Zarafonitis-Müller Susanna, Leopold Karolina, Batra Marcel, Kallenbach Michèle, Burkhardt Eva, Jäckel Dorothea, Bechdolf Andreas
Frühinterventions- und Therapiezentrum - FRITZ am Urban, Vivantes Klinikum Am Urban, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Akademisches Lehrkrankenhaus der Charité Medizin, Berlin.
Kliniken für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum Am Urban und Vivantes Klinikum im Friedrichshain, Akademische Lehrkrankenhäuser der Charité Medizin, Berlin.
Psychiatr Prax. 2019 Jan;46(1):13-19. doi: 10.1055/s-0043-124050. Epub 2018 Mar 7.
The present study evaluated service use of our newly established Early Intervention and Treatment Centre (FRITZ) in Berlin for young adults with first or early psychosis with and without migration background.
We conducted a retrospective chart review of in-patients with early psychosis who were admitted to FRITZ between May 2014 and May 2015. We investigated the proportion of patients with migration background, sociodemographic and clinical characteristics of patients.
Corresponding to the proportion of migrants in the catchment area, 35 % of our service users from the catchment area (n = 60) had a migration background. Migrants had a better social adaption, but showed lower insight into illness, less substance induced psychoses and less inpatient admissions. The majority of all patients were admitted to FRITZ via the emergency department.
The findings indicate that FRITZ was almost equally well received by patients with and without migration background. Patients with migration background showed distinct sociodemographic and clinical characteristics that could be relevant for treatment. Implications for future clinical practice are discussed.
本研究评估了我们在柏林新设立的早期干预与治疗中心（FRITZ）为有或无移民背景的首次发作或早期精神病性障碍青年成人提供服务的使用情况。
我们对2014年5月至2015年5月期间入住FRITZ的早期精神病性障碍住院患者进行了回顾性病历审查。我们调查了有移民背景患者的比例、患者的社会人口学和临床特征。
与集水区内移民的比例相对应，我们来自集水区的服务使用者中有35%（n = 60）有移民背景。移民有更好的社会适应能力，但对疾病的洞察力较低，物质所致精神病较少，住院次数也较少。所有患者中大多数是通过急诊科入住FRITZ的。
研究结果表明，有或无移民背景的患者对FRITZ的接受程度几乎相同。有移民背景的患者表现出不同的社会人口学和临床特征，这些特征可能与治疗有关。讨论了对未来临床实践的启示。
