title: [Improving Mental Health Care in People at Risk for Getting Homeless].
abstract: Objective:Overall aim was to reduce the untreated prevalence in persons with untreated mental disorders and at risk for loosing accommodation and descending into homelessness. Primary aim was treatment initiation and treatment adherence by motivational interviewing. Secondary aims were to reduce social or financial problems.Methods:Persons at risk were identified in social welfare services or labour agencies, diagnosed and motivated to initiate treatment in a community mental health service.Results:58 persons were included, 24 were referred to regular mental health care, 8 were stabilized enough after the initial motivational to refrain from acute treatment, 26 dropped out. During a 6-month follow-up quality of life and social support was improved (partly statistically significant) and psycho-social needs for care decreased.Conclusion:Motivational interviewing is likely to increase insight into illness and acceptance of mental health care in untreated persons with mental disorders at risk for social decline.
authors.affiliation: Zentralinstitut für Seelische Gesundheit, Klinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Hans Joachim
authors.initials: HJ
authors.lastname: Salize
authors.affiliation: Zentralinstitut für Seelische Gesundheit, Klinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Maja
authors.initials: M
authors.lastname: Arnold
authors.affiliation: Zentralinstitut für Seelische Gesundheit, Klinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Elisa
authors.initials: E
authors.lastname: Uber
authors.affiliation: Zentralinstitut für Seelische Gesundheit, Klinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Andreas
authors.initials: A
authors.lastname: Hoell
mesh_terms: D003131:Combined Modality Therapy; D003156:Community Mental Health Services / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D005858:Germany; D006297:Health Services Accessibility / Q000458:organization & administration*; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D062405:Motivational Interviewing / Q000458:organization & administration; D010342:Patient Acceptance of Health Care / Q000523:psychology; D058996:Quality Improvement / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration; D012307:Risk Factors