@article{ref1,
title="At the border of social psychiatric care systems--a study of "high utilizers" in Mecklenburg-Vorpommern",
journal="Fortschritte der Neurologie-Psychiatrie",
year="2008",
author="Freyberger, H. J. and Ulrich, I. and Barnow, S. and Steinhart, I.",
volume="76",
number="2",
pages="106-113",
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.<p /><p>Language: de</p>",
language="de",
issn="0720-4299",
doi="10.1055/s-2007-996172",
url="http://dx.doi.org/10.1055/s-2007-996172"
}