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Scoping a homelessness and drug

RGS conference London 2006. Researching homelessness/substance misuse. Group with high health needs physical/mental healthsocial servicesCostsNeed for evidence based interventions. BUT DIFFICULT

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Scoping a homelessness and drug

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    1. RGS conference London 2006 Scoping a homelessness and drug/alcohol cohort dataset from routine information Mr Iain Atherton Dr Chris Dibben Prof Joe Doherty Dr Alex Baldacchino Chief Scientist Office

    2. RGS conference London 2006 Researching homelessness/substance misuse Group with high health needs physical/mental health social services Costs Need for evidence based interventions

    3. RGS conference London 2006 Previous work Surveys (e.g. OPCS, 1994; various school surveys; DORIS) Hospital admissions (i.e. Ditton and Speirits, 1982; Burns et al. 2006) Deaths (i.e. Seymour et al., 2001) Capture/recapture (i.e. Kraus, 2003)

    4. RGS conference London 2006 Hospital and death data Contains information on: Basic demographics Social (ecological data) Morbidity (ICD codes, length of hospitalisation) Geography Place of residence Place of treatment

    5. RGS conference London 2006 Identifying homelessness ICD codes Specific z codes Other morbidity Postcodes

    6. RGS conference London 2006 Identifying substance misuse ICD-10 codes F and z codes Other morbidities

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    9. RGS conference London 2006 Limitations Routine or administrative datasets Limited specific information on homelessness Good health/ substance misuse; poor behaviour/ substance misuse Little social data

    10. RGS conference London 2006 Validating Credible statistics Age and gender comparisons Survival time Credible spatial and temporal trends Comparison to other studies OPCS homelessness study 1994 ONS psychiatric morbidity study 2001 Discussion with service providers

    11. RGS conference London 2006 From here Ongoing analysis/validation of the dataset Additional data Natural experiments

    12. RGS conference London 2006 Acknowledgements Chief Scientists Office for Scotland The HOMAR team Dr David Manley Dr Maria Stuttaford Ms Roslyn Blair

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