Mental health symptoms among homeless shelter residents during COVID-19 lockdown in Tshwane, South Africa

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Mental health symptoms among homeless shelter residents during COVID-19 lockdown in Tshwane, South Africa
 
Creator Stonehouse, Joanelle Grobler, Gerhard Bhoora, Urvisha Janse van Rensburg, Michelle N.S.
 
Subject Family medicine; primary health care; education mental health; homelessness; temporary shelters; COVID-19 lockdown; substance use; opioid withdrawal.
Description Background: In order to contain the spread of COVID-19 in South Africa during the national state of emergency, the Gauteng Department of Social Development established temporary shelters and activated existing facilities to provide basic needs to street-homeless people in Tshwane, which facilitated primary health care service-delivery to this community.Aim: This study aimed to determine and analyse the prevalence of mental health symptoms and demographic characteristics among street-homeless people living in Tshwane’s shelters during lockdown.Setting: Homeless shelters set up in Tshwane during level 5 of the COVID-19 lockdown in South Africa.Methods: A cross-sectional, analytical study was conducted using a Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-based questionnaire that looked at 13 mental health symptom domains.Results: Presence of moderate-to-severe symptoms were reported among the 295 participants as follows: substance use 202 (68%), anxiety 156 (53%), personality functioning 132 (44%), depression 85 (29%), sleep problems 77 (26%), somatic symptoms 69 (23%), anger 62 (21%), repetitive thoughts and behaviours 60 (20%), dissociation 55 (19%), mania 54 (18%), suicidal ideation 36 (12%), memory 33 (11%) and psychosis 23 (8%).Conclusion: A high burden of mental health symptoms was identified. Community-oriented and person-centred health services with clear care-coordination pathways are required to understand and overcome the barriers street-homeless people face in accessing health and social services.Contribution: This study determined the prevalence of mental health symptoms within the street-based population in Tshwane, which has not previously been studied.
 
Publisher AOSIS
 
Contributor Prof Piet Becker, University of Pretoria Prof Paul Rheeder, University of Pretoria Prof Jannie Hugo, University of Pretoria —
Date 2023-04-03
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Observational, analytical, cross-sectional study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v15i1.3730
 
Source African Journal of Primary Health Care & Family Medicine; Vol 15, No 1 (2023); 8 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/3730/6150 https://phcfm.org/index.php/phcfm/article/view/3730/6151 https://phcfm.org/index.php/phcfm/article/view/3730/6152 https://phcfm.org/index.php/phcfm/article/view/3730/6153
 
Coverage Africa; South Africa; Gauteng; Tshwane 2020 Age; Gender; Ethnicity; Homeless community; People who use drugs
Rights Copyright (c) 2023 Joanelle Stonehouse, Gerhard Grobler, Urvisha Bhoora, Michelle N.S. Janse van Rensburg https://creativecommons.org/licenses/by/4.0
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