Breilmann Johanna, Allgöwer Andreas, Kilian Reinhold, Gühne Uta, Riedel-Heller Steffi G, Hasan Alkomiet, Becker Thomas, Falkai Peter, Ajayi Klemens, Brieger Peter, Frasch Karel, Halms Theresa, Heres Stephan, Jäger Markus, Küthmann Andreas, Putzhammer Albert, Schneeweiß Bertram, Schwarz Michael, Kösters Markus
Klinik für Psychiatrie und Psychotherapie II, Universität Ulm, BKH Günzburg, Lindenallee 2, 89312, Günzburg, Deutschland.
Institut für Epidemiologie und Med. Biometrie, Universität Ulm, Ulm, Deutschland.
Nervenarzt. 2025 May 19. doi: 10.1007/s00115-025-01835-5.
Due to illness-related functional limitations, a significant proportion of individuals with severe mental illness are dependent on external assistance to navigate their daily lives and achieve an optimal level of independence and wellbeing.
The present study sought to investigate the needs, the coverage of needs and the influencing factors among people with severe mental illness in Germany.
The study included patients diagnosed with severe mental illness. The met and unmet needs, as well as the potential influencing factors, were collected using Camberwell Assessment of Need (CAN) and Client Sociodemographic and Service Receipt Inventory (CSSRI) and subsequently analysed descriptively and exploratively.
The mean number of reported needs was 6.4, with an average of 40.6% of these needs being met. The vast majority of patients (98%) require professional support, which is, from their perspective, inadequate (9-86% depending on the area concerned). Additionally, many patients also receive support from relatives (7-57% depending on the area concerned). The diagnosis, age, functioning, household income, and housing situation have an influence on the number and coverage of needs.
The findings indicate that patients have diverse and complex needs, which are not fully met. Notably, the support provided by professional services is perceived as inadequate.
由于与疾病相关的功能限制，相当一部分重度精神疾病患者在日常生活中依赖外部援助，以实现最佳的独立水平和幸福感。
本研究旨在调查德国重度精神疾病患者的需求、需求满足情况及影响因素。
该研究纳入了被诊断为重度精神疾病的患者。使用坎伯韦尔需求评估（CAN）和服务对象社会人口学及服务接受情况清单（CSSRI）收集已满足和未满足的需求以及潜在影响因素，随后进行描述性和探索性分析。
报告的需求平均数量为6.4项，其中平均40.6%的需求得到满足。绝大多数患者（98%）需要专业支持，但从他们的角度来看，这种支持并不充分（根据相关领域不同，比例在9%至86%之间）。此外，许多患者还得到亲属的支持（根据相关领域不同，比例在7%至57%之间）。诊断、年龄、功能状况、家庭收入和住房情况对需求的数量和满足情况有影响。
研究结果表明，患者有多样且复杂的需求，但这些需求未得到充分满足。值得注意的是，专业服务提供的支持被认为是不足的。
