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Hard_Edges_Mapping_SMD_FINAL_VERSION_Web

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31<br />

www.lankellychase.org.uk<br />

Quality of life<br />

As well as the background factors and<br />

experiences in the lives of people who face <strong>SMD</strong><br />

discussed above, we were also able to examine<br />

a range of aspects of their current quality of<br />

life, with the MEH survey tending to provide the<br />

most detailed account.<br />

Mental health<br />

nce of mental health problems the substance-offender category (46%), and<br />

In Figure 10 below we provide a composite moderately high for the <strong>SMD</strong>3 group (41%).<br />

composite picture of the prevalence of four of mental data health sources These findings confirm the perceptions of<br />

problems recorded across the <strong>SMD</strong> spectrum<br />

derived from four of our core data sources. 18<br />

What this shows is that across these databases<br />

covering potential <strong>SMD</strong> populations, on average<br />

around 40% of people are identified as having<br />

mental health problems. The proportion<br />

is markedly lower for those who are only<br />

homeless (25%) and rather lower for those who<br />

are in the offender-only or homeless-offending<br />

categories (30%). The highest prevalence is for<br />

those who are in the substance-only category<br />

(58%), with a fairly high incidence among<br />

key informants about the pervasive extent<br />

of mental health problems across the <strong>SMD</strong><br />

population, but with a particular association<br />

with substance misuse.<br />

18<br />

The databases varied widely<br />

with respect to the basis<br />

they used for recording<br />

a mental health condition.<br />

See Appendices C–G.<br />

Figure 10: Prevalence of mental health problems by <strong>SMD</strong> category – composite of four<br />

data sources<br />

PERCENTAGE<br />

41%<br />

HOMELESS<br />

ONLY<br />

SUBSTANCE<br />

ONLY<br />

OFFENDING<br />

ONLY<br />

HOMELESS +<br />

SUBSTANCE<br />

HOMELESS +<br />

OFFENDING<br />

SUBSTANCE +<br />

OFFENDING<br />

TOTAL<br />

DATABASES ALL 3<br />

Sources: Authors’ analysis of Inform data from seven homelessness providers, SP, OASys and MEH Survey<br />

(current status)

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