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Discrimination in care for homeless adults
Among homeless adults with mental illness, perceived healthcare discrimination—especially for mental illness/poverty—linked to worse symptoms and more ED use.
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What share reported any perceived discrimination?
42% reported at least one form.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
Which discrimination types were most prevalent?
Mental illness/substance use (33%) and homelessness/poverty (30%).
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
What access vs unmet-need paradox was reported?
Most had doctors/cards yet 40% reported unmet healthcare needs.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
What clinical severity pattern was present?
About 80% had clinically significant mental health symptoms (CSI ≥30).
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
What did discrimination associate with?
Greater lifetime substance/mental severity and more frequent ED use.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
What parent study supplied the sample?
Toronto site of At Home/Chez Soi Housing First RCT.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
How common was current psychotic disorder?
36% of the sample.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
What policy need did authors urge?
Strategies to minimize discrimination tied to mental illness and devalued SES.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
How was discrimination timeframe defined?
Experiences within healthcare settings in the past 12 months.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
What concurrent illness pattern was common?
About 54% had both severe psychiatric illness and severe substance problems.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified
How was discrimination conceptually defined?
Prejudicial/distinguishing treatment based on actual or perceived membership/characteristics.
Source: Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings · DOI · quote verified