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Administrative and financial responsibilities for sheltered housing for mentally ill and handicapped persons in Germany and its impact on housing supply.
Health Policy. 2005 Jun; 72(3):359-66.HP

Abstract

BACKGROUND

The integration of mentally ill and handicapped persons in the society requires the availability of various forms of sheltered housing in the community, most important ambulatory (supported) housing facilities. In Germany the administrative and financial responsibility for sheltered housing for mental ill and handicapped persons is usually assigned to two authorities: the welfare authorities at Lander (state) level are responsible for hostels, the welfare authorities on community and district level are responsible for ambulatory housing. However some Lander have distributed these responsibilities differently and other Lander offer subsidy programmes to promote the implementation of ambulatory housing.

OBJECTIVE

To evaluate the different modes of distributing the responsibilities for administration and financing of sheltered housing for their impact on the supply with ambulatory and stationary housing in the 16 German Lander.

METHOD

(1) Analysis of the practise of distributing the responsibilities for housing between Lander and community welfare-authorities in the 16 Lander. Analysis of the subsidy programmes in the Lander that aim to promote the implementation of ambulatory housing. (2) Assessment of the capacities in housing for mentally ill and handicapped persons in the Lander. (3) Comparing (1) and (2).

RESULTS AND DISCUSSION

Lander that have the responsibilities for ambulatory housing and for hostels organised on the same authority-level, offer generally more housing in ambulatory facilities and less in hostels than Lander that do not. However, three Lander, despite having all responsibilities for housing at one authority level, provide accommodation for mentally ill and handicapped persons predominantly in hostels. There are so far no indications whether it would be more favourable to have a unique authority for housing based on Lander or on community level. Subsidy programmes to promote the implementation of supported housing are successful if they sponsor at least 50% of costs and if they exist for a considerable duration of time.

CONCLUSION

Organising the responsibilities for housing for mental ill and handicapped persons on one authority level and the availability of subsidy programmes have a positive impact on the supply with ambulatory housing. However other factors also have to be considered to influence the supply with ambulatory housing, such as political will, attitudes towards the mentally ill, interests of hostel operators, pre-existing hostel infrastructure, available funds. These factors need to be researched further.

Authors+Show Affiliations

Hannover Medical School, Department of Epidemiology, Social Medicine + Health System Research, Carl-Neuberg Strasse 1, 30625 Hannover, Germany. bramesfeld.anke@gmx.deNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15862643

Citation

Bramesfeld, Anke, and Gerhard Holler. "Administrative and Financial Responsibilities for Sheltered Housing for Mentally Ill and Handicapped Persons in Germany and Its Impact On Housing Supply." Health Policy (Amsterdam, Netherlands), vol. 72, no. 3, 2005, pp. 359-66.
Bramesfeld A, Holler G. Administrative and financial responsibilities for sheltered housing for mentally ill and handicapped persons in Germany and its impact on housing supply. Health Policy. 2005;72(3):359-66.
Bramesfeld, A., & Holler, G. (2005). Administrative and financial responsibilities for sheltered housing for mentally ill and handicapped persons in Germany and its impact on housing supply. Health Policy (Amsterdam, Netherlands), 72(3), 359-66.
Bramesfeld A, Holler G. Administrative and Financial Responsibilities for Sheltered Housing for Mentally Ill and Handicapped Persons in Germany and Its Impact On Housing Supply. Health Policy. 2005;72(3):359-66. PubMed PMID: 15862643.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Administrative and financial responsibilities for sheltered housing for mentally ill and handicapped persons in Germany and its impact on housing supply. AU - Bramesfeld,Anke, AU - Holler,Gerhard, Y1 - 2004/11/05/ PY - 2004/05/04/received PY - 2004/09/28/accepted PY - 2005/5/3/pubmed PY - 2005/7/20/medline PY - 2005/5/3/entrez SP - 359 EP - 66 JF - Health policy (Amsterdam, Netherlands) JO - Health Policy VL - 72 IS - 3 N2 - BACKGROUND: The integration of mentally ill and handicapped persons in the society requires the availability of various forms of sheltered housing in the community, most important ambulatory (supported) housing facilities. In Germany the administrative and financial responsibility for sheltered housing for mental ill and handicapped persons is usually assigned to two authorities: the welfare authorities at Lander (state) level are responsible for hostels, the welfare authorities on community and district level are responsible for ambulatory housing. However some Lander have distributed these responsibilities differently and other Lander offer subsidy programmes to promote the implementation of ambulatory housing. OBJECTIVE: To evaluate the different modes of distributing the responsibilities for administration and financing of sheltered housing for their impact on the supply with ambulatory and stationary housing in the 16 German Lander. METHOD: (1) Analysis of the practise of distributing the responsibilities for housing between Lander and community welfare-authorities in the 16 Lander. Analysis of the subsidy programmes in the Lander that aim to promote the implementation of ambulatory housing. (2) Assessment of the capacities in housing for mentally ill and handicapped persons in the Lander. (3) Comparing (1) and (2). RESULTS AND DISCUSSION: Lander that have the responsibilities for ambulatory housing and for hostels organised on the same authority-level, offer generally more housing in ambulatory facilities and less in hostels than Lander that do not. However, three Lander, despite having all responsibilities for housing at one authority level, provide accommodation for mentally ill and handicapped persons predominantly in hostels. There are so far no indications whether it would be more favourable to have a unique authority for housing based on Lander or on community level. Subsidy programmes to promote the implementation of supported housing are successful if they sponsor at least 50% of costs and if they exist for a considerable duration of time. CONCLUSION: Organising the responsibilities for housing for mental ill and handicapped persons on one authority level and the availability of subsidy programmes have a positive impact on the supply with ambulatory housing. However other factors also have to be considered to influence the supply with ambulatory housing, such as political will, attitudes towards the mentally ill, interests of hostel operators, pre-existing hostel infrastructure, available funds. These factors need to be researched further. SN - 0168-8510 UR - https://www.unboundmedicine.com/medline/citation/15862643/Administrative_and_financial_responsibilities_for_sheltered_housing_for_mentally_ill_and_handicapped_persons_in_Germany_and_its_impact_on_housing_supply_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0168-8510(04)00228-3 DB - PRIME DP - Unbound Medicine ER -