<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732022000500488</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i5.13394</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Determinantes do adoecimento mental na população sem-abrigo]]></article-title>
<article-title xml:lang="en"><![CDATA[Determinants of mental illness in the homeless population]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jorge]]></surname>
<given-names><![CDATA[Patrícia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar do Médio Tejo Serviço de Psiquiatria e Saúde Mental ]]></institution>
<addr-line><![CDATA[Tomar ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>5</numero>
<fpage>488</fpage>
<lpage>495</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000500488&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000500488&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000500488&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A definição de sem-abrigo não é consensual e varia entre alguém que vive literalmente na rua a um conceito mais alargado. Ser sem-abrigo resulta de um fenómeno heterogéneo e multidimensional, que pode afetar não só os indivíduos mais vulneráveis, como também aqueles que se encontram numa situação económica e social estável. A relação entre ser sem-abrigo e ter doença psiquiátrica é há muito conhecida. Há uma maior prevalência de todas as patologias mentais em sem-abrigo em relação à população geral, situando-se entre os 25 a 50%. O risco de ficar em situação de sem-abrigo para pessoas diagnosticadas com doenças mentais é dez vezes maior do que para a população em geral, na medida em que a funcionalidade e a autonomia dos indivíduos podem ficar altamente afetadas. Além disso, as adversidades associadas a tornar-se e a permanecer sem-abrigo são complexas e podem também elas criar combinações únicas de fatores de stresse para problemas de saúde mental. Trabalhar com pessoas em situação de sem-abrigo e, especialmente com doença mental, é um trabalho exigente. O problema central nos sem-abrigo com doenças mentais é a falta de acessibilidade aos tratamentos na comunidade e de habitação adequada. As políticas sociais devem ser abrangentes e ter em consideração a heterogeneidade da população sem-abrigo, desenvolvendo estratégias ajustadas às diferentes necessidades, flexíveis e adaptadas a cada pessoa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The definition of homeless is not consensual and varies between someone who literally lives on the street, to a broader definition. Being homeless is the result of a heterogeneous and multidimensional phenomenon, which can affect not only the most vulnerable individuals but also those who were in a stable economic and social situation. The relationship between homelessness and psychiatric illness has long been known. There is a higher prevalence of all mental pathologies ranging from 25 to 50%. The risk of becoming homeless for people diagnosed with mental illness is ten times greater than for the general population because the functionality and autonomy of the subjects can be highly affected. The adversities associated with becoming and staying homeless are complex and can create unique combinations of stressors for people with a predisposition to mental health problems. Working with homeless people is hard work. The central problem for the homeless with mental illness is the lack of accessibility to treatment in the community and the lack of adequate housing. Social policies must be comprehensive and consider the heterogeneity of the homeless population, developing strategies adjusted to different needs, flexible, and adapted to each person.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Sem-abrigo]]></kwd>
<kwd lng="pt"><![CDATA[Doença mental em sem-abrigo]]></kwd>
<kwd lng="pt"><![CDATA[Intervenções psicossociais]]></kwd>
<kwd lng="pt"><![CDATA[Housing-first]]></kwd>
<kwd lng="en"><![CDATA[Homelessness]]></kwd>
<kwd lng="en"><![CDATA[Homeless person with mental illness]]></kwd>
<kwd lng="en"><![CDATA[Psychosocial interventions]]></kwd>
<kwd lng="en"><![CDATA[Housing-first]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<source><![CDATA[O sem abrigo vai ter o quê na sociedade? Às vezes nem um buraco para se meter tem: a vivência da cidadania daqueles que (sobre)vivem na rua]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Porto ]]></publisher-loc>
<publisher-name><![CDATA[Faculdade de Psicologia e de Ciências da Educação, Universidade do Porto]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernardo]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<source><![CDATA[A questão sem-abrigo, uma abordagem holística: análise crítica dos (dis) cursos e das práticas]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Superior de Ciências Sociais e Políticas, Universidade de Lisboa]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carrinho]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
</person-group>
<source><![CDATA[A saúde mental dos sem abrigo: comunidades de inserção]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Aveiro ]]></publisher-loc>
<publisher-name><![CDATA[Departamento de Educação e Psicologia, Universidade de Aveiro]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<source><![CDATA[As necessidades das pessoas em situação de sem-abrigo da cidade de Lisboa]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[ISPA-Instituto Universitário]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[IC]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Visita aos sem-abrigo]]></article-title>
<source><![CDATA[Rev Port Med Geral Fam]]></source>
<year>2021</year>
<volume>37</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>76-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[TS]]></given-names>
</name>
</person-group>
<source><![CDATA[As redes do sem-abrigo e para o sem-abrigo em Coimbra: estudo sobre a rede de suporte formal ao sem-abrigo na cidade de Coimbra]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Coimbra ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Superior Miguel Torga]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quintas]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
</person-group>
