Prevalence of mental illness among homeless men in the community--approach to a full census in a southern German university town.

作者: Gerhard Längle , Birgit Egerter , Friederike Albrecht , Monika Petrasch , Gerhard Buchkremer

DOI: 10.1007/S00127-005-0902-5

关键词: PsychopathologySocial environmentClinical psychologyPsychiatryMental healthComorbidityAnxiety disorderMental illnessAlcohol dependenceMedicineSocial history (medicine)

摘要: Within the framework of a study homeless men in university town Tubingen southern Germany, prevalence psychiatric disorders and existing help-seeking behavior, among other things, were to be recorded. A total 151 belonging target group identified; 91 them participated study. Besides diagnosis, registered data included psychopathology, cognitive capacity, social functioning satisfaction with life, as well history case history. Of probands, 73% suffering from at least one ongoing disorder (diagnosed according ICD-10 DSM-IV), primarily alcohol dependence (74%) drug (34 %), 26% an anxiety disorder, 15% affective 11 % schizophrenic spectrum. Comorbidity was diagnosed 67%. Targeted behavior concerning or addictive symptoms extremely rare. Emergency contacts existed hospitals general practitioners. This represents first attempt within Germany Europe full census men. In international terms, region—a small on fringes conurbation—is special case. However, compared studies populations large cities, virtually no differences recorded respect problems addictions. On hand, substantial number those concerned evade resource-intensive, outreach-based like present one. Because German protection legislation, these subjects remain sparse. Concepts aimed improving health care system for this found dependent measure success initial contact.

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