Abstract：
OBJECTIVE:High utilisers of psychiatric services are defined as a group of patients showing a great amount of service use, especially inpatient care, consequently causing immense costs. There is a lack of studies investigating differences between East and West Germany. METHODS:Service use and psychopathology were examined in 350 high utilisers receiving inpatient treatment in one East German and three West German psychiatric hospitals. RESULTS:Whereas current length of stay was higher in participants from West Germany, readmissions were more frequent in the East German participants who also exhibited higher psychopathology. CONCLUSION:Presumably, the deficient situation of outpatient health care in East Germany is compensated by increased stationary admission, consequently leading to a structural promotion of high utilisation.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
von Rad K,Puschner B,Spießl H,Grempler J,Janssen B,Becker T,Freyberger Hdoi
10.1055/s-0034-1369867subject
Has Abstractpub_date
2014-10-01 00:00:00pages
371-5issue
7eissn
0303-4259issn
1439-0876journal_volume
41pub_type
杂志文章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：OBJECTIVE:A new questionnaire to assess subjective meaning in psychosis (SuSi) will be presented. METHODS:The questionnaire construction was based on an elaborate process (Delphi-method) involving patients, carers and professionals (trialogue). Statistical validation including factor analysis and assessment of interna...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0030-1248424
更新日期：2010-09-01 00:00:00
abstract：:We report the case of a 48-year-old female whom we examined for legal culpability. The proband was taking the dopamine agonist pramipexole as a treatment for Parkinson's disease. In temporal association, she had committed numerous shoplifting offences.While pathological gambling, excessive shopping and hypersexuality ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0043-100024
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:How can patients and staff participate in redesigning psychiatric procedures through survey research? METHODS:Using interviews with circular-hypothetical questioning, 58 patients and 30 staff members of a psychiatric department of a general hospital were interviewed about their preferences for change and con...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-13264
更新日期：2001-05-01 00:00:00
abstract：:About one third (29.5%) of the population living within the area of Frankfurt, for which the psychiatric university clinic provides psychiatric service, are foreigners. For the better understanding of our foreign psychiatric inpatients treated in our clinic in in 1992, the diagnostic spectrum and the nationalities of ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1994-05-01 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 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：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: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：: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：: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：: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: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：:This paper describes a standardized assessment-procedure for the so-called "Gemeindepsychiatrische Verbünde" in Germany (GPV-Documentation), which are regional combines of community-based mental health care services. It is the first procedure in Germany which puts data on psychiatric care offers, needs for care and se...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
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
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:Theoretical background and first results of a vocational rehabilitation program for unemployed persons with chronic psychiatric disabilities will be presented. The aim of the program is job-placement in the regular labour market. METHODS:After a 3-month preparatory period the participants were given the poss...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2002-22041
更新日期：2002-03-01 00:00:00
abstract：:Project HOpeS aims to establish a special support service for students with mental health problems in Hamburg, Germany, modelled on a programme designed by the university of Münster. Students with mental health problems have to cope with reduced cognitive productivity, damaged self-confidence, stigmatisation, lack of ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2002-19675
更新日期：2002-01-01 00:00:00
abstract：:Therapeutical groups for relatives of psychiatric patients meanwhile are obligatory within strategies of psychiatric treatment. Up to a now most of the recent investigations refer to relatives of patients suffering from schizophrenia. The following article deleniates experiences with a therapeutic group for relatives ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1991-03-01 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：:Pregabalin is a substance which modulates monoamine release in "hyper-excited" neurons. It binds potently to the α2-δ subunit of calcium channels. Pilotstudies on alcohol- and benzodiazepine dependent patients reported a reduction of withdrawal symptoms through Pregabalin. To our knowledge, no studies have been conduc...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0032-1305042
更新日期：2012-10-01 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：:Since the end of the 1990s the Westfälische Klinik Lengerich has offered an inpatient psychiatric treatment of an psychiatric ill parent--combined with a pedagogic attendance of the child taken along. The following article describes our experience in that matter, from a ward concentrated on psychotherapy. In selected ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-12672
更新日期：2001-04-01 00:00:00
abstract：UNLABELLED:The German Adaptation of the Verona Service Satisfaction Scale: An Instrument for Patients' Satisfaction with Mental Health Care. AIM:Measuring effectiveness and quality of care became an important topic in psychiatry. Considering that objective criteria were not sufficient in the past, the subjective persp...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-17791
更新日期：2001-10-01 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：:"Psychopathy" describes a type of personality disorder characterized by a dysregulation of emotion processing. Social behaviour, emotion regulation and competency are of particular relevance in forensic psychiatry. Structural-morphological and functional imaging studies prove that emotion regulation, aggressive-impuls...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-39769
更新日期：2003-05-01 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：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：OBJECTIVE:Systematic review of psychosocial interventions for high-risk family members with mental health problems in highly developed industrialized countries. METHODS:Systematic search in electronic databases as well as manual search for intervention studies. RESULTS:Interventions were effective in significantly re...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-0034-1370070
更新日期：2014-09-01 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：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
