Evidence map›Paper›PMID 33891161›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Unmet service needs and barriers to care of individuals experiencing absolute homelessness in Edmonton, Canada: a cross-sectional survey.

Sindi Addorisio, Mostafa Mamdouh Kamel, Jean Nicolas Westenberg, Amber Heyd, Tala Maragha, Mohammad Abusamak, T Cameron Wild, Kerry L Jang, R Michael Krausz

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Profiles of Emergency Department Users with Psychiatric Disorders Related to Barriers to Outpatient Care.International journal of environmental research and public health · 2024
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sindi AddorisioDepartment of Psychiatry, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Mostafa Mamdouh KamelDepartment of Psychiatry, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Jean Nicolas WestenbergDepartment of Psychiatry, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada. jean.westenberg@alumni.ubc.ca.ORCID http://orcid.org/0000-0002-4720-8402
Amber HeydSchool of Public Health, University of Alberta, Edmonton, AB, Canada.
Tala MaraghaDepartment of Psychiatry, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Mohammad AbusamakFaculty of Dentistry, McGill University, Montreal, QC, Canada.
T Cameron WildSchool of Public Health, University of Alberta, Edmonton, AB, Canada.
Kerry L JangDepartment of Psychiatry, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
R Michael KrauszDepartment of Psychiatry, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIndividuals experiencing absolute homelessness have complex needs but limited access to services, contributing to high rates of morbidity and mortality. The aim of this article is to describe the perceived unmet service needs of individuals experiencing absolute homelessness, identify their barriers to care, and examine factors associated with specific unmet service needs.

methodsUsing a cross-sectional survey, 150 individuals experiencing absolute homelessness were recruited from Edmonton's inner city and adjoining areas. The majority of participants were male (71.3%) and self-identified as Indigenous (74.0%). An adapted version of the Perceived Need for Care Questionnaire was used to measure past-year unmet needs for 4 types of services: hospital care, counselling, skills training, and harm reduction. Descriptive statistics and bivariate analyses were used; odds ratio and confidence intervals were calculated for statistically significant outcomes.

resultsOverall, 89.3% of participants perceived a need for care for one or more general health and social services during the past year regarding their substance use and/or mental health problems; participants reported the highest levels of unmet need for counselling (42.9%) and skills training (39.2%). Though 73.3% of participants reported receiving any service, only 8.0% of participants reported having their perceived needs fully met.

conclusionIn this study, individuals reported a high percentage of unmet needs. By interacting and engaging with these hard-to-reach individuals, healthcare systems will be more equipped to service them and address their barriers to care. Better patient-centred care, housing and supports for this neglected and underserved population is needed.

Indexed as

Ill-Housed PersonsCanadaCross-Sectional StudiesFemaleHealth Services AccessibilityHealth Services Needs and DemandHousingHumansMaleAccess to careHealthcare utilizationHealth disparitiesHomelessnessService needs

Identifiers

PMID33891161

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.