Wi:Nu:K

Impact and Utilization Research on the Care of Opioid-Dependent Persons with Unclear Health Insurance Status

Project duration: 04/05/2025 - 30/11/2025

Principal investigators: Prof. Dr. Rita Hansjürgens (ASH Berlin), Prof. Dr. Rebekka Streck (EH Berlin)

Project staff: Sandra Kintscher, M.A. (ASH Berlin), Melanie Akerboom, M.A. (ASH Berlin), Hannah Kuszak (ASH Berlin); Magdalena Eder, M.A. (EH Berlin)

Partners:
- The Clearingstelle for people without health insurance
- Fixpunkt e. V.
- Gangway e. V.
- The emergency service for those at rsik of addiction and those already addicted to drugs and alcohol in Berlin (Notdienst Berlin e. V.)
- Vista gGmbH
- Institut für Praxisforschung und Evaluation der Evangelischen Hochschule Nürnberg 

Abstract:
The WI:NU:K project is investigating how opioid addicts with unclear health insurance status can be better integrated into the healthcare system. The aim is to evaluate existing cooperation structures between addiction support facilities, clearing houses and medical services and to develop recommendations for optimization. An analysis will be carried out in three phases using a mixed methods design: (1) a field-related preliminary study with literature research and expert interviews, (2) ethnographic observations, user interviews and the development of an impact model, and (3) participatory workshops to derive practical suggestions for improvement. Concrete findings are expected on barriers, conditions for success and necessary structural changes in order to reach the aforementioned vulnerable target group more sustainably and improve their health and social situation, as well as to improve cooperation opportunities for existing support services.

Funding: Senate Department for Science, Health and Care (SenWGP)

Keywords: Opiate Use, Cooperation, Lack of Health Insurance, Homelessness

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