“Homeless, not hopeless”: The needs and experiences of homeless communities accessing primary mental healthcare services in Westminster

This report from Healthwatch Westminster explores mental health needs among homeless communities.  

The team carried out focus groups and individual interviews with services and professionals who provide mental health services and homeless support. Two survey responses from service users were collected. The team also conducted 13 in-depth semi-structured interviews with key stakeholders to further understand how service users access and use primary mental health support. This included representatives from healthcare services, charities, and residents' groups, as well as a small number of service users.

The research found significant barriers to accessing mental health services, including high intervention thresholds, long waiting times, digital exclusion, and stigma. Many homeless individuals face difficulties navigating appointment systems, especially when relying on phones or emails they may not have. Cultural and language barriers were also highlighted. Dual diagnosis (mental illness combined with substance use) was flagged as a major challenge, with limited support available for those with complex needs.

The quality of mental health care was also a concern, with issues like underfunding, lack of trauma-informed care, and insufficient post-treatment support. The report emphasised the need for sustainable funding, continuity of care, and better staff training to improve outcomes for homeless populations.

The report shared 8 recommendations to improve services and support, including adopting a trauma informed approach and greater continuity of care.