asserted-by":"crossref","unstructured":"Curtis J. (2016). Impact of x-ray screening programmes for active tuberculosis in homeless populations: A systematic review of original studies. Journal of Public Health (Oxford, England), 38(1), 106\u2013114. https:\/\/doi.org\/10.1093\/pubmed\/fdv014","DOI":"10.1093\/pubmed\/fdv014"},{"issue":"39","key":"bibr7-0020764020970239","first-page":"6","volume":"42","author":"Evans M.","year":"2012","journal-title":"Modern Healthcare"},{"key":"bibr8-0020764020970239","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.2.370"},{"key":"bibr9-0020764020970239","doi-asserted-by":"crossref","unstructured":"Gilmer T. P., Stefancic A., Ettner S. L., Manning W. G., Tsemberis S. (2010). Effect of full-service partnerships on homelessness, use and costs of mental health services, and quality of life among adults with serious mental illness. Archives of General Psychiatry, 67(6), 645\u2013652. https:\/\/doi.org\/10.1001\/archgenpsychiatry.2010.56","DOI":"10.1001\/archgenpsychiatry.2010.56"},{"key":"bibr10-0020764020970239","volume-title":"Key performance indicator report for acute young adult service","author":"Gold Coast Hospital | Health Service","year":"2020"},{"key":"bibr11-0020764020970239","doi-asserted-by":"crossref","unstructured":"Hwang S. W., Burns T. (2014). Health interventions for people who are homeless. Lancet (London, England), 384(9953), 1541\u20131547. https:\/\/doi.org\/10.1016\/S0140-6736(14)61133-8","DOI":"10.1016\/S0140-6736(14)61133-8"},{"key":"bibr12-0020764020970239","doi-asserted-by":"publisher","DOI":"10.1002\/j.1839-4655.2011.tb00204.x"},{"key":"bibr13-0020764020970239","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.85.12.1642"},{"key":"bibr14-0020764020970239","doi-asserted-by":"publisher","DOI":"10.1080\/15332985.2018.1547243"},{"key":"bibr15-0020764020970239","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.058347"},{"key":"bibr16-0020764020970239","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2019.10.001"},{"key":"bibr17-0020764020970239","volume-title":"Why are special services needed to address Indigenous homelessness?","author":"Memmott P.","year":"2012"},{"issue":"2","key":"bibr18-0020764020970239","first-page":"159","volume":"15","author":"O\u2019Hare T.","year":"2017","journal-title":"Social Work in Mental Health"},{"key":"bibr19-0020764020970239","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1981.01780290015001"},{"key":"bibr20-0020764020970239","doi-asserted-by":"publisher","DOI":"10.14453\/aabfj.v7i3.3"},{"key":"bibr21-0020764020970239","first-page":"1","author":"Zufferey C.","year":"2016","journal-title":"The Wiley Blackwell Encyclopedia of Gender and Sexuality Studies"}],"container-title":["International Journal of Social Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0020764020970239","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0020764020970239","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0020764020970239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:53:41Z","timestamp":1777463621000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0020764020970239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,6]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/0020764020970239"],"URL":"https:\/\/doi.org\/10.1177\/0020764020970239","relation":{},"ISSN":["0020-7640","1741-2854"],"issn-type":[{"value":"0020-7640","type":"print"},{"value":"1741-2854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,6]]}}}