The onset of mental illness can trigger or be part of a series of events that can lead to homelessness. The stress of experiencing homelessness can also amplify poor mental health; it can encourage anxiety, fear, depression, sleeplessness and substance use. In addition to this, for people who are homeless and experiencing a mental health condition, support for the illness might not be the priority. 

As many as 80% of people experiencing homelessness are reported to have or have had mental health issues. 

The Faculty Homeless and Inclusion Mental Health Subgroup includes clinicians, researchers, lecturers, trainees and students who are passionate about improving the mental health of people experiencing social exclusion. 

The subgroup holds regular meetings to discuss the latest developments and support members to take action to help homeless and excluded people prevent and deal with mental health issues. 

We are also building relationships with grassroots initiatives and charities, working with commissioners and policy makers, and raising awareness across the profession through regional, national and international speaking opportunities and sharing best practice. 

• Join The Faculty Homeless and Inclusion Mental Health Subgroup. 
• Attend free and low cost meetings and conferences on homeless and inclusion issues. 
• Contact us to volunteer with a local mental health initiative. 

Many homeless patients seen by Pathway teams face mental health problems. Pathway supported the opening of the UK’s first homelessness service within an inpatient mental health unit; and our teams liaise with partners in mental health services, and include mental health professionals in the team. 

However, many outreach workers face problems when supporting people who have mental health problems who are sleeping rough.

Pathway worked with The Greater London Authority, Lambeth Council, South London and the Maudsley NHS Foundation Trust and Thames Reach to publish tools and guidance to help outreach workers supporting people sleeping rough. 

The publication includes practical tools guiding workers through the use of the Mental Capacity Act and Mental Health Act.  It has been regularly updated to include statutory changes, the most recent update was published in autumn 2017. 

The tools and guidance are for everyone who works with clients or patients on the streets.  The Faculty for Homeless and Inclusion Health endorsed this work to help us all respond to the needs of vulnerable people on the street.