Background
Shelter-based convalescence program in Amsterdam
Methods
Study population and data collection
Study assessments and analysis
Results
Demographics and chronic medical conditions
Demographics(n = 629) | n | % |
---|---|---|
Male | 520 | 83 |
Female | 109 | 17 |
Age in years* | ||
18-29 | 36 | 6 |
30-39 | 163 | 26 |
40-49 | 220 | 35 |
50-59 | 153 | 24 |
60-78 | 57 | 9 |
Country of birth | ||
Netherlands | 334 | 53 |
Surinam/Antilles | 114 | 18 |
Morocco | 36 | 6 |
Europe/North America | 89 | 14 |
Africa/Asia/South America | 56 | 9 |
Illegal immigrant | 86 | 14 |
Health insurance (n = 552)** | 364 | 68 |
Chronic medical conditions
| ||
Addiction total (overlap) | 493 | 78 |
heroine (and/or cocaine) | 259 | 41 |
methadone prescription | 254 | 39 |
cocaine (no heroine) | 114 | 18 |
alcohol | 176 | 28 |
Mental health disorder | 131 | 21 |
Addiction and mental health disorder | 83 | 13 |
HIV infection | 72 | 11 |
Tuberculosis life time | 32 | 5 |
Diagnoses upon admission
admissions | persons | ||||
---|---|---|---|---|---|
ICPC * | Chapter | n | % | n | % |
P | psychological | 541 | 61 | 380 | 60 |
S | skin | 326 | 37 | 244 | 39 |
R | respiratory | 296 | 33 | 212 | 34 |
D | digestive | 215 | 24 | 180 | 29 |
L | musculoskeletal (locomotion) | 188 | 21 | 165 | 26 |
K | circulatory | 123 | 14 | 100 | 16 |
A | general and unspecified | 114 | 13 | 101 | 16 |
T | endocrine, metabolic, nutritional | 97 | 11 | 77 | 12 |
N | neurological | 87 | 10 | 78 | 12 |
U | urological | 46 | 5 | 37 | 6 |
B | blood, spleen, bone marrow | 32 | 4 | 23 | 4 |
F | eye | 15 | 2 | 14 | 2 |
X | female genital | 13 | 2 | 12 | 2 |
Y | male genital | 13 | 2 | 12 | 2 |
H | ear (hearing) | 4 | 0.4 | 4 | 0.6 |
total | 889 | 629 |
Referrals, length of stay and discharge locations
Referrals to convalescence care(n = 889) | n | % |
---|---|---|
Self referral | 163 | 18 |
Social referrals total | 181 | 20 |
day centres/shelters | 142 | 16 |
prison/police | 39 | 4 |
Medical referrals total | 545 | 61 |
general practitioners | 68 | 8 |
general hospitals | 188 | 21 |
MPHS *drug clinics/outreach teams | 236 | 27 |
mental/addiction health clinics | 53 | 6 |
Length of stay (days) | ||
0-14 | 361 | 41 |
15-30 | 169 | 19 |
30-90 | 234 | 26 |
90-120 | 43 | 5 |
> 120 | 82 | 9 |
Discharge locations
| ||
Social setting | 679 | 76 |
street/self discharge | 326 | 37 |
overnight shelter | 166 | 19 |
general shelter | 50 | 6 |
apartment | 39 | 4 |
went abroad | 13 | 2 |
expelled after misconduct | 28 | 3 |
prison | 57 | 6 |
Medical setting | 201 | 23 |
general hospital | 40 | 5 |
shelter based chronic nursing care | 115 | 13 |
general nursing home | 13 | 2 |
mental/addiction health clinic | 33 | 3 |
Died during admission | 9 | 1 |
Mortality
Users pattern over seven years
2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | total | P* | ||
---|---|---|---|---|---|---|---|---|---|---|
user profile (n = 629)
| % | % | % | % | % | % | % | % | n | |
male | 75 | 77 | 86 | 81 | 87 | 89 | 83 | 81 | 724 |
p = 0,020
|
born in Surinam/Antilles | 17 | 12 | 19 | 22 | 20 | 27 | 23 | 19 | 167 |
p = 0.021
|
psychological disorder | 41 | 71 | 67 | 58 | 64 | 68 | 73 | 61 | 541 |
p = 0.000
|
skin disorder | 35 | 43 | 37 | 28 | 41 | 50 | 35 | 37 | 326 | p = 0.052 |
circulatory disorder | 20 | 12 | 11 | 17 | 10 | 11 | 5 | 14 | 123 | p = 0.060 |
cocaine addiction | 11 | 22 | 21 | 20 | 16 | 34 | 38 | 20 | 180 |
p = 0,000
|
HIV | 19 | 14 | 11 | 14 | 16 | 5 | 10 | 14 | 122 | p = 0.061 |
service data
| ||||||||||
self referrals | 36 | 32 | 19 | 3 | 7 | 5 | 3 | 18 | 163 |
p = 0,000
|
social care referral | 6 | 8 | 24 | 27 | 30 | 41 | 33 | 20 | 181 |
p = 0,000
|
self discharge/streets | 41 | 47 | 48 | 36 | 42 | 18 | 23 | 41 | 363 |
p = 0.001
|
health insurance | 81 | 70 | 65 | 57 | 55 | 80 | 78 | 67 | 517 | p = 0.510 |
median length of stay (days) | 15 | 17 | 16 | 34 | 20 | 101 | (31)** | 20 | - |
p = 0.000
|
absolute number of admissions | 158 | 150 | 238 | 191 | 70 | 40 | 40 | 100 | 889 |