Zusammenhänge zwischen psychischen Erkrankungen und Wohnungslosigkeit: Ergebnisse einer Sekundärdatenanalyse in einem Berliner Gesundheitszentrum für Obdachlose

Knörle, Uwe; Gutwinski, Stefan; Willich, Stefan N.; Berghöfer, Anne

doi:10.1007/s00103-022-03536-9

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…Welfare organizations, however, assume a much higher number of around 6.000 roofless PEH living in Berlin ( 23 ). Demographic data on roofless PEH in Berlin is scarce, but according to single studies that were carried out among PEH in and around low threshold outpatient clinics, median age was found to be between 41 and 43 years and the proportion of men was with around 4/5 much higher than the proportion of women ( 11 , 24 ). PEH without shelter in Berlin are a mobile population.…”

Section: Introductionmentioning

confidence: 99%

A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

Hörig

Klaes²,

Krasovski-Nikiforovs³

et al. 2023

Front. Public Health

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IntroductionPeople experiencing homelessness (PEH) are disproportionately affected by the COVID-19 pandemic. For many PEH it is impossible to isolate due to the lack of permanent housing. Therefore, an isolation facility for SARS-CoV-2 positive PEH was opened in Berlin, Germany, in May 2020, offering medical care, opioid and alcohol substitution therapy and social services. This study aimed to assess the needs of the admitted patients and requirements of the facility.Materials and methodsThis was a retrospective patient record study carried out in the isolation facility for PEH in Berlin, from December 2020 to June 2021. We extracted demographic and clinical data including observed psychological distress from records of all PEH tested positive for SARS-CoV-2 by RT-PCR. Data on duration and completion of isolation and the use of the facilities’ services were analyzed. The association of patients’ characteristics with the completion of isolation was assessed by Student’s t-test or Fisher’s exact test.ResultsA total of 139 patients were included in the study (89% male, mean age 45 years, 41% with comorbidities, 41% non-German speakers). 81% of patients were symptomatic (median duration 5 days, range 1–26). The median length of stay at the facility was 14 days (range 2–41). Among the patients, 80% had non-COVID-19 related medical conditions, 46% required alcohol substitution and 17% opioid substitution therapy. Three patients were hospitalized due to low oxygen saturation. No deaths occurred. Psychological distress was observed in 20%, and social support services were used by 65% of PEH. The majority (82%) completed the required isolation period according to the health authority’s order. We did not observe a statistically significant association between completion of the isolation period and sociodemographic characteristics.ConclusionThe specialized facility allowed PEH a high compliance with completion of the isolation period. Medical care, opioid and alcohol substitution, psychological care, language mediation and social support are essential components to address the specific needs of PEH. Besides contributing to infection prevention and control, isolation facilities may allow better access to medical care for SARS-CoV-2 infected PEH with possibly positive effects on the disease course.

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Section: Introductionmentioning

confidence: 99%

A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

Hörig

Klaes²,

Krasovski-Nikiforovs³

et al. 2023

Front. Public Health

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Lebenslagen mit besonderen Anforderungen

Rössler,

Mack

2024

Pädagogik Für Psychotherapeutinnen Und Psychotherapeuten

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Addressing the needs of Ethiopia’s street homeless women of reproductive age in the health and social protection policy: a qualitative study

Yohannes

Bradby

Berhane

et al. 2023

Int J Equity Health

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Introduction Globally, homelessness is a growing concern, and homeless women of reproductive age are particularly vulnerable to adverse physical, mental, and reproductive health conditions, including violence. Although Ethiopia has many homeless individuals, the topic has received little attention in the policy arena. Therefore, we aimed to understand the reason for the lack of attention, with particular emphasis on women of reproductive age. Methods This is a qualitative study; 34 participants from governmental and non-governmental organisations responsible for addressing homeless individuals’ needs participated in in-depth interviews. A deductive analysis of the interview materials was applied using Shiffman and Smith’s political prioritisation framework. Results Several factors contributed to the underrepresentation of homeless women’s health and well-being needs in the policy context. Although many governmental and non-governmental organisations contributed to the homeless-focused programme, there was little collaboration and no unifying leadership. Moreover, there was insufficient advocacy and mobilisation to pressure national leaders. Concerning ideas, there was no consensus regarding the definition of and solution to homeless women’s health and social protection issues. Regarding political contexts and issue characteristics, a lack of a well-established structure, a paucity of information on the number of homeless women and the severity of their health situations relative to other problems, and the lack of clear indicators prevented this issue from gaining political priority. Conclusions To prioritise the health and well-being of homeless women, the government should form a unifying collaboration and a governance structure that addresses the unmet needs of these women. It is imperative to divide responsibilities and explicitly include homeless people and services targeted for them in the national health and social protection implementation documents. Further, generating consensus on framing the problems and solutions and establishing indicators for assessing the situation is vital.

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Zusammenhänge zwischen psychischen Erkrankungen und Wohnungslosigkeit: Ergebnisse einer Sekundärdatenanalyse in einem Berliner Gesundheitszentrum für Obdachlose

Cited by 3 publications

References 28 publications

A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

Lebenslagen mit besonderen Anforderungen

Addressing the needs of Ethiopia’s street homeless women of reproductive age in the health and social protection policy: a qualitative study

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