[Perspectives of psychiatric care in Leipzig--deinstitutionalization from the viewpoint of neurologist/psychiatrist in private practice and the work of consortium of community psychiatric services].

Abstract:

:Two perspectives of mental health care in Leipzig are outlined. Critical aspects of deinstitutionalization are discussed from the point of view of an office-based Nervenarzt (neurologist and psychiatrist). The limitations of office-based practice in providing care for the severely mentally ill (SMI) are described, i.e. lack of a multidisciplinary community mental health team, community psychiatric nursing and social work back-up in particular. Residential service and nursing homes are often under-staffed and ill-prepared for caring for people with SMI. A second view-point describes the Verbund Gemeindenahe Psychiatrie, a community psychiatric service for the just under 500,000 population of Leipzig in seven community mental health centers each combining day hospital, out-patient clinics and multidisciplinary community psychiatric care. This service is unique in Saxony and well accepted by service users and professionals.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Richter RA,Nollau M

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

S95-9

eissn

0303-4259

issn

1439-0876

journal_volume

27 Suppl 2

pub_type

杂志文章,评审
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    abstract:OBJECTIVE:The aim of the present study was to clarify whether the mediation of homeless persons identified as mentally ill into the sociopsychiatric or the help-seeking system can be facilitated by a short-term intervention. METHOD:Probands with at least one psychiatric diagnosis according to ICD-10 (73 % of the sampl...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-2004-834688

    authors: Längle G,Egerter B,Petrasch M,Albrecht-Dürr F

    更新日期:2006-07-01 00:00:00

  • [The visit at home by a social worker of a psychiatric outpatient clinic].

    abstract:OBJECTIVE:The high rank of social work in context with psychiatric treatment of in-patients is generally accepted. The value of social work and here especially the visit at home by the social worker has hardly been examined up to now. METHOD:In the article first of all the method of visits at home is presented. Furthe...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-814916

    authors: Banger M,Wellnitz M,Gastpar M

    更新日期:2004-05-01 00:00:00

  • [Trial employment: a provisional work setting for psychiatric patients].

    abstract:OBJECTIVE:This study investigates the effects of probationary work for psychiatric patients in community-based small businesses during their inpatient or day care. METHODS:Patients were evaluated for working capacity, psychopathology, motivation for work and patient satisfaction (n = 69). RESULTS:The results confirm ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Längle G,Köster M,Mayenberger M,Günthner A

    更新日期:2000-05-01 00:00:00

  • [Catamnestic examinations in a crisis intervention ward of a general hospital (author's transl)].

    abstract::The article reports on a catamnestic examination of patients of a crisis intervention center at a general hospital, conducted during the period from 1.5.1977 to 31.5.1978. A total of 560 admissions was recorded comprising 492 patients. Examination was carried out via an open questionnaire, plus data taken from the hos...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Hauck P,Wegener B

    更新日期:1980-08-01 00:00:00

  • [Design of psychiatric-psychotherapeutic institute ambulatory care: survey to determine need].

    abstract:OBJECTIVE:In Germany, outpatient care is provided exclusively by physicians in private practice. This privilege is very strictly observed, with only a few exceptions. While psychiatric hospitals are routinely permitted to establish outpatient clinics, psychiatric departments of general hospitals, even if they serve a c...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Böcker FM

    更新日期:1999-11-01 00:00:00

  • [Qualitative research in social psychiatry--exemplified by a research project on daily life of chronic psychiatric patients outside the psychiatric hospital in an East and a West Berlin sector].

    abstract::Qualitative research methods give an opportunity to investigate the everyday reality of dealing with and understanding of chronic mental illness as a social reality in local context. By the reconstruction of the perspective of the mentally ill, their relatives and their professional caregivers we analyze the cultural ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Zaumseil M

    更新日期:1995-05-01 00:00:00

  • [Suicide in schizophrenic patients].

    abstract::Based on retrospective investigation using hospital records of 44 schizophrenic patients of a rehabilitation department, who committed suicide between 1966 and 1986, the paper discusses demographic and psychological features of schizophrenic suicide in comparison with international literature. Subjects who committed s...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Resch F,Strobl R

    更新日期:1989-07-01 00:00:00

  • [Epilepsy and personality disorder--a now 9-year inpatient-ambulatory treatment continuity].

