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Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): one year of marontology, and one John Doe living with Diogenes syndrome

dc.contributor.authorMarques, João Gama
dc.contributor.authorChesi, Daniela
dc.contributor.authorCoelho, Raquel Oliveira
dc.contributor.authorCastanheira Costa, Inês
dc.contributor.authorSantos Antão, Celso
dc.contributor.authorPedro, Carlos Alberto
dc.contributor.authorSilva Santos, Paulo
dc.contributor.authorXavier Diogo, José
dc.date.accessioned2024-02-28T15:41:18Z
dc.date.available2024-02-28T15:41:18Z
dc.date.issued2023
dc.description© The Author(s) 2023. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).pt_PT
dc.description.abstractBackground: In Europe, psychiatric disorders seem to affect up to 50% of the homeless. In Portugal there were, at a certain time, circa 3,396 homeless people, half living in the capital city, Lisboa. Aims: The Homeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa) was created, in January 1st 2022, as a collaboration including staff from the local state asylum, medical school and town hall in Lisboa, Portugal, in order to provide better treatment for the super difficult cases of psychiatric patients living homeless in Lisboa. Method: During 2022, the HOPE 4 team made night rounds, every 15 days on Tuesday's night (20:30 to 23:30) trying to reach, at least, one dozen of homeless psychiatric patients, previously identified. Results: The HOPE 4 Lisboa interviewed 101 patients (53.4%) out of the 189 programed visits. From this group, 72 (72%) had already a previous psychiatric diagnosis. From those 101 patients, reports for 47 (47%) were sent for an eventual compulsory psychiatric assessment. From those 47 only 21 patients (21%) were admitted in the psychiatry ward. Finally we discuss the most super difficult patient we found, as a small case report: a John Doe living in complete Diogenes syndrome. Conclusions: there are still a few psychiatrists interested in treating homeless people completely or partially out of the classic mental health care systems. Some claim to be doing interstitial psychiatry, others street psychiatry, but we could also call it marontology.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Soc Psychiatry . 2024 Feb;70(1):227-230pt_PT
dc.identifier.doi10.1177/00207640231179322pt_PT
dc.identifier.eissn1741-2854
dc.identifier.issn0020-7640
dc.identifier.urihttp://hdl.handle.net/10451/63010
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSagept_PT
dc.relation.publisherversionhttps://journals.sagepub.com/home/ISPpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectDiogenespt_PT
dc.subjectHomelesspt_PT
dc.subjectJohn Doept_PT
dc.subjectEngagementpt_PT
dc.subjectOutreachpt_PT
dc.subjectPsychiatrypt_PT
dc.titleHomeless Outreach Psychiatric Engagement for Lisboa (HOPE 4 Lisboa): one year of marontology, and one John Doe living with Diogenes syndromept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage230pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage227pt_PT
oaire.citation.titleInternational Journal of Social Psychiatrypt_PT
oaire.citation.volume70pt_PT
person.familyNamePereira Gama Marques
person.givenNameJoão Carlos
person.identifierQ-9004-2017
person.identifier.ciencia-id0518-6E23-CF22
person.identifier.orcid0000-0003-0662-5178
person.identifier.scopus-author-id56152909900
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication18374492-fae6-44b7-818c-4fb32dceb10f
relation.isAuthorOfPublication.latestForDiscovery18374492-fae6-44b7-818c-4fb32dceb10f

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