1. DISCUSSION: COMMUNITY HEALTH AND SOCIAL CARE MARIA FE BRAVO ORTIZ Psychiatrist, M.D., Ph.D., Head of Psychiatric Department. Hospital Universitario La Paz (Area 5, Madrid). Professor, Autonoma University.

2. Dr Nat Wright “How can the healthcare service be effective in the physical and mental health care of homeless people whilst also taking into account their social care” “How can the healthcare service be effective in the physical and mental health care of homeless people whilst also taking into account their social care” He has described the principal needs of health of homeless people (Related to the dual diagnosis and higher rates of morbidity and mortality) and the different strategies of intervention that they have demonstrated to be effective in each field. He has described the principal needs of health of homeless people (Related to the dual diagnosis and higher rates of morbidity and mortality) and the different strategies of intervention that they have demonstrated to be effective in each field. He has underlined the importance to integrate housing and social support with health care He has underlined the importance to integrate housing and social support with health care

3. SOME QUESTIONS (1) Seeking help behaviour usually don’t exist. The problem is not only barriers to access to the services Seeking help behaviour usually don’t exist. The problem is not only barriers to access to the services Perceived needs are different. Perceived needs are different. How to motivate to accept help. How to motivate to accept help. Harm reduction policy Harm reduction policy Why to intervene: health public reasons or individual reasons? Why to intervene: health public reasons or individual reasons?

4. SOME QUESTIONS (2) Different phases in the process of intervention: First in the street. Maintaining measures (medication, cure, treatment...) Different phases in the process of intervention: First in the street. Maintaining measures (medication, cure, treatment...) Always individualized and including people in the process of taking decisions Always individualized and including people in the process of taking decisions Always outreach Always outreach Always together with housing and social support Always together with housing and social support