[德国柏林一家精神病中心物质使用障碍患者的住房情况——一项横断面患者调查]
[Housing Situation Among People with Substance Use Disorder in a Psychiatric Centre in Berlin, Germany - A Cross-Sectional Patient Survey].
作者信息
Schreiter Stefanie, Fritz Francesco Domenico, Rössler Wulf, Majić Tomislav, Schouler-Ocak Meryam, Krausz Michael R, Bermpohl Felix, Gutwinski Stefan
机构信息
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Psychiatry and Psychotherapy, Berlin, Germany.
Universität Zürich, Klinik für Psychiatrie und Psychotherapie, Zürich, Schweiz.
出版信息
Psychiatr Prax. 2021 Apr;48(3):156-160. doi: 10.1055/a-1290-5091. Epub 2020 Nov 24.
OBJECTIVE
To investigate the housing situation, service use and substance use among patients with substance use disorders seeking psychiatric treatment.
METHODS
Structured interview among 540 psychiatric inpatients including day clinics in a psychiatric centre in Berlin, Germany.
RESULTS
Patients under instable housing conditions were significantly more often diagnosed with a comorbid psychotic disorder and were significantly younger when first psychiatric or substance use treatment occurred, on average before onset of homelessness.
CONCLUSION
Homelessness among people with substance use disorder seeking psychiatric treatment is associated with disadvantageous treatment factors such as early age of psychiatric treatment and comorbid psychotic disorders. Therefore, addressing social difficulties especially after inpatient treatment and close cooperation between different care providers should be of high importance among these groups.
目的
调查寻求精神科治疗的物质使用障碍患者的住房状况、服务利用情况和物质使用情况。
方法
对德国柏林一家精神科中心的540名精神科住院患者（包括日间诊所患者）进行结构化访谈。
结果
居住条件不稳定的患者更常被诊断为合并精神病性障碍，首次接受精神科或物质使用治疗时年龄显著更小，平均在无家可归之前。
结论
寻求精神科治疗的物质使用障碍患者中的无家可归现象与不利的治疗因素相关，如精神科治疗年龄早和合并精神病性障碍。因此，在这些群体中，尤其在住院治疗后解决社会困难以及不同护理提供者之间密切合作应具有高度重要性。
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