Citation

Freyberger HJ, Ulrich I, Barnow S, Steinhart I. Fortschr. Neurol. Psychiatr. 2008; 76(2): 106-113.

Vernacular Title

Am Rande sozialpsychiatrischer Versorgungsstrukturen--eine Untersuchung zur

Affiliation

Klinik und Poliklinik für Psychiatrie und Psychotherapie, Modellprojekt Systemsprenger des Instituts für Sozialpsychiatrie, Universität Greifswald, Ellernholzstrasse 1-2, Greifswald. freyberg@uni-greifswald.de

Copyright

(Copyright © 2008, Georg Thieme Verlag)

DOI

10.1055/s-2007-996172

PMID

18256970

Abstract

Research in social psychiatry has partly neglected the problem of comparatively disturbed persons, who are characterized by a shift from the regular social psychiatric care system into homelessness, closed psychiatric treatment or other desintegrated areas. Against this background in Mecklenburg-Vorpommern, an evaluation of all clinical and complementary institutions engaged in psychiatry was realized. 83.5 % of the institutions took part in the study and 137 (5.21 %) persons were identified as critical. 59.4 % of the institutions, especially therapeutic living groups, remarked that they had treated critical persons during the last year. Sociodemographically, the critical persons could be characterized by comparatively limited interpersonal relationships und a high unemployed status. A factor analysis has resulted in 4 factors characterizing the problematical behaviour: (i) aggression, low social adjustment and impulsivity; (ii) suicidal behaviour; (iii) delinquency and substance use; (iv) manipulative behaviour and pestering. Defining a comparatively high of disturbed behaviour, 51 persons could be identified.

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