Dehn Lorenz B, Schreiter Julia, Steinhart Ingmar, Driessen Martin
Universitätsklinik für Psychiatrie und Psychotherapie, Evang. Klinikum Bethel, Remterweg 69-71, D-33617, Bielefeld, Germany.
Medical School OWL, AG 106 Psychiatrie, Bielefeld University, Psychotherapie, Psychosomatik, Bielefeld, Germany.
Community Ment Health J. 2025 May;61(4):754-763. doi: 10.1007/s10597-024-01400-5. Epub 2024 Dec 4.
Supported living plays an important role in the community-based care for people with mental illness. However, support services like floating outreach have hardly been the subject of longer-term research to date, especially with regard to Germany. Thus, the main aim of this prospective observational study was to evaluate the psychosocial outcomes of floating outreach support for non-homeless people with severe mental illness across a one-year period. In a group of n = 119 people (M = 41 years old, 36% with affective disorders) the quantitative analyses revealed significant improvements in quality of life (MANSA), overall social functioning (SFS), as well as general support and care needs (CAN-EU). Nevertheless, there were still some unmet (and even increasing) care needs among the respondents after one year, especially in the domains of "physical health" and "company of others". These findings therefore indicate areas of support that should be given more attention in the future.
支持性生活在为精神疾病患者提供的社区护理中发挥着重要作用。然而，迄今为止，像流动外展服务这样的支持服务几乎没有成为长期研究的对象，尤其是在德国。因此，这项前瞻性观察研究的主要目的是评估为期一年的流动外展服务对非无家可归的重度精神疾病患者的心理社会结果。在一组n = 119人（平均年龄M = 41岁，36%患有情感障碍）中，定量分析显示生活质量（MANSA）、整体社会功能（SFS）以及一般支持和护理需求（CAN-EU）有显著改善。然而，一年后受访者中仍有一些未得到满足（甚至有所增加）的护理需求，特别是在“身体健康”和“他人陪伴”领域。因此，这些研究结果指出了未来应给予更多关注的支持领域。
