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::Deinstitutionalization (DI) of most of the chronic long-stay patients has taken place in the last decades in Germany. However, a "residual" group of patients often remains in psychiatric hospitals, with an ongoing controversy on an appropriate type of their care (community based vs. hospital). Clinical, functional and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-32711
更新日期:2002-07-01 00:00:00
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:
更新日期:1979-05-01 00:00:00
abstract::Records of violent behaviour and its sequels gain increasing interest as a matter of quality assurance. The paper presents scales and instruments applied in psychiatric institutions until now. While problems of reliability are solved sufficiently, there are major problems of validity in the measurement of violence. To...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-09-01 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:INTRODUCTION:Is it necessary to understand your vis a vis or is it enough to meet, to get in touch? Awareness of the different perception of reality is important. INTERINDIVIDUELL: Defined as basic requirements for getting in touch, mutual modelling and interchange were "Knowing your own world", "Being curious about th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-38550
更新日期:2003-04-01 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:OBJECTIVE AND METHOD:In this paper we report about the situation of psychotherapeutic inpatient treatment in Bavarian state mental hospitals, based on data coming from surveys in those hospitals. RESULTS AND CONCLUSION:22 State mental hospitals in Bavaria have 1217 beds for acute psychotherapy, proofed on the basis of...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828424
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:Patients from opioid maintenance treatment (OMT) may taper off from opioids during rehab treatment. It is investigated whether this option improves treatment outcomes in particular for those patients who are affected by psychiatric or somatic comorbidity, or by social problems. METHODS:Multicenter study with...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0883-2690
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:Due to increasing health care expenditures the discussion about advantages and disadvantages of new methods for resource allocation in mental health care has been intensified. A promising model is the Regional Budget for Mental Health Care, which is currently being examined in Schleswig-Holstein. The present ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-834736
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:With changed consumer behaviour in the drug scene the psychiatric complications with the derivates of amphetamine increase. In some regions methamphetamin is particularly common. Flashbacks, which can be triggered by psychosocial stress, as well as the age of the usually young patients lead to the differentia...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-814996
更新日期:2005-01-01 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: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:BACKGROUND:Homicide-suicide and domestic homicide without consecutive suicide might be regarded as an extreme form of domestic violence. According to the national crime-register, however, there might be some relevant differences between the perpetrators of the two. METHOD:The files of all cases of homicide-suicide (n ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1266127
更新日期:2011-08-01 00:00:00
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:
更新日期:1992-09-01 00:00:00
abstract::Objective Personal recovery as a key concept in mental health requests that people with severe mental illness need support in taking positive risks, especially from mental health nurses as key players in this context. In German-speaking countries, studies regarding positive risk-taking seem scarce. Attitude as a conce...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0042-113093
更新日期:2017-09-01 00:00:00
abstract::The author tries to convey an idea of the process which takes place during art therapy, quoting examples from her own work with mentally diseased patients. She considers the visual message resulting from the work of art created by the patient, as a process of communication which takes place between the patient and the...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-02-01 00:00:00
abstract::OBJECTIVE: The aim of our study was to investigate the influence of antidepressants on psychomotor function related to car driving abilities. METHOD: Depressive inpatients (n = 64) were investigated under steady state plasma level conditions. Data were collected with the ART 90 (Act and React Testsystem) measuring vis...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39765
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To assess and compare the validity of the German 15-item version and shortened versions of the Geriatric Depression Scale (GDS) for early detection of depression in nursing home residents with mild to moderate cognitive impairment (MMSE ≥ 15). METHODS:Data from 92 patients were analysed. The Structural Clini...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1266105
更新日期:2011-08-01 00:00:00
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
更新日期:2014-07-01 00:00:00
abstract::Ten years ago an extensive behaviour therapy programme for the treatment of young opiate addicts was developed and tested, and shown through follow-ups extending over a period of two years to be successful. Some of the most important behaviour therapy procedures are introduced. A distinction is made between traditiona...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract::As of 1.1.2002 a new documentation system (AmBADO) has been introduced to the out-patient departments of all Bavarian psychiatric clinics. With the use of this new system, practitioners are for the first time allowed to collect data concerning structure, process, and outcome parameters in this field of care. A pilot s...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39758
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:Estimates for the proportion of involuntary admissions and coercive measures applied in general mental health care and in residential care for the elderly were developed. Sector-specific rates and quotas for Germany as a whole and for the sixteen Federal States were calculated, and the change of these indicat...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2006-952010
更新日期:2007-04-01 00:00:00
abstract::In this paper criteria for the assessment of the ability of psychiatric patients to give an informed consent are presented. Legal and medical aspects including jurisdiction are discussed. Some elements for a judgement of an informed consent are proposed. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:In order to develop gender-sensitive services, there is a need to better understand coping among men with depression. The study aims to analyze the meaning of gender- and work-related roles for illness theories and coping among men with depression. METHODS:Based on a latent class analysis of three types of m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1043-8126
更新日期:2020-03-01 00:00:00
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:
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:This study reports on the evaluation of the Bern Job Coach Placement program, a supported employment intervention, in the routine operation. METHODS:Administrative data of participants from the years 2005 to 2016 were analysed in terms of integration into the general labour market and in terms of achieving a...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0915-3990
更新日期:2019-09-01 00:00:00
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, t...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1055/s-2006-951949
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:Drop-outs, respectively unplanned discharges in psychiatric therapy are often explained by so-called lack of insight into the disease or difficult circumstances of admission. We were interested in the question how often drop outs are noticed in a voluntarily day clinic setting where nearly all psychiatric dis...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2001-16874
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:The aim of the study is the evaluation of essential characteristics of patients who entered the sheltered group homes of the Psychosozialen Dienst (PSD) in the city of Vienna after the establishment of sectorized psychiatric out-patient care facilities. METHOD:Eighty patients who lived in these group homes ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00