Accessible Summary

What is known on the subject?

• This paper acknowledges the profound and lasting impact of childhood abuse on substance use and homelessness.

What this paper adds to existing knowledge?

• It underscores the inherent value and humanity of every individual, regardless of their struggles.
• That a comprehensive approach to mental health care, encompassing medication, therapy and a secure environment, is imperative.

What are the implications for mental health nursing?

• Early intervention and recognising individuals who suffer in silence are paramount. Mental health nurses must have the courage to ask uncomfortable questions and truly hear the unspoken words.
• Mental health nurses should never underestimate the power of simply being present with someone during their darkest moments. This simple act can wield significant influence.