[Lowering vocational rehabilitative measures during inpatient psychiatric longterm treatment costs of patients with schizophrenia? Results of a controlled multicenter study].

Abstract:

OBJECTIVE:Little is known about the effectiveness and the cost of care for patients treated in vocational rehabilitation programs,although vocational therapy is an essential part of inpatient treatment and community care of patients with schizophrenia. METHODS:As a part of a randomised controlled trial in 5 centres, the long-term direct cost of care for patients with schizophrenia,being treated with different vocational rehabilitation programs during an index-stay in a psychiatric hospital were assessed. results were compared to controls who received non-specific ergo-therapeutic treatment instead. RESULTS:Cost differences between study patients and controls were small and not statistically significant. However, cross-centre costs differed considerably. CONCLUSION:In spite of standardized inclusion criteria and a randomised assignment of study patients, a selection bias, triggered by the differing vocational rehabilitation programs is assumed as a source of cross-centre cost-variation which might be supported by differing service offers in the study regions.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Salize HJ,Schuh C,Reichenbacher M,Stamm K,Längle G,KN-Schizophrenie-Projektgruppe Arbeitsrehabilitation.

doi

10.1055/s-2006-951949

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

246-8

issue

5

eissn

0303-4259

issn

1439-0876

journal_volume

34

pub_type

杂志文章,多中心研究,随机对照试验
  • [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

  • [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

  • [Implementation of the Internet-Based Self-Management Program "moodgym" in Patients with Depressive Disorders in Inpatient Clinical Settings - Patient and Expert Perspectives].

    abstract:OBJECTIVE:The study aims to assess the acceptance, chances and barriers of an online self-management program (moodgym) for depression from the perspective of experts and patients in inpatient psychiatric settings. METHODS:Paper-pencil interviews were conducted with n = 181 depressed inpatients (n = 181, pre-post-asses...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0043-117049

    authors: Dorow M,Stein J,Förster F,Löbner M,Franz M,Günther R,Schröder R,Sommer D,Möller D,Dekoj MC,Becker T,Riedel-Heller SG

    更新日期:2018-07-01 00:00:00

  • [Adult neuronal ceroid lipofuscinosis (Kufs disease)--a rare cause of dementia].

    abstract::Kufs' disease is a very rare type of neuronal ceroid lipofuscinosis. A case of a 52 year old man with dementia is described. The cause for patient's dementia was the adult type (Kufs' disease) of neuronal ceroid lipofuscinosis. The diagnosis based on the histopathological post mortem-examination of the brain-tissue. A...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Kozian R,Kiszka T,Peter K

    更新日期:1994-11-01 00:00:00

  • [Patient participation in german psychiatry - a critical review].

    abstract:OBJECTIVE:A comprehensive review of the present state and new approaches of patient participation in German psychiatry was conducted. METHODS:Literature search. RESULTS:Most psychiatric patients wish to be informed about their disease and treatment options and express a desire for participation in medical decisions. ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-986410

    authors: Reichhart T,Kissling W,Scheuring E,Hamann J

    更新日期:2008-04-01 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

  • [What do psychiatric patients expect of inpatient psychiatric hospital treatment?].

    abstract::Patients are mostly passive utilizer of the health-care-system. They are confronted with a supply of medical service and they are allowed to show their satisfaction with it retrospectively. Our medical system has in future to develop itself from an effective perspective to an utilizer orientated medicine. Orientation ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Fleischmann H

    更新日期:2003-05-01 00:00:00

  • [Shared decision-making in the treatment of people with severe mental illness: a focus group study].

    abstract:OBJECTIVE:Shared decision-making during the course of treatment is important for people with severe mental illness. However, there is still insufficient knowledge about how people with mental illness view decisions, what kind of decisions are made and how patients experience and perceive the process of participation in...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0032-1327251

    authors: Loos S,Neumann P,Arnold K,Slade M,Fiorillo A,Krogsgaard Bording M,Ivanka T,Kawohl W,Puschner B

