Abstract:
:This paper describes a standardized assessment-procedure for the so-called "Gemeindepsychiatrische Verbünde" in Germany (GPV-Documentation), which are regional combines of community-based mental health care services. It is the first procedure in Germany which puts data on psychiatric care offers, needs for care and service utilization of all sectors and services in community-based mental health care into standardized measures, thus making offers and care of these services comparable. The procedure can be applied to the daily routine of catchment areas. From a methodical point of view the GPV-Documentation keeps a functional approach to community-based mental health care, but additionally it enables services to describe their specific contribution to regional care separately from others. Annual follow-ups make the GPV-Documentation an ideal tool for planning purposes, care management and quality assurance. Cross-regional comparisons of standards of care are possible. The implementation will also enhance the quality of governmental health reports on the care of chronically mentally ill in Germany remarkably.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Salize HJ,Bullenkamp J,Alscher I,Wolf Ikeywords:
subject
Has Abstractpub_date
2000-03-01 00:00:00pages
92-8issue
2eissn
0303-4259issn
1439-0876journal_volume
27pub_type
杂志文章abstract:OBJECTIVE:Depression is a common comorbidity of chronic pain and chronic pain represents a common additional symptom of depressed patients. The physiological basis is unknown. METHODS:We investigated the possible interrelation between autonomic dysfunction and altered pain perception in unmedicated patients (U1), afte...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2007-970974
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Aggression management trainings for staff have been implemented in many organizations of mental health care and disability care. The efficacy of such programmes has rarely been analysed. METHODS:A systematic review was conducted which contains all published evaluation studies on aggression management traini...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2006-940063
更新日期:2007-01-01 00:00:00
abstract::Factitious disorders have been reported in 0.5 - 1 % of general hospital patients. It often takes several years until the disorder is detected. During this period, enormous health care cost can arise not least out of iatrogenic self-induced mutilations and related secondary somatic complications. Apart from surgeons a...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-34656
更新日期:2002-10-01 00:00:00
abstract::Characteristics of the present ecological threat concerning the mind of men are described. Some psychiatric cases are given describing on one hand psychotic patients whose concern about the endangered natural environment is more accidental, whereas in other patients the feeling to be threatened has been resulted in ps...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract::Despite the compelling evidence for a strong heritability of schizophrenia, the aetiology and genetic underpinnings of this disabling disease still remain unclear. Reasonable explanations for current problems in identifying candidate genes for schizophrenia are the complexity of its genetic background as well as the h...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828480
更新日期:2004-11-01 00:00:00
abstract::Philippe Pinel is generally regarded as the leading con-founder of scientific psychiatry. His "chain liberation" of the insane is in this context often seen as breakbrough to an human conception of psychiatry. This article describes in two parts the historical backgrounds of Pinels activities and analyses the discipli...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::One of the highest rates of suicide occur in German-speaking countries and particularly in Saxonia. There are grounds for the assumption that the fact has been caused by a careful recording of suicides in this country since 1829. The paper describes the development of rates of suicide and the changes of the suicidal m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract::WHO and WPA recently inaugurated worldwide "anti-stigma-campaigns". On this background the exploration discrimination of against the mentally ill of the term stigma and its meaning is useful. Stigma dates from ancient Greece and was meant to be a visible sign of disgrace. Today stigma and stigma management are sociolo...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:There is still poor acceptance for pain without somatic causes, and patients with somatoform pain disorder carry a stigma per se. The aim of this study was to identify predictors of fear of stigma including depression, anxiety and somatisation among patients with somatoform pain disorder. METHODS:132 patien...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0032-1305096
更新日期:2012-08-01 00:00:00
abstract::The term "Social Psychiatry" was first used in English in 1917 by E. E. Southard. Six years before, in 1911 Max Fischer, director of Wiesloch Mental Hospital near Heidelberg employed the terms "Sozialpsychiatrie" and "Soziale Psychiatrie" in German. ...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:Findings about the association between working alliance and therapy outcome in Internet-based treatments are contradictory. Evidence for the working alliance in Internet-based treatment for Binge Eating Disorder is still missing and can help to elucidate this question. METHODS AND RESULTS:In an Internet-base...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0033-1343320
更新日期:2013-09-01 00:00:00
abstract::Changes in the provision of psychiatric services within the last decennials are probably best understood if the impact of national socialism on clinical psychiatry is regarded. Many psychiatrists took part in the "Aktion T4" the organised killing of their patients, at least they did not resist campaigns directed to ki...
