Stefanie Schreiter1, Francesco Domenico Fritz1, Wulf Rössler1,2, Tomislav Majić1,3, Meryam Schouler-Ocak1,3, Michael R Krausz4, Felix Bermpohl1,3, Stefan Gutwinski1,3. 1. 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. 2. Universität Zürich, Klinik für Psychiatrie und Psychotherapie, Zürich, Schweiz. 3. Psychiatrische Universitätsklinik der Charité im St. Hedwig-Krankenhaus, Berlin, Deutschland. 4. Institute of Mental Health and Department of Psychiatry, University of British Columbia (UBC), Vancouver, Canada.
Abstract
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. Thieme. All rights reserved.
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. Thieme. All rights reserved.
Authors: Uwe Knörle; Stefan Gutwinski; Stefan N Willich; Anne Berghöfer Journal: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Date: 2022-05-04 Impact factor: 1.595