Mental Health Intervention With People Sleeping RoughDo you work with people sleeping rough?

Many homeless patients seen by Pathway hospital teams face multiple health problems. We use the American term ‘tri-morbidity’ to describe patients with a physical health, mental health, and substance misuse problem.

Seven out of ten homeless people experience mental health problems.  Pathway hospital teams liaise with partners in mental health services and include mental health professionals in the team.  We recently opened the UK’s first homelessness service within an inpatient mental health unit.


 Mental health guidance for outreach workers

In 2013 Pathway worked with The Greater London Authority, Lambeth Council, South London and the Maudsley NHS Foundation Trust and Thames Reach to publish new tools and guidance to help outreach workers supporting people sleeping rough.

The publication includes practical tools guiding workers through the use of the Mental Capacity Act and Mental Health Act and was updated in 2014 to include the Care Act and other statutory changes.

The tools and guidance are for practical use for everyone who works with clients or patients on the streets.  The Faculty for Homeless and Inclusion Health endorsed this work in 2013 to help us all respond better to the needs of vulnerable people on the street.

Pathway has funding for free targeted training seminars for specialist staff in London. Sessions can also be commissioned in other areas.  Please contact us to arrange training in your area.

Download the guidance document and form:

Download the guidance – Mental Health Service Interventions for People Sleeping Rough
Mental Capacity Act Screening Tool
Mental Health Act Screening Tool
Hospital Homelessness Mental Health Admission Plan


Advice for London charities

Pathway offers an advice line for homelessness outreach workers in London seeking advice on the use of the guidance with complex clients on the streets.

Advice line: 020 3291 4184 (24 hour answerphone)


All messages will be answered within 24 hours by an Approved Mental Health Professional with experience of homelessness and mental health. The service is open to any professional or organisation working with people sleeping rough, or who have had a homeless person sleeping rough referred to them. Please remember to leave contact details, and a brief outline of the issue.