Abstract

This study explored the social situation of homeless people with mental illness living on the streets of Hillbrow, Johannesburg, with the view to facilitating action in terms of support services. Data were collected via interviews and observations from three groups: homeless persons with suspected mental illness, homeless people and service providers. The research focused on reasons for homelessness; health and living conditions; relationships between homeless persons and those with mental illness; survival strategies; and services utilised. Results were presented to all stakeholders and a forum was established to enable the findings to be taken forward.

Highlights

  • The lived experiences of homeless persons and those with mental illness living on the streets in the urban context of Hillbrow, Johannesburg was documented with a view to understanding their situation and taking action to facilitate support services

  • Profile of homeless persons with suspected mental illness A total of four respondents were interviewed consisting of three males and one female

  • Other homeless persons reported that one respondent who appeared to be in his early twenties had been experiencing symptoms of mental illness ever since he arrived on the streets; his diagnosis was not known

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Summary

Introduction

While there has been substantial research into the phenomenon of homelessness in South Africa (Cross, Seager, Erasmus, Ward & Donovan, 2010; Malindi, 2014; Mathiti, 2006; Mathebula & Ross, 2013; Olufemi, 1998; Sewpaul, Osthus, Mhone, Sibilo & Mbhele, 2012), the issue of homeless persons with mental illness has received limited attention from researchers, service providers, policy makers and local authorities, and very little is known about this group of persons (Ross, 2014). Seager and Tamasane (2010:72) estimate that 6% of adults with severe chronic psychiatric illnesses are homeless, this figure is thought to be increasing.Homeless persons living on the streets find themselves in conditions that are likely to produce and aggravate symptoms of mental illness (Ambrosino, Ambrosino, Emeritus & Emeritus, 2008). Despite the existence of progressive social policies and legislation, the rights of many homeless and homeless mentally ill persons are violated as implementation in mental health lags behind policy and legislation (Freeman, 2013). For these reasons a master’s-level study was undertaken under the auspices of the Department of Social Work and the Centre for Social Development in Africa (CSDA) at the University of Johannesburg. Objectives included ascertaining (i) the living conditions and vulnerability to health and other social problems of homeless persons with suspected mental illness living on the streets of Hillbrow; (ii) the survival strategies they employed; (iii) reasons for their being homeless; (iv) their relations with other homeless people in the groups where they sleep; (v) the services they utilise and their perspectives on these services; and (vi) strategies for overcoming homelessness

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