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 health and mental health. Home treatment was superior with regard to other outcomes. So far, implementation in Germany is limited. CONCLUSIONS:Home treatment can be seen as an effective addition to existing approaches of psychiatric care. It may be cost-effective also in Germany. Reasons for limited implementation in routine care are discussed.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Gühne U,Weinmann S,Arnold K,Atav ES,Becker T,Riedel-Heller Sdoi
10.1055/s-0030-1248598subject
Has Abstractpub_date
2011-04-01 00:00:00pages
114-22issue
3eissn
0303-4259issn
1439-0876journal_volume
38pub_type
杂志文章,评审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:In comparison to metabolic syndrome, edema seems to be a rare occurrence in antipsychotic treatment. METHOD:In this paper, we report on two subjects with psychotic disorders who were found to have peripheral edema during olanzapine therapy. DISCUSSION:The theoretical background and the relevance of this obs...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2008-1067420
更新日期:2009-04-01 00:00:00
abstract::We present the theoretical basis and results of a comprehensive research project concerning the psychotherapeutic treatment of sexual offenders in an ambulant setting. The therapeutic sample (n = 86) consists of patients with the following symptoms: exhibitionism, child molestation and sexual aggressive acts towards w...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1983-09-01 00:00:00
abstract::The authors report their three years experience with treating addicts (both alcoholics and users of prescription and illegal drugs) in a specialized unit employing a low-threshold admission policy. Difficulties as well as advantages of the concept are discussed. For the common treatment of patients addicted to differe...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVE:Assessing long-term effects of a family systems therapy approach (systems therapy methods in acute psychiatry, SYMPA) on occupational stress and interdisciplinary cooperation of team members in three German psychiatric hospitals. METHODS:Pre-post-follow-up survey using the Maslach Burnout Inventory (MBI) and...
journal_title:Psychiatrische Praxis
pub_type: 评论,杂志文章
doi:10.1055/s-0032-1327201
更新日期:2012-11-01 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: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:
更新日期:2000-05-01 00:00:00
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:
更新日期:1989-08-01 00:00:00
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:
更新日期:1977-11-01 00:00:00
abstract::In 1939, Robert Faris and Warren Dunham published their pioneering work on "Mental disorders in urban areas". They investigated the distribution of mental disorders in Chicago. In the following decades, a number of studies using a similar design were carried out in various cities in the United States and in Europe, wh...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-01 00:00:00
abstract::The philosopher Friedrich Nietzsche was one of the most famous patients in the psychiatric hospital Jena. Between 1889 and 1890, Otto Binswanger und Theodor Ziehen treated the progressive paralysis of Friedrich Nietzsche whose 100th anniversary of death is on 25th August 2000. After Nietzsche's death, an animated disc...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:During the deinstitutionalisation of psychiatric care in Germany, new psychiatric care approaches have been developed, which have been rarely scientifically evaluated. This study aims at evaluating the residential care and supported housing program of a public service in Westphalia, Northwestern Germany. MET...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0029-1223403
更新日期:2010-04-01 00:00:00
abstract::Based on legal jurisdiction, knowledge of the psychiatric-psychotherapeutic field and insight into the necessity of a new allocation of responsibilities in the overall therapeutic service of a clinic, the core areas of medical activities are defined for the first time, innovative organisational approaches to the reorg...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0031-1276945
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. METHODS:Journals were identified by the standard handbook "Fachmedien Gesund...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0031-1276955
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:Although there is growing evidence for clinical effectiveness of crisis resolution teams (also called Home Treatment Teams) for patients with severe psychotic disorders, a lot of studies suffer from poor model fidelity, which leads to an ignorance of specific effective factors. METHODS:Here we present the im...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387633
更新日期:2016-09-01 00:00:00
abstract::The planning of health care is primarily an administrative task. Service research supports the health administration in this task by supplying empirical data to objectify the need for care and ways to cater for that need. In this, service research on the one hand draws on descriptive and analytical data of epidemiolog...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:2000-09-01 00:00:00
abstract::Using a questionnaire the therapists of the Psychiatric Hospital in Ravensburg Weissenau were requested for information on the suicidality and symptomato-logy of their patients. This was done to assess the acute and chronic suicidality prevalent in a psychiatric hospital. The number of acute and chronic suicidal patie...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
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
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVES:Although guidelines usually recommend monotherapy, in clinical practice, antipsychotic polypharmacy is common especially with chronically ill patients. We therefore assessed the current practice of antipsychotic polypharmacy in "high-utilising" patients with schizophrenia in Germany. METHODS:Antipsychotic m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0033-1343185
更新日期:2013-10-01 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::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:
更新日期:1978-02-01 00:00:00
abstract::The case of a 32-year old man suffering from a 10-year course of schizophrenia is presented. The man's delusions include the conviction of being of the opposite sex and thus, he applied for an operational correction of his gender according to the law of transsexualism. Based on the evident problems arising from this c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
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
更新日期:2002-11-01 00:00:00
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
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Epidemiological studies have repeatedly pointed out gender differences in unipolar depression, whereas women have a 1.5 to 3 times higher risk of receiving a diagnosis. This however stands in sharp contrast with the 10 times higher suicide-rate of men, although depression is among the main risk-factors for s...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0043-120289
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:There is a lack of a psychometrically sound screening questionnaire that assesses important dimensions of traumatic experiences during childhood and adolescence in a time-efficient way. Based on the German version of the "Childhood Trauma Questionnaire" (CTQ, 28 items) we developed a five-item self-report chi...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0031-1298984
更新日期:2012-04-01 00:00:00
abstract::Although there were multiple initiatives to modify course and outcome of schizophrenia by optimizing present psychopharmacologic strategies many unsolved problems still exist. There is no doubt that first generation antipsychotics reduce positive symptoms of psychosis but the impact on negative symptoms or disturbance...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828473
更新日期:2004-11-01 00:00:00
abstract:AIM:The present contribution scrutinizes the assumption that people with a migration background (PMB) make less use of addiction services than non-migrants. METHODS:Differentiated by diagnoses, the proportions of PMB in the Statistical Report on Substance Abuse Treatment in Germany are compared to the share of PMB in ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387291
更新日期:2016-03-01 00:00:00
abstract:AIM OF THE STUDY:Investigation of the perspective of medical assistants (MA) regarding their participation in behaviour-therapy oriented interventions in family practice. METHOD:15 MA (w, 39.5 years old), case managers in a general practitioner supported exercise programme for patients with panic disorder (ICD-10: F41...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1310-2389
更新日期:2020-12-03 00:00:00
abstract:AIM:To date, to our knowledge there are no studies regarding attitudes and experiences of outpatient medical personnel during a pandemic. This study's aim was to evaluate the impact of the COVID-19 pandemic in March 2020 on German psychiatrists and neurologists. METHODS:An e-mail and fax-based short survey of 2,072 pr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1159-5575
更新日期:2020-05-01 00:00:00