Improving outcomes for homeless inpatients in mental health

Purpose The purpose of this paper is to describe the delivery of the first clinically led, inter-professional Pathway Homeless team in a mental health trust, within the King’s Health Partners hospitals in South London. The Kings Health Partners Pathway Homeless teams have been operating since Januar...

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Bibliographic Details
Published in:Housing, care and support care and support, 2019-03, Vol.22 (1), p.77-90
Main Authors: Khan, Zana, Koehne, Sophie, Haine, Philip, Dorney-Smith, Samantha
Format: Article
Language:English
Subjects:
Clinical outcomes
Community support
Discharge
Health services
Health status
Homeless people
Hospitals
Housing
Innovations
Inpatient care
Kings
Mental disorders
Mental health
Mental health care
Patients
Quality of care
Quality of life
Teams
Trust
Trusts
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Summary:Purpose The purpose of this paper is to describe the delivery of the first clinically led, inter-professional Pathway Homeless team in a mental health trust, within the King’s Health Partners hospitals in South London. The Kings Health Partners Pathway Homeless teams have been operating since January 2014 at Guy’s and St Thomas’ (GStT) and Kings College Hospital and expanded to the South London and Maudsley in 2015 as a charitable pilot, now continuing with short-term funding. Design/methodology/approach This paper outlines how the team delivered its key aim of improving health and housing outcomes for inpatients. It details the service development and integration within a mental health trust incorporating the experience of its sister teams at Kings and GStT. It goes on to show how the service works across multiple hospital sites and is embedded within the Trust’s management structures. Findings Innovations including the transitional arrangements for patients’ post-discharge are described. In the first three years of operation the team saw 237 patients. Improved housing status was achieved in 74 per cent of patients with reduced use of unscheduled care after discharge. Early analysis suggests a statistically significant reduction in bed days and reduced use of unscheduled care. Originality/value The paper suggests that this model serves as an example of person centred, value-based health that is focused on improving care and outcomes for homeless inpatients in mental health settings, with the potential to be rolled-out nationally to other mental health Trusts.
ISSN:1460-8790
2042-8375
DOI:10.1108/HCS-07-2018-0016