    更新日期:2013-01-01 00:00:00

  • [Alcoholic delusion of jealousy--psychopathologic characteristics of 2 types of disease course].

    abstract::Based on the evaluation of case reports of 15 inpatients treated between 1971 and 1986 who had been suffering from persistent alcoholic jealousy mania for at least three years, the psychopathological characteristics of this disease are outlined to define two types of courses of the disturbance: on the one hand, the mo...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Soyka M,Sass H,Völcker A

    更新日期:1989-09-01 00:00:00

  • [Subjective quality of life of schizophrenic patients. Effect of treatment setting, psychopathology and extrapyramidal motor drug effects].

    abstract:OBJECTIVE:In a cross-sectional study in 79 schizophrenic patients the quality of life (QOL) of a group of community-based patients under supervision of an outpatient unit (n = 47) and a group of long-stay patients in an inpatient rehabilitation centre in the same area (n = 32) was compared. METHODS:The patients' QOL w...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Kemmler G,Meise U,Tasser A,Liensberger D,Schifferle I,Braitenberg M,Schwitzer J,Hinterhuber H

    更新日期:1999-01-01 00:00:00

  • [Dimensions of Luck and Happiness in Psychiatric Nursing].

    abstract:OBJECTIVE:The purpose of this article is to discuss various aspects of the concepts of luck and happiness within the field of psychiatric nursing. METHODS:Personal factors, work characteristics and work environment were included and combined with case studies from a local hospital. RESULTS:Fortune and happiness of ps...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0044-102189

    authors: Hahn B,Nienaber A,Schulz M

    更新日期:2018-07-01 00:00:00

  • [The fate of Polish psychiatry under German occupation during World War II].

    abstract::Polish psychiatry was since its origin deeply influenced by German (Austrian) and Russian psychiatry. After the German assault Polish psychiatric patients were the first victims of mass executions, and the first to be killed by new developed "gassing" technology. Especially cruel was the fate of Jewish patients. Germa...

    journal_title:Psychiatrische Praxis

    pub_type: 历史文章,杂志文章

    doi:10.1055/s-0034-1370066

    authors: Leidinger F

    更新日期:2014-07-01 00:00:00

  • [The inpatient group in a psychiatric clinic--structure, interaction regulations, patient judgments].

    abstract::Structure and functioning of a group therapy comprising all patients of a psychiatric ward is described in terms of psychoanalytic and group dynamics, behaviour therapy and cognitive psychology. 34 acutely-ill patients with heterogenic diagnoses reported their experiences with this group technique at day of discharge....

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Schmidt LG

    更新日期:1982-09-01 00:00:00

  • [Moclobemide in the long-term treatment of depressed patients].

    abstract::13 patients with major depressive disorder, who responded well to the reversible MAO-A-inhibitor moclobemide after unsuccessful initial treatment with tri- or tetracyclic antidepressants were monitored under naturalistic outpatient therapy conditions with moclobemide plasma level control for an average of 7.4 months. ...

    journal_title:Psychiatrische Praxis

    pub_type: 临床试验,杂志文章

    doi:

    authors: Carl G,Laux G

    更新日期:1989-08-01 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

  • [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

  • [Rehabilitative elements for the treatment of patients with mental disorders: are they considered in the development of guidelines?].

    abstract:OBJECTIVE:In the context of the current discussion of integrating rehabilitative elements into the (acute) treatment of patients with mental disorders, it is investigated what rehabilitative elements actually are and whether these elements are considered in existing guidelines. METHODS/RESULTS:An expert-based consensu...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-814990

    authors: Watzke B,Büscher C,Koch U,Schulz H

    更新日期:2005-03-01 00:00:00

  • [Suicidal tendency of epilepsy patients].

    abstract::Epileptic and diabetic patients with suicidal tendency are compared in a retrospective study, both types of patients being characterized by chronic disease and social handicaps. Both these groups are predominantly preoccupied with self-intoxication by tranquilisers and/or alcohol, whereas in the group of epileptics ex...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Möller A,Backmund H

    更新日期:1989-03-01 00:00:00

  • [Pain perception is not influenced by altered autonomic function in major depression].