<source><![CDATA[A percepção de técnicos e indivíduos "sem-abrigo": histórias ocultas de uma realidade no Porto]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Porto ]]></publisher-loc>
<publisher-name><![CDATA[Faculdade de Psicologia e de Ciências da Educação, Universidade do Porto]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Grupo para a Monitorização e Avaliação da ENIPSSA</collab>
<source><![CDATA[Inquérito de caracterização das pessoas em situação de sem-abrigo, 31 de dezembro de 2020]]></source>
<year>2021</year>
<publisher-name><![CDATA[Estratégia Nacional para a Integração das Pessoas em Situação de Sem-Abrigo 2017-2023]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<collab>LUSA</collab>
<source><![CDATA[Inquérito de caracterização das pessoas em situação de sem-abrigo do município do Porto: relatório de análise de dados]]></source>
<year>2019</year>
<publisher-name><![CDATA[LUSA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nooe]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Patterson]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The ecology of homelessness]]></article-title>
<source><![CDATA[J Hum Behav Soc Environ]]></source>
<year>2010</year>
<volume>20</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>105-52</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hossain]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Sultana]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tasnim]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fan]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Mckyer]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of mental disorders among people who are homeless an umbrella review]]></article-title>
<source><![CDATA[Int J Soc Psychiatry]]></source>
<year>2020</year>
<volume>66</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>528-41</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ayano]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Shumet]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Tesfaw]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Tsegay]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic review and meta-analysis of the prevalence of bipolar disorder among homeless people]]></article-title>
<source><![CDATA[BMC Public Health]]></source>
<year>2020</year>
<volume>20</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>731</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Domingos]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Xavier]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Pessoas em situação de sem-abrigo: manual de procedimentos de referenciação/articulação entre a saúde mental e o setor social]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Direção-Geral da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balasuriya]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Buelt]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Tsai]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The never-ending loop homelessness, psychiatric disorder, and mortality]]></article-title>
<source><![CDATA[Psychiatr Times]]></source>
<year>2020</year>
<volume>37</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>12-4</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bento]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Barreto]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Sem-amor, sem-abrigo]]></source>
<year>2002</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Climepsi]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abreu]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
</person-group>
<source><![CDATA[Sentimentos de paranóia e de vergonha nos sem-abrigo]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Coimbra ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Superior Miguel Torga]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castellow]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kloos]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Townley]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Previous homelessness as a risk factor for recovery from serious mental illnesses]]></article-title>
<source><![CDATA[Community Ment Health J]]></source>
<year>2015</year>
<volume>51</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>674-84</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Super difficult patients with mental illness homelessness, marontology and John Doe syndrome]]></article-title>
<source><![CDATA[Acta Med Port]]></source>
<year>2021</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>312</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Bento]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Marontology comorbidities of homeless people living with schizophrenia]]></article-title>
<source><![CDATA[Acta Med Port]]></source>
<year>2020</year>
<volume>33</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>289</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanadi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Raghuraman]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Ganjekar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vaiphei]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Hamza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Desai]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A social psychiatry perspective on journey of unknown to known re-integrating homeless persons with mental illness into their family]]></article-title>
<source><![CDATA[J Psychosoc Rehabil Ment Health]]></source>
<year>2020</year>
<volume>7</volume>
<page-range>285-93</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Horr]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vivência nas ruas, dependência de drogas e projeto de vida um relato de experiência no CAPS-ad]]></article-title>
<source><![CDATA[Rev Psicol Saúde]]></source>
<year>2014</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>90-7</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Feffermann]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Figueiredo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Redução de danos como estratégia de prevenção de drogas entre jovens]]></article-title>
<source><![CDATA[Bol Inst Saúde]]></source>
<year>2006</year>
<numero>40</numero>
<issue>40</issue>
<page-range>37-40</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
