Insights from homeless men about PRISM, an innovative shelter-based mental health service.
Adult
Aged
Community Mental Health Services
/ methods
Creativity
Ill-Housed Persons
/ psychology
Housing
Humans
Male
Mental Disorders
/ epidemiology
Middle Aged
Problem Solving
Program Evaluation
Psychosocial Intervention
/ methods
Qualitative Research
Quebec
/ epidemiology
Social Problems
/ psychology
Social Work
/ methods
Treatment Outcome
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
01
10
2020
accepted:
05
04
2021
entrez:
22
4
2021
pubmed:
23
4
2021
medline:
7
10
2021
Statut:
epublish
Résumé
PRISM (Projet Réaffiliation Itinérance Santé Mentale-mental health and homelessness reaffiliation project), is a new shelter-based mental health service in Montreal, Canada. It offers short-term residential services in a shelter with the aim of housing and connecting the person to the appropriate services in the community. This qualitative research project was designed to gain a rich understanding of service-user experience within this program, and to apply these impressions to a broader reflection concerning how to best serve the needs of homeless people living with severe mental illness. We conducted in-depth interviews with 20 clients from the all-male PRISM-Welcome Hall Mission at program intake and departure between May 2018 and March 2019. We used methods stemming from grounded theory to analyze themes emerging from the interviews. Analysis revealed three core aspects endorsed by PRISM clients as helpful to their recovery: first, the community-based and flexible PRISM structure allows for continuity in daily routine through the preservation and expansion of the client's existing informal resource network; second, the secure environment is conducive to improving one's physical and mental health; and third, the multimodal mental health and social service approach used at PRISM is appreciated and stands in contrast to what most have experienced during other inpatient experiences. This led us to reflect more broadly on the benefits of a shelter-based intervention, as a catalyst to the achievement of longer-term goals such as housing, as well as flexible care adapted to the specific needs of these individuals. Even though this study took place in a specific program in Quebec, it sheds light more broadly on how to best meet the needs of individuals with mental illness living in homeless situations and contributes to the growing literature on men's mental health.
Identifiants
pubmed: 33886653
doi: 10.1371/journal.pone.0250341
pii: PONE-D-20-30933
pmc: PMC8062052
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0250341Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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