    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

    authors: Bär KJ,Greiner W

    更新日期:2007-09-01 00:00:00

  • [Reintegration in residential facilities--a catamnestic study].

    abstract::A rehabilitation programme at the University Clinic of Social Psychiatry, Berne, is described. The facility includes a half-way house and sheltered home in a suburb, where 20 psychiatric long-stay patients are trained for an independent life in the community. In a follow-up study 80 patients, mostly chronic schizophre...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Hubschmid T,Pfister F,Spalinger J

    更新日期:1988-05-01 00:00:00

  • [Day hospitals--predictors for utilisation and quality expectations from the perspective of family caregivers of dementia patients].

    abstract:OBJECTIVE:To relieve the burden on family caregivers of dementia patients, the utilisation of day hospitals should be increased. Therefore, the predictive variables for utilisation as well as family caregivers' views regarding the quality of day hospitals must be investigated. METHODS:The cross-sectional study was car...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0028-1090044

    authors: Donath C,Bleich S,Grässel E

    更新日期:2009-05-01 00:00:00

  • [Shared psychotic disorder (Folie à deux) and Huntington's disease].

    abstract:INTRODUCTION:Folie à deux describes a rare psychiatric disorder of mostly closely related persons. The main feature of this disease is the unconditional adoption of the delusions of the primarily diseased person by the second person. This disturbance most frequently originates from a paranoid schizophrenia. METHOD:Our...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0029-1220338

    authors: Roth C,Stüwe R,Böger A,Serafin S,Franz M

    更新日期:2010-01-01 00:00:00

  • [On the importance of the geographical position of psychiatric hospitals for the admission rates and hospitalization period (author's transl)].

    abstract::Rates of admission, duration of hospitalization, chances of discharge and legal basis of admissions are analyzed with reference to the distances between the patients' domiciles and the hospital, basing on the figures which apply to the district hospitals Gabersee in Upper Bavaria. More patients from nearby are admitte...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Weyerer S,Dilling H

    更新日期:1978-02-01 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

  • [Development and validation of an overall instrument to measure craving across multiple substances: the Mannheimer Craving Scale (MaCS)].

    abstract:OBJECTIVE:Based on the Obsessive Compulsive Drinking Scale (OCDS) we developed and validated the Mannheimer Craving Scale (MaCS) for quantitative measurements of craving across different substances and suitable for multiple substance abuse. METHODS:The MaCS questionnaire measures obsessive-compulsive symptoms in the c...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2008-1067546

    authors: Nakovics H,Diehl A,Geiselhart H,Mann K

    更新日期:2009-03-01 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

  • [How to care for homeless mentally ill men in the community - a randomised intervention study].

    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

  • [About the addiction to using the telephone or a structural approach in the crisis intervention for a better work with long-term users].

    abstract::The presented document discusses the problems of psychological/psychiatric and emergency long term users. The author, director of the East Berlin Crisis Centre, describes the long-term patient phenomenon from different perspectives. He develops ideas to change the concept of acute intervention. The crisis intervention...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2002-35512

    authors: Neumann O

    更新日期:2002-11-01 00:00:00

  • [Philippe Pinel and the legendary "chain liberation" in the Bicêtre (1793) and Salpêtrìere (1793) Paris hospitals. I: Pinel's personality and previous reform attempts].

    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:

    authors: Kohl F

    更新日期:1996-01-01 00:00:00

  • [Occupational rehabilitation of psychiatric patients--results of a study of workshops for handicapped patients].

    abstract::The situation of persons with mental illness, who work in workshops for the handicapped, and the problems they have to deal with, are discussed. Concepts of the psychology of work, which nearly have not been recognized in the field of vocational rehabilitation are described. In a study in several workshops the relatio...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Sonnentag S

    更新日期:1992-11-01 00:00:00