journal_title:Psychiatrische Praxis
pub_type: 历史文章,杂志文章
doi:10.1055/s-2004-828483
更新日期:2004-11-01 00:00:00
abstract::It is unfortunate that mental patients with long-term hospitalisation patterns are still necessarily scheduled for long-term stay in mental hospitals and institutions designed for the care and treatment of psychiatric cases, since such institutions are characterized by a rather sterile, low-stimulation atmosphere unde...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract:OBJECTIVE:There are only some reports about discharge letters addressed to patients. By a case report benefits and potential of letters to patients should be shown. METHOD:The presented case report describes the hospital stay of a 19 year old patient suffering from schizophrenia. RESULTS:The case report indicates tha...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-866986
更新日期:2006-09-01 00:00:00
abstract::We present the development of an 9-year therapeutic relationship with a patient suffering from epilepsy and a severe personality disorder. Despite serious doubts in the beginning the patient gained an unexpected degree of independence. The development of the case indicates that it was decisive to prevent discontinuati...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:While lots of projects focus on "stigmatization by others" in people with mental diseases, the problem of "self-stigmatization" is rarely considered in their treatment.Thus, the program "Stigma Management" aims on the conception of a therapeutic manual concerning self-stigmatization. As experts on their own, ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387456
更新日期:2016-01-01 00:00:00
abstract::A therapeutic dwelling community (TDC) which has been in existence for more than 3 years, is described in respect to its history of origin and development outside existing psychiatric institutions or facilities. After having been confronted with the unsatisfactory follow-up care of a group of relatively young, in most...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract::Therapeutical groups for relatives of psychiatric patients meanwhile are obligatory within strategies of psychiatric treatment. Up to a now most of the recent investigations refer to relatives of patients suffering from schizophrenia. The following article deleniates experiences with a therapeutic group for relatives ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVE:ECT is an effective and safe therapy with fast response for depressive disorders. Nevertheless it's mostly used for therapy resistance. In antidepressive treatments fast response may be related with antidepressive efficacy. We studied, if earlier ECT could result in a shorter hospital stay period after the tr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1248600
更新日期:2011-02-01 00:00:00
abstract::Manic disorders and bipolar psychoses have long been underdiagnosed in child and adolescent psychiatry. Scientific research has been rare as well. In particular in adolescence and young adulthood bipolar disorders are not easy to diagnose. Therefore these disorders should be included in differential diagnosis as resea...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2005-915327
更新日期:2006-03-01 00:00:00
abstract::Based on personal experience, the new Italian law on psychiatric hospitals and its practical application is reported. The political aspect of "new" psychiatry is critically mentioned. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1981-05-01 00:00:00
abstract::156 patients from two psychiatric hospitals were asked about their expectations and wishes regarding their further medical care and treatment immediately prior to their discharge. Answers were analyzed according to age, sex and diagnoses. This is contrasted by the suggestions of the medical staff, which seems to be in...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1984-05-01 00:00:00
abstract:OBJECTIVE:There are highly effective treatments either in inpatient or day hospital settings available for elderly with major depression. It is important to consider some specific needs of elderly people (e. g. higher somatic comorbidities). METHODS:On the base of a large routine data set (139 307 patients in hospital...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1370007
更新日期:2015-07-01 00:00:00
abstract::This study of aggressive behaviour of patients towards staff was conducted simultaneously for one year at four psychiatric hospitals. Until now there has been very little empirical research carried out in German speaking countries of aggression in psychiatric hospitals; the reasons for that are discussed. The results ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVE:To report about existing evidence of effectiveness of home treatment for severely mentally ill adults and implementation in Germany. METHODS:Systematic electronic and manual literature search. RESULTS:Compared to standard care, home treatment was equally or more efficacious with respect to general state of ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0030-1248598
更新日期:2011-04-01 00:00:00
abstract::Starting with Ciompis model of "affect logic" I want to show that affective, cognitive and behavioral patterns, once emerged in psychosis, subsequently tend to repetition and chronification on account of psychological, social but also neuronal plasticity. In the discussion about reasons of the chronification process, ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::In the controversy about severely chronic mental patients, who still reside in the psychiatric hospital after decades of deinstitutionalization, their quality of life (QoL) has become a main topic. On the basis of a critique of the dominant, mere standardized approach to QoL this method is compared with a qualitative ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-34034
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:There is some evidence that the treatment with new ("atypical") neuroleptics is associated with a higher frequency of hyperlipidemia. AIM:In this study the serum lipid levels of patients with chronic schizophrenia were investigated. METHODS:The serum lipid levels of 177 consecutively admitted schizophrenic ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2006-940056
更新日期:2007-07-01 00:00:00
abstract::Huntington's Disease, a neuropsychiatric disorder with dominant inheritance and late manifestation is related to multiple psychosocial problems of the affected person, his life partner as well as their children (so-called individuals at risk). During a five years project the authors contacted 131 persons, directly and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVE AND METHOD:An overview on neurobiological findings of violence is given: We present 1. neurochemical findings, 2. genetical aspects, 3. neuroanatomical correlates and 4. a functional network of violence. Even if specific neurobiological findings have not been found, impulsive violence is closely linked to ser...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828431
更新日期:2004-11-01 00:00:00