Ontology highlight
ABSTRACT:
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
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]