[(封闭式)精神病院作为德国区域网络的一部分？]
[(Closed) Psychiatric Homes as Part of the Regional Networks in Germany?].
作者信息
Steinhart Ingmar, Jenderny Sarah, Schreiter Julia
机构信息
Institut für Sozialpsychiatrie Mecklenburg-Vorpommern, An-Institut der Universität Greifswald.
v. Bodelschwinghsche Stiftungen Bethel.
出版信息
Psychiatr Prax. 2020 Oct;47(7):370-375. doi: 10.1055/a-1126-1214. Epub 2020 Mar 20.
OBJECTIVE
Description of the nationwide housing situation for severely mentally ill people (including substance dependencies).
METHODS
Nationwide quantitative survey using an online questionnaire on structural and process data of residential facilities.
RESULTS
A response rate of 20 % was achieved, 11,881 open and 1,268 closed home places were recorded. The empirical data refer to a lack of individual arrangements after living in a psychiatric housing facility and as an alternative to closed living contexts - even today people are still accommodated far away from their home.
CONCLUSION
The high allocation from psychiatric inpatient units to closed housing facilities shows that there has to be a better control of aftercare by the community psychiatry in general and the inpatient units in particular. Required are individual residential arrangements for severely mentally ill that are appropriately funded.
目的
描述全国范围内重症精神病患者（包括药物依赖者）的住房状况。
方法
采用在线问卷对居住设施的结构和过程数据进行全国性定量调查。
结果
实现了20%的回复率，记录了11881个开放和1268个封闭的居住场所。实证数据表明，在精神病患者居住设施居住后缺乏个性化安排，作为封闭居住环境的替代方案——即使在今天，人们仍被安置在离家很远的地方。
结论
从精神病住院单元到封闭居住设施的高分配率表明，总体而言社区精神病学，尤其是住院单元，必须更好地控制后续护理。需要为重症精神病患者提供资金充足的个性化居住安排。
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