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: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::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::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: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: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::The new activities of nurses working in the field of psychiatry, resulting from the realisation of sociopsychiatric and sociotherapeutic concepts, have led to an expansion of the "job description" of the nursing personnel. Intensive measures for additinal training and continuing education will have to be taken to acqu...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1979-11-01 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::Misplacement of the old in psychiatry gains in special importance based on the absolute and relative increase of this population. 117 patients have been announced for admission to the psychogeriatric department of the Zwiefalten State Mental Hospital within six months. Admission of 47 patients did not happen mostly as...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract::In the context of discussions on the re-organisation of specialities in psychiatry and psychological therapy recent studies on the prevalence of psychogenic disorders in different psychiatric institutions are presented and compared with the communications available so far. Despite the availability of excellent psychot...
journal_title:Psychiatrische Praxis
pub_type: 社论,评审
doi:
更新日期:1997-05-01 00:00:00
abstract::605 German psychiatrists were asked what they consider important ingredients of the quality of life of schizophrenic patients. Most frequently, quality of life was associated with social integration. Work, social contacts and acceptance on the part of their environment were considered particularly important in this re...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVE:Interdisciplinary analysis of the consequences of laws and legal practice for mental health conditions of asylum seekers and psychiatric care. METHODS:Based on the case study of a Kurdish woman with complex trauma-related psychiatric disorder, who had been in psychiatric hospital care for 25 months, the lega...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0035-1552730
更新日期:2016-04-01 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 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: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::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
更新日期:2020-09-01 00:00:00
abstract::The present case study is a report on computer-based training approach in a male patient suffering from the de-Grouchy syndrome I (with a characteristic chromosomal deletion pattern), who along with psychotic symptoms displayed neuropsychological deficits. Participating in a well-established intervention programme aim...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::A random sample of patients (n = 43) had been investigated to detect any difference in response of bright light therapy in lithium-treated inpatients (n = 18) suffering from depression. Only 27% of the lithium-based inpatients respond to bright light therapy, but 73% of patients respond who were not treated with lithi...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-07-01 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
abstract::Although depression and symptoms of depression belong to the most common disorders in private practice, affected patients are not always diagnosed as early as possible in Germany and often not sufficiently treated. In order to improve the care for persons with depression it is necessary that family doctors are prepare...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2007-971026
更新日期:2007-09-01 00:00:00
abstract::This article is intended as a contribution towards interpreting the development of psychiatric symptoms as a final result of disturbed processes of communication. We should like to point out that the importance of communication for normal and abnormal behaviour has been established both from the viewpoints of sociopsy...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-09-01 00:00:00
abstract::Three publications by K.P. Kisker that appeared in the 'sixties of the present century are milestones along an important path of panoramic changes in the recent history of psychiatry. They are model reflections of the steps or stages towards a new approach to understanding the social system represented by the hospital...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-08-01 00:00:00
abstract:OBJECTIVE:This study examined illness beliefs of the lay public associated with the diagnostic labels burnout and depression. METHODS:Representative population survey in Germany 2011, using unlabelled case vignettes of a person suffering from depression. Following presentation of the vignette, respondents were asked o...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387365
更新日期:2015-11-01 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: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:OBJECTIVE:gamma-Hydroxybutyrat (GHB) is used medically for narcolepsy and as a narcotic. It is also a rare illegal drug. In this case report the development of a GHB-dependency against the background of a primary alcohol dependency is described. METHODS:Based on established alcohol withdrawal scales (AWSS by Wetterlin...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0028-1090089
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To assess the non-cognitive symptoms in 153 consecutive dementia patients admitted to our psychiatric ward or seen at the gerontopsychiatric ambulance and Memory Clinic. METHODS:We used the Global Deterioration Scale, the Hachinski Ischaemia Score, the Hamilton Psychiatric Rating Scale for Depression, and th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract::A mobile child and youth psychiatric service is presented that concerned with the mental health care of a county with a population of 239,000 inhabitants. This kind of service was conceived especially to meet the demands of rural regions which are high, as empirical investigations about administrative and real prevale...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE AND METHOD:An overview on neurobiological findings of violence is given: We present 1. neurochemical findings, 2. genetical aspects, 3. neuroanatomical correlates and 4. a functional network of violence. Even if specific neurobiological findings have not been found, impulsive violence is closely linked to ser...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828431
更新日期:2004-11-01 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::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