Driessen M, Dilling H
Klinik für Psychiatrie Medizinische Universität zu Lübeck.
Psychiatr Prax. 1997 Jul;24(4):162-6.
The state of Anglo-American research on psychiatric disorders among homeless persons is summarised. Several authors reported on life-time prevalence (50-75%) and present prevalence rates (30-50%) of psychiatric disorders in this population. Alcohol-related and drug-related disorders were most frequent. Most studies, however, only included single and male subjects, while there is little information on homeless persons living with a partner or in a family. Up to now, no representative studies exist. Some recent investigations evaluated classic single case models versus case management approaches. Short-term programmes only yielded short-term effects, but linking psychiatric and social services seems to improve health service utilization by the homeless.
本文总结了英美的无家可归者精神疾病研究状况。几位作者报告了该人群精神疾病的终生患病率（50%-75%）和现患病率（30%-50%）。与酒精和药物相关的疾病最为常见。然而，大多数研究仅纳入了单身男性受试者，而关于有伴侣或与家人同住的无家可归者的信息很少。到目前为止，尚无代表性研究。最近的一些调查评估了经典的单病例模型与病例管理方法。短期项目仅产生短期效果，但将精神科和社会服务联系起来似乎能提高无家可归者对医疗服务的利用率。
