Marcel Slockers

51 Health status of homeless people measured by health problems patients with recorded alcohol and hard drug-related episodes of care (including drug-in- duced psychoses) has decreased since 2006, while the proportion of patients with registered soft drugs use and ADHD has increased. Figure 1. Psychiatric diagnoses in homeless patients who attend the Rotterdam street doctor consultation * represents main category International Classification of Primary Care (ICPC) The percentages with a diagnosis from the IPC main group of psychiatric disorders are shown for the patients who had attended the street doctor's consultation at least once during the indicated periods (psychiatry total). Above that, the percentages are broken down by psychiatric diagnoses. Patients can have several of these diagnoses at the same time. The share of patients with registered cardiovascular diseases has increased from 9.2% to 14.8%; those with endocrine diseases from 7.4% to 11.8%; and those with oncological disorders from 1.5% to 3.0% (figure 2 = non-psychiatry bar chart). Within the category car- diovascular diseases, there is an increasing number of patients with hypertension.Within the category endocrine diseases, we observed an increasing number of patients with diabetes and thyroid conditions. For infectious diseases, trauma-related problems, problems with the musculoskeletal system and gastrointestinal disorders, there is a decreasing percentage of patients over time. Within the category infectious diseases, the proportion of HIV infected patients has decreased, while the proportion of hepatitis C infections and tuberculosis has shown no significant change. The proportion of registered COPD patients has increased.