    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:

    authors: Schlicht F

    更新日期:1997-01-01 00:00:00

  • [Neuroleptic treatment by the established psychiatrist. A report of experiences].

    abstract:PURPOSE:Contrary to in-patient psychiatric care, quality assurance in the area of psychiatrists in outpatient practice is hardly in use. METHODS:Neuroleptic therapy regarding the following quality criteria was examined for 6 months in an outpatient psychiatric practice: choice of neuroleptics, dosage and combination o...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Haberfellner EM,Rittmannsberger H

    更新日期:1998-11-01 00:00:00

  • [Geriatric morbidity patterns and need for long-term care in patients with dementia].

    abstract:OBJECTIVE:To provide information about occurrence and patterns of geriatric morbidity and need for long-term care in patients newly diagnosed with dementia compared to controls without dementia. METHODS:An analysis of administrative data was conducted to compare the geriatric outpatient diagnoses and the patterns of c...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0032-1305010

    authors: Beekmann M,van den Bussche H,Glaeske G,Hoffmann F

    更新日期:2012-07-01 00:00:00

  • [The gerontopsychiatric day clinic--a contribution to increasing sociopractical competence].

    abstract::The effectiveness of day hospital care of geriatric psychiatric patients was evaluated in a pilot study. The main aspect was the training of social competence, i.e. a training leading to growing personal independence of the demands of every day life, such as hygiene , fitness considering the household, etc. During day...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Kersten B,Brauer H,Heinrich K

    更新日期:1984-03-01 00:00:00

  • [Optimized quality of care for affective disorders by health insurance-based case-management: a controlled cost-study].

    abstract:OBJECTIVE:Improvement of depression treatment by health insurance based case-management. Criteria of improvement were a higher treatment rate of patients suffering from affective disorders or depression by psychiatrists or psychotherapists than by general practitioners or family doctors and sickness fund payments. MET...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0033-1349557

    authors: Salize HJ,Jacke C,Gallas C,Stamm K

    更新日期:2014-11-01 00:00:00

  • [Incidence of coercive measures as an indicator of quality in psychiatric hospitals. Problems of data recording and processing, preliminary results of a benchmarking study].

    abstract:OBJECTIVE:The clinical practice concerning the use of coercive measures in psychiatry should be compared. METHOD:A common documentation of physical restraint, seclusion, and medication by coercion was introduced among 10 hospitals. RESULTS:8.4 % of cases treated within the first 6 months of 2004 were exposed to coerc...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2005-866920

    authors: Martin V,Kuster W,Baur M,Bohnet U,Hermelink G,Knopp M,Kronstorfer R,Martinez-Funk B,Roser M,Voigtländer W,Brandecker R,Steinert T

    更新日期:2007-01-01 00:00:00

  • [Subjective quality of life in severely disabled long-stay schizophrenic patients].

    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

    authors: Franz M,Meyer T,Gallhofer B

    更新日期:2002-09-01 00:00:00

  • [No association of 141C-ins/del polymorphism in the D2 dopamine receptor gene in schizophrenia].

    abstract::Recently, a putative functional polymorphism (-141C Ins/Del) in the 5'-flanking region of the dopamine D2 receptor was found. An association of the Ins allele with schizophrenia has been described in a Japanese sample. In the present study this association was examined in a German schizophrenia patient population. In ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Rohrmeier T,Putzhammer A,Sartor H,Knapp M,Albus M,Borrmann-Hassenbach M,Lichtermann D,Wildenauer D,Schwab S,Maier W,Klein HE,Eichhammer P

    更新日期:2003-05-01 00:00:00

  • [Cerebral seizures in neuroleptic therapy].

    abstract::Basing on a review of the literature and on own research, the authors examine the incidence rate of convulsions under neuroleptic treatment. In addition, the authors go into the neurophysiological and neuropharmacological mechanisms of the convulsive action of neuroleptics. An attempt is made to present information on...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Bartels M,Heimann H

    更新日期:1985-11-01 00:00:00

  • [Quality of Psychiatric (Hospital) Care - Perspectives?]

    abstract::Germany, in comparison to other countries, provides a good quality of services to distinct groups of patients. But as far as total expenditure for mental health services is concerned, it belongs to the top European states. The differentiation of services since the Expert Commission to the parliament (1975) was associa...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-1179-4194

    authors: Kunze H,Schepker R

    更新日期:2020-09-01 00:00:00

  • [What Determines Treatment Recommendations of Relatives: The Role of Expectations, Negative Consequences and Control Attributions for the Treatment of Patients with Psychosis].

    abstract::Objective Therapy recommendations of relatives of individuals with psychotic disorders. Method A total of n = 52 inpatient relatives were interviewed about their attitude towards psychotherapy and antipsychotics. Results Over 80 % of the relatives recommended psycho- and pharmacotherapy. Concerns reduced recommendatio...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0042-102622

    authors: Hesse K,Hermanutz U,Hölzel LP,Klingberg S

    更新日期:2017-05-01 00:00:00

  • [2 class psychiatry].

