HSE research on health needs of people sleeping rough

The HSE is to begin a year-long research project into the health and housing needs of people sleeping rough, the Medical Independent has learned.

The research, led by the National Social Inclusion Office, will be used to develop improvements in services and care.

The HSE recently published a tender notice seeking an organisation to conduct the research in four regions: Dublin; the south-east (Waterford, Wexford and Tipperary); the south-west (Cork city); and the west (Galway city and county).

In the notice, the Executive stated that “homelessness is a growing public health issue in Ireland and is associated with multiple complex and chronic health conditions, decreased life expectancy and increased access to secondary care services”.

“People experiencing rough sleeping face significant health and social challenges. These include chronic mental health issues, substance use, physical health concerns, and systemic barriers to accessing care.”

A steering group has been established within the HSE to assist the chosen contractor in undertaking the research. Focus groups will be held with people who sleep rough and interviews will take place with hospital, housing, and voluntary sector personnel. The HSE said the project will help to create a deeper understanding of the gaps that exist in providing health and care for people sleeping rough and highlight how the needs of this vulnerable group can be met more effectively.

The research will also address how ill health can affect a person’s ability to “move off the streets and sustain a settled lifestyle”.

A number of specific research aims have been outlined by the HSE in order to increase understanding and knowledge of needs and services in the regions. These include analysing the biopsychosocial health profiles of people sleeping rough and examining the accessibility and effectiveness of mental health, addiction, disability and primary care services, among other objectives.

The work is due to be completed in September 2026. The findings will be published in a peer reviewed journal and a report presented at national and international conferences.