Department for Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, Lenggstrasse 31, 8032 Zurich, Switzerland.
Psychiatric-Psychological Service, City of Zurich, Switzerland.
Psychiatry Res. 2015 Dec 15;230(2):413-8. doi: 10.1016/j.psychres.2015.09.029. Epub 2015 Sep 21.
Individuals with severe mental illness frequently have difficulties in obtaining and maintaining adequate accommodation. If they are not willing or able to adapt to requirements of traditional supported housing institutions they may live in sheltered and emergency accommodation. Adequate mental health services are rarely available in these facilities. The aim of the present study was to evaluate mental health, functional and social status of individuals living in community sheltered housing facilities. A cross-sectional survey of n=338 individuals in sheltered housing compared to a sample of patients at intake in acute inpatient psychiatry (n=619) concerning clinical and social variables was carried out in the catchment area of Zurich. Matched subsamples of individuals with schizophrenia (n=168) were compared concerning functioning and impairments on the Health of the Nation Outcome Scales (HoNOS). Individuals with schizophrenia in sheltered housing (25% of the residents) have significantly more problems concerning substance use, physical illness, psychopathological symptoms other than psychosis and depression, and relationships, daily activities and occupation than patients with schizophrenia at intake on an acute psychiatric ward. Community sheltered accommodation although conceptualized to prevent homelessness in the general population de facto serve as housing facilities for individuals with schizophrenia and other severe mental illness.
患有严重精神疾病的个体常常在获得和维持足够住房方面存在困难。如果他们不愿意或无法适应传统支持性住房机构的要求，他们可能会居住在庇护和紧急住所中。这些设施很少提供足够的精神卫生服务。本研究的目的是评估居住在社区庇护性住房设施中的个体的精神健康、功能和社会状况。在苏黎世的服务区内，对 n=338 名居住在庇护性住房中的个体进行了横断面调查，将其与急性住院精神病学入院时的患者样本（n=619）进行了比较，比较了临床和社会变量。对精神分裂症患者（n=168）进行了匹配的亚组比较，比较了功能和健康国家结局量表（HoNOS）上的损伤。与急性精神病病房入院时的精神分裂症患者相比，居住在庇护性住房中的精神分裂症患者（占居民的 25%）在物质使用、身体疾病、除精神病以外的精神病理症状以及人际关系、日常活动和职业方面存在更多问题。庇护性社区住宿虽然是为了防止普通人群无家可归而设立的，但实际上是为患有精神分裂症和其他严重精神疾病的个体提供的住房设施。
