title: [At the border of social psychiatric care systems--a study of "high utilizers" in Mecklenburg-Vorpommern].
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.
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Modellprojekt Systemsprenger des Instituts für Sozialpsychiatrie, Universität Greifswald, Ellernholzstrasse 1-2, Greifswald. freyberg@uni-greifswald.de
authors.forename: H J
authors.initials: HJ
authors.lastname: Freyberger
authors.forename: I
authors.initials: I
authors.lastname: Ulrich
authors.forename: S
authors.initials: S
authors.lastname: Barnow
authors.forename: I
authors.initials: I
authors.lastname: Steinhart
mesh_terms: D000328:Adult; D000367:Age Factors; D000374:Aggression; D000704:Analysis of Variance; D003158:Community Psychiatry / Q000706:statistics & numerical data*; D003415:Crime; D003625:Data Collection; D003627:Data Interpretation, Statistical; D005260:Female; D005858:Germany; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D008875:Middle Aged; D012959:Socioeconomic Factors; D013405:Suicide / Q000523:psychology