EMPOWERING THE HOMELESS: A CASE REPORT ON PSYCHOSOCIAL INTERVENTION FOR A WOMAN WITH BIPOLAR AFFECTIVE DISORDER AND ASSOCIATED CHALLENGES abstract

Background: Bipolar Affective Disorder (BPAD) is prevalent among homeless individuals, posing an elevated risk of disability and mortality. Factors contributing to homelessness include psychiatric disorders, sexual exploitation, domestic disputes, joblessness, family breakdown, financial issues, and adverse childhood experiences. Aim: This case report aims to demonstrate the feasibility, scope, and potential outcomes of psychosocial intervention (PSI) in addressing the complex challenges faced by a homeless woman with BPAD. Material and Methods: This study employed a single-case study design to investigate the psychosocial intervention for a homeless woman with Bipolar Affective Disorder (BPAD) and associated challenges. The Department of Psychiatry at GMCH, Chandigarh referred the case to the Psychiatric Social Work Department for comprehensive assessment and rehabilitation. Results: The assessment revealed the patient’s dire circumstances, prompting the development and implementation of a tailored psychosocial intervention. Throughout the intervention, psychoeducation proved pivotal in improving treatment compliance. The intervention included providing shelter in a residential home, facilitating a reunion with her son, and initiating HIV/AIDS treatment. Conclusion: The outcomes of the psychosocial intervention were positive, highlighting the role of such interventions in addressing the multifaceted challenges faced by homeless individuals with mental illnesses. This case study underscores the necessity of a holistic approach that integrates psychosocial interventions with pharmacological treatments for the effective rehabilitation of individuals grappling with mental illness and homelessness.

Keywords: Homelessness, Psychosocial intervention, Rehabilitation & BPAD