    abstract::Community care and sectorisation, specialisation and differentiation, integration of psychiatric and other medical services, crises intervention and emergency psychiatry--and patient's choice--are basic issues of the organisation of psychiatric services. They are discussed and evaluated in respect of the Region of Man...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Häfner H,Rössler W,Häfner-Ranabauer W

    更新日期:1996-03-01 00:00:00

  • [The dynamics of outcome predictors in the early phase of schizophrenic psychoses--an empirical study].

    abstract::The interrelationship and predictive validity of certain outcome predictors were studied on 54 young schizophrenic patients. In the first year after outburst the illness shows a great variability and the course seems to be open. Neither the premorbid social adjustment nor the amount of negative symptoms seem to predic...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Hubschmid T,Perrin N,Ciompi L

    更新日期:1991-11-01 00:00:00

  • [A psychiatric survey of a metropolitan district. An analysis of the out-patient-service of the Rheinische Landesklinik Köln-Merheim (author's transl)].

    abstract::In the last years there has been an increasing interest in psychiatric surveys as basis of epidemiologic studies and morbidity investigations. Numerous statistics from hospitals, from general psychiarists and general practioners have been referred to and constitute the basis for the 'Enquete zur Lage der Psychiatrie i...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Jakumeit U,Nehls C

    更新日期:1980-08-01 00:00:00

  • [The residential structure as a therapeutic instrument].

    abstract::The frequency of residential placements in homes and households contrasts with the scarcity of its evaluation with respect to therapeutical effects. In order to facilitate evaluative studies, relevant structural elements and suggestions for a typology are discussed as well as methodological problems. Examples of empir...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Uchtenhagen A

    更新日期:1984-09-01 00:00:00

  • [Architecture and design of mental health institutions].

    abstract:BACKGROUND:The physical environment of mental health institutions is regarded as a therapeutic agent within the treatment. There is only little scientific evidence on the consequences of architecture and design on psychiatric patients available. METHODS:A systematic review was conducted on studies from adult mental he...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1360032

    authors: Richter D,Hoffmann H

    更新日期:2014-04-01 00:00:00

  • [Changes in the provision of psychiatric services at a psychiatric district hospital].

    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

    authors: Schaub R

    更新日期:2004-11-01 00:00:00

  • [The Quality of Inpatient Treatment of Elderly with Major Depression].

    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

    authors: Godemann F,Seemüller F,Schneider A,Wolff-Menzler C

    更新日期:2015-07-01 00:00:00

  • [Behavioral rehabilitation of nonspecific symptoms occuring after craniocerbral trauma (author's transl)].

    abstract::The purpose of this study was to develop a behavioral rehabilitation program for patients with long-term nonspecific symptoms following craniocerebral trauma. In 47 patients we analyzed symptoms typical of "illness behavior" (e.g. complaining tendency, depression, irritability, psychosomatic pain, problems in job perf...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Legewie-Pertzborn H,Legewie H,Foit J,Brinkmann R

    更新日期:1977-11-01 00:00:00

  • [Occupational rehabilitation of chronic psychiatric patients. Results of a prospective study over 3 years].

    abstract::Vocational rehabilitation of mentally ill patients is now focused outside the psychiatric hospital. Three types of programmes play a major role: outpatient work therapy programmes at psychiatric hospitals, jobs in (partly) sheltered employment facilities as in companies specially adapted for employing mentally ill per...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Reker T,Eikelmann B,Schonauer K,Folkerts H

    更新日期:1998-03-01 00:00:00

  • [Family therapy--encounters with a therapeutic fashion (author's transl)].

    abstract::Following the boom in Group Therapy, the Federal Republic of Germany now experiences a similar boom in Family Thera;y. An attempt is made in the present article to show the stepwise progress from individual to group psychotherapy and finally to family therapy, and to describe and calssify the family therapy approach. ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Finzen A

    更新日期:1979-05-01 00:00:00

  • [Association between fear of stigma, depressive and anxiety symptoms in patients with somatoform pain disorder].

    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

    authors: Freidl M,Piralic-Spitzl S,Grohe N,Aigner M

    更新日期:2012-08-01 00:00:00

  • [Myasthenia gravis in the frontier of psychiatric diagnosis].

    abstract::Retrospectively 20% of more than 200 patients with myasthenia gravis reported being initially diagnosed as having a psychiatric disorder. Younger women are significantly most at risk of a psychiatric misdiagnosis whereas men are more often subject to somatic misdiagnoses. The sample's mean duration of the disease was ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Rohr W

    更新日期:1992-09-01 00:00:00