Zusammenfassung
Anliegen Beschreibung des 3-Jahres-Verlaufs psychischer Beschwerden nach Zuweisung von Wohnraum
an Obdachlose. Methode 109 Männer und 20 Frauen wurden bei Beginn der Maßnahme sowie ein und drei Jahre
danach befragt. Ergebnisse 86 % konnten die Wohnsituation beibehalten oder verbessern. Psychische Beschwerden
und globales Funktionsniveau änderten sich wenig. Starker Alkoholkonsum und hohe Psychopathologie
erhöhten das Risiko des Wohnraumverlusts. Schlussfolgerungen Die Zuweisung von Wohnraum ist effektiv, führt aber nicht zu einer Verbesserung des
psychischen Zustands. Ein soziales und kuratives Angebot „aus einer Hand” ist erforderlich.
Abstract
Objective Description of the three-year course of mental illness after supplying permanent
housing to homeless individuals. Methods 109-male and 20 female homeless individuals were assessed at the assignment of permanent
housing and at one and three year follow-up using the Structured Clinical Interview
for DSM-IV. Results A high percentage (86 %) was able to maintain or even improve the index housing situation.
Only minor changes were observed in mental illness severity and global functioning.
Symptoms improved slightly over the three year period. High degrees of alcohol consumption
and mental illness severity increased the risk of deterioration of the housing arrangement.
Conclusions Supplying homeless individuals with permanent housing is an effective measure but
insufficient for improving mental illness. Combined measures of social and medical
interventions from one provider are suggested for effective support of homeless people.
Schlüsselwörter
psychische Erkrankung - Obdachlosigkeit - Alkoholismus - Intervention
Key words
homelessness - mental illness - course - intervention - permanent housing
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Dipl.-Psych. Norbert Quadflieg
Forschungsbereich Epidemiologie und Evaluation der Psychiatrischen Klinik der Ludwig-Maximilians-Universität
Nußbaumstraße 7
80336 München
eMail: Norbert.Quadflieg@med.uni-muenchen.de