The Prevalence of Mental Illness in Homeless People in Germany

Deutsches Ärzteblatt International
Stefanie SchreiterStefan Gutwinski

Abstract

The number of homeless people in Germany is increasing. Studies from multiple countries have shown that most homeless people suffer from mental illnesses that require treatment. Accurate figures on the prevalence of mental illness among the homeless in Germany can help improve care structures for this vulnerable group. We carried out a systematic review and meta-analysis on the prevalence of mental illness among homeless people in Germany. 11 pertinent studies published from 1995 to 2013 were identified. The overall study population consisted of 1220 homeless people. The pooled prevalence of axis I disorders was 77.4%, with a 95% confidence interval [95% CI] of [71.3; 82.9]. Substance-related disorders were the most common type of disorder, with a pooled prevalence of 60.9% [53.1; 68.5]. The most common among these was alcoholism, with a prevalence of 55.4% [49.2; 61.5]. There was marked heterogeneity across studies. In Germany, the rate of mental illness requiring treatment is higher among the homeless than in the general population. The development and implementation of suitable care models for this marginalized and vulnerable group is essential if their elevated morbidity and mortality are to be reduced.

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Citations

Sep 18, 2020·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Daniel SchindelLiane Schenk
Nov 2, 2019·Der Nervenarzt·A Hoell, H J Salize
Feb 15, 2018·Deutsches Ärzteblatt International·Jan Podschus
Oct 27, 2017·Deutsches Ärzteblatt International·Frank Johannes Hensel
Feb 15, 2018·Deutsches Ärzteblatt International·Stefanie SchreiterStefan Leucht
Mar 17, 2021·European Archives of Psychiatry and Clinical Neuroscience·Julia SanderGabriel Gerlinger
Apr 13, 2021·Frontiers in Psychiatry·Coline van EverdingenPhilippe Delespaul
Jul 27, 2021·Frontiers in Public Health·Coline Van EverdingenPhilippe A E G Delespaul
Oct 27, 2017·Deutsches Ärzteblatt International·Hanna KaduszkiewiczCarolin van der Leeden

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