Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey
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 psychiatri...
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BMJ Publishing Group
2019-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/12/e032576.full |
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| author | Stefanie Schreiter Sascha Heidrich Jamie Zulauf Ute Saathoff Anne Brückner Tomislav Majic Wulf Rössler Meryam Schouler-Ocak Michael R Krausz Felix Bermpohl Josef Bäuml Stefan Gutwinski |
| author_facet | Stefanie Schreiter Sascha Heidrich Jamie Zulauf Ute Saathoff Anne Brückner Tomislav Majic Wulf Rössler Meryam Schouler-Ocak Michael R Krausz Felix Bermpohl Josef Bäuml Stefan Gutwinski |
| author_sort | Stefanie Schreiter |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-497b783012d0427da245d381b035ca09 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-497b783012d0427da245d381b035ca092024-12-03T08:55:09ZengBMJ Publishing GroupBMJ Open2044-60552019-12-0191210.1136/bmjopen-2019-032576Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient surveyStefanie Schreiter0Sascha Heidrich1Jamie Zulauf2Ute Saathoff3Anne Brückner4Tomislav Majic5Wulf Rössler6Meryam Schouler-Ocak7Michael R Krausz8Felix Bermpohl9Josef Bäuml10Stefan Gutwinski11Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry and Psychotherapy, Universität Zürich, Zurich, SwitzerlandDepartment of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry, The University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar der Technischen Universität München, München, Germany1 Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin, Berlin, GermanyObjective 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.https://bmjopen.bmj.com/content/9/12/e032576.full |
| spellingShingle | Stefanie Schreiter Sascha Heidrich Jamie Zulauf Ute Saathoff Anne Brückner Tomislav Majic Wulf Rössler Meryam Schouler-Ocak Michael R Krausz Felix Bermpohl Josef Bäuml Stefan Gutwinski Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey BMJ Open |
| title | Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey |
| title_full | Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey |
| title_fullStr | Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey |
| title_full_unstemmed | Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey |
| title_short | Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey |
| title_sort | housing situation and healthcare for patients in a psychiatric centre in berlin germany a cross sectional patient survey |
| url | https://bmjopen.bmj.com/content/9/12/e032576.full |
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