Abstract：
Homeless seniors confront distinct challenges regarding their mental health needs and service access. This study aims to illuminate the mental health landscape of homeless seniors by examining the prevalence of mental illness, utilization of mental health services, and perceived need for mental health care. The study comprises 177 homeless seniors in New York, NY. Findings indicate 10.2% experiencing depression, 10.2% schizophrenia, and 5.7% bipolar disorder. Despite high prevalence, there is a significant gap between diagnosed mental health conditions and service utilization, with only 50% of those with depression seeking care. Perceived need for mental health services emerges as a critical aspect of the study, with over half of those suffering from depression (61.1%; n = 11), PTSD (75%; n = 3), schizophrenia (77.8%; n = 14), and other mental illnesses (100%; n = 1) expressing a need for mental health care. Also, mental health conditions, loneliness, and levels of social support play significant roles in a need for mental health services.
摘要：
无家可归的老年人在心理健康需求和服务获取方面面临着不同的挑战。这项研究旨在通过检查精神疾病的患病率来阐明无家可归的老年人的心理健康景观，利用精神卫生服务，以及对精神保健的感知需求。这项研究包括纽约的177名无家可归的老年人，NY.研究结果表明，10.2％的人患有抑郁症，10.2%精神分裂症,和5.7％的双相情感障碍。尽管患病率很高，诊断出的精神健康状况和服务利用率之间存在显着差距，只有50%的抑郁症患者寻求治疗。对精神卫生服务的感知需求是这项研究的一个关键方面，超过一半的人患有抑郁症（61.1％；n=11），PTSD（75％；n=3），精神分裂症（77.8%；n=14），和其他精神疾病（100％；n=1）表示需要精神保健。此外，心理健康状况,孤独,社会支持水平在精神卫生服务需求中起着重要作用。
