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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.

SUBMITTER: Schreiter S 

PROVIDER: S-EPMC6937056 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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

Schreiter Stefanie S   Heidrich Sascha S   Zulauf Jamie J   Saathoff Ute U   Brückner Anne A   Majic Tomislav T   Rössler Wulf W   Schouler-Ocak Meryam M   Krausz Michael R MR   Bermpohl Felix F   Bäuml Josef J   Gutwinski Stefan S  

BMJ open 20191229 12


<h4>Objective</h4>To determine the housing situation among people seeking psychiatric treatment in relation to morbidity and service utilisation.<h4>Design</h4>Cross-sectional patient survey.<h4>Setting</h4>Psychiatric centre with a defined catchment area in Berlin, Germany, March-September 2016.<h4>Participants</h4>540 psychiatric inpatients including day clinics (43.2% of all admitted patients in the study period (n=1251)).<h4>Main outcome measures</h4>Housing status 30 days prior the intervie  ...[more]

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