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Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey.

Abstract：

OBJECTIVE:To determine the housing situation among people seeking psychiatric treatment in relation to morbidity and service utilisation. DESIGN:Cross-sectional patient survey. SETTING:Psychiatric centre with a defined catchment area in Berlin, Germany, March-September 2016. PARTICIPANTS:540 psychiatric inpatients including day clinics (43.2% of all admitted patients in the study period (n=1251)). MAIN OUTCOME MEASURES:Housing status 30 days prior the interview as well as influencing variables including service use, psychiatric morbidity and sociodemographic variables. RESULTS:In our survey, 327 participants (68.7%) currently rented or owned an own apartment; 62 (13.0%) reported to be homeless (living on the street or in shelters for homeless or refugees); 87 (18.3%) were accommodated in sociotherapeutic facilities. Participants without an own apartment were more likely to be male and younger and to have a lower level of education. Homeless participants were diagnosed with a substance use disorder significantly more often (74.2%). Psychotic disorders were the highest among homeless participants (29.0%). Concerning service use, we did neither find a lower utilisation of ambulatory services nor a higher utilisation of hospital-based care among homeless participants. CONCLUSIONS:Our findings underline the need for effective housing for people with mental illness. Despite many sociotherapeutic facilities, a concerning number of people with mental illness is living in homelessness. Especially early interventions addressing substance use might prevent future homelessness.

journal_name

BMJ Open

journal_title

BMJ open

authors

Schreiter S,Heidrich S,Zulauf J,Saathoff U,Brückner A,Majic T,Rössler W,Schouler-Ocak M,Krausz MR,Bermpohl F,Bäuml J,Gutwinski S

doi

10.1136/bmjopen-2019-032576

subject

Has Abstract

pub_date

2019-12-29 00:00:00

pages

e032576

issue

12

issn

2044-6055

pii

bmjopen-2019-032576

journal_volume

9

pub_type

杂志文章

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