Abstract:
OBJECTIVES:This project evaluates whether a multidisciplinary consultation-liaison team with special geropsychiatric experience can help to reduce complex care problems in mentally ill nursing-home residents. METHODS:Prospective longitudinal study of patients living in 5 nursing homes in Germany, supplemented by expert interviews with the members of the consultation-liaison team, as well as semi-structured interviews and by a questionnaire answered by the participating nursing home staff. RESULTS:Data show that in spite of the high burden of disease and the usually progressive course of illness a majority of residents could benefit from the interventions applied by the multidisciplinary team. Additionally, there were positive effects on the work situation of staff and a reduction of costs. DISCUSSION:Our results indicate that a geropsychiatric consultation-liaison team for nursing homes may improve service delivery especially with regard to behavioral psychological symptoms in dementia (BPSD).
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Kirchen-Peters S,Fehrenbach RA,Diefenbacher Adoi
10.1055/s-0031-1276836subject
Has Abstractpub_date
2012-01-01 00:00:00pages
14-20issue
1eissn
0303-4259issn
1439-0876journal_volume
39pub_type
杂志文章abstract::A patient with chronic paranoid schizophrenia with delusions of infestation and of grandeur type, developed polydipsia in the course of his illness which ended up in acute life-threatening water intoxication. Apart from somatic causes like SIADH, which are discussed in literature, water-intoxication could psychodynami...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-01-01 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::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:
更新日期:1980-08-01 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::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:Part II of this study will explore more accurately, how caregivers of schizophrenic patients perceive the financial burdens of the disease. METHOD:42 In-depth-interviews with parents and spouses of schizophrenic patients were analysed using a qualitative-interpretative technique. RESULTS:When talking about ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-30682
更新日期:2002-05-01 00:00:00
abstract::Objective The aim of the present study was to assess the health care situation and barriers to support minor children of mentally ill parents from the perspective of adult psychiatry in Germany. Methods Based on the German Hospital Register mental health practitioners of all psychiatric clinics in Germany were asked t...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0042-115824
更新日期:2017-10-01 00:00:00
abstract:AIM:The aim is to investigate the association between sociodemographic characteristics and the interactive health literacy and the time to treatment of social anxiety disorder. METHODS:An online survey of N = 311 patients was carried out (response rate 54.1 %). Descriptive statistical analysis and a logistic regressio...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1294-0950
更新日期:2020-11-24 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::In an open clinical trial patients with full-developed delirium tremens were treated either by controlled infusion of clomethiazol (n = 21) or by intravenous injections of clorazepate (n = 20). Acute symptomatic quickly decreased after a few days and medication could be reduced. By adding haloperidol a further stabili...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Since community mental health care started public attitudes towards mentally ill and mental health care had been development to an important influencing factor in planning mental health care and in rehabilitation of patients. This paper describes the historical development of research in public attitudes in psychiatry...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1995-03-01 00:00:00
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:
更新日期:1998-11-01 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:OBJECTIVE:Currently, substantial effort is made to establish prevention as one of the main parts of the German health care system. In this context we investigated the current role of prevention in social-psychiatric research. METHODS:We analysed original papers published in the journal Psychiatrische Praxis in the yea...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,meta分析
doi:10.1055/s-2005-915232
更新日期:2005-10-01 00:00:00
abstract::In a total sample of 141 mentally retarded adults the quality of social relationships was assessed by the newly developed "Interview for Social Support in Mentally Retarded Adults". Severely mentally retarded persons have close and intimate relationships to a consistently lesser extent than mildly retarded persons. Th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
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:
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:The importance of causal attribution for Turkish and German patients with a psychotic disorder for the diagnostic process was examined. METHODS:Within a controlled clinical study Turkish and German patients were interviewed regarding their concepts of cause of illness. RESULTS:There was no difference betwee...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-866923
更新日期:2006-01-01 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::The authors give an actual survey about suicides and suicide rates in Germany, Bavaria and Upper Frankonia. Their special interest are significant trends in the last years. These trends will be shown and shortly described. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::Objective Diagnosing Attention-Deficit-Hyperactivity Disorder (ADHD) in adults requires that ADHD has already been present in childhood. However, recall of ADHD-symptoms in childhood is fallible, for example influenced by mood. Furthermore, diagnostics need a procedure to handle oblivion and judgment biases. The Essen...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-100714
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:The application of acetylcholinesterase (AChE) inhibitors seems to be constrained in the German health care system. We investigate the cost-effectiveness of the AChE inhibitor Galantamine for patients with Alzheimer's disease (AD) in a German context. METHOD:A Markov model as the decision theoretic framework...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:10.1055/s-2004-834709
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:General and specific deficits in the recognition of facial expressed emotions of ADHD and controls were examined. METHODS:Affect recognition abilities were assessed with the FEEL-Test in a sample of 138 adults with ADHD and 40 healthy controls. RESULTS:Adults with ADHD showed deficits in recognition of the ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387570
更新日期:2016-05-01 00:00:00
abstract::The results of a catamnestic study concerning patients of a psychiatric rehabilitation unit are reported. The patients were either longterm inpatients (mean duration of stay 8.5 years) or those, who had been transferred from the acute unit for lack of therapeutic progress and thus were probable to become longterm pati...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract::We present the legislation of the compulsory admission and treatment of mentally ill persons in the Swiss canton of Basle-City. We inquired retrospectively the requests of the clinic and the appointed time given by the psychiatric court of appeal in the year 2000. With 320 compulsory admissions there were 118 appeals....
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-38606
更新日期:2003-04-01 00:00:00
abstract::This is the rare case of a woman first diagnosed with Huntington's disease at the age of 86. She was first seen at our hospital in 1999 for evaluation of dementia. Prior to her hospitalization, she had been treated with Melperone for restlessness. There was no essential psychopathology other than mild dementia (MMSE 2...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828455
更新日期:2004-11-01 00:00:00
abstract::This study reflects the labour-situation of 67 DSM-III schizophrenic outpatients in an 8-year follow-up. About 50% of the patients had less than 20 hours of work a week on the average--most of them in work therapy or sheltered work-places. Many of them changed their location of work. Patients with an initially good pr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract::The conditions determining statutory offences as represented by indictable sex offences, have been amended and revised by the 4th Penal Reform Law of the Federal German Penal Code, in 1973, under the heading "Indictable Offences against Sexual Self-Determination". This heading, which is meant to convey a programme, ho...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
abstract::Heinrich von Kleist's life was shaken repeatedly by negative life-events, finally he committed suicide in his last life-crisis (1811). His work was mostly understood as descriptions of negative life-events and failed-being. In this article it will be shown that in at least two "crises" Kleist's work can be understood ...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:10.1055/s-2001-15576
更新日期:2001-07-01 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::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:
更新日期:1989-07-01 00:00:00