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 implementation of an assessment-based Home Treatment in Germany. Assessment-derived therapeutic tasks are shared between team members by a manualized process. RESULTS:We visited 32 patients almost 600 times in 15 months. The median was 15.5 visits per patient. Adherence to Home Treatment intervention was significantly stronger (unplanned discharge 16 %) compared to prior hospitalization (unplanned discharge 50 %) (Chi-square test, p = 0.003). CONCLUSION:Applying this model, a detailed definition of specific tasks for team members leads to a high model fidelity and increases patients' compliance to therapy.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Sturm D,Arends S,Henke T,Reichmann C,Janssen B,Görtz Pdoi
10.1055/s-0034-1387633subject
Has Abstractpub_date
2016-09-01 00:00:00pages
333-8issue
6eissn
0303-4259issn
1439-0876journal_volume
43pub_type
杂志文章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：: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：:Providing information about the disease and the way of coping with it has a central position in therapeutic interventions with families. By giving basic knowledge about schizophrenia to relatives we developed the practical conception of the psychoeducative relatives' group (information-group), a structured program, wh...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1992-05-01 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：:Starting with Ciompis model of "affect logic" I want to show that affective, cognitive and behavioral patterns, once emerged in psychosis, subsequently tend to repetition and chronification on account of psychological, social but also neuronal plasticity. In the discussion about reasons of the chronification process, ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：1995-01-01 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：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: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：: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：:We report the rare case of a 19-year old man, first diagnosed with schizophrenia but finally shown to have subacute sclerosing panencephalitis (SSPE). Initial symptoms were hallucinations and negative symptoms until the onset of a seizure. Changes in the CSF, MRI, EEG and increasing neurological symptoms led to the co...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-39751
更新日期：2003-05-01 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：: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：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：:We report the case of a 62-year-old woman with parkinson's disease and depression. Her symptoms included episodes of flushing, palpitations and hypertension, giving rise to the suspicion of the existence of a phaeochromocytoma. The levels of adrenaline and vanillymandelic acid in the urine were moderately elevated, th...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2003-05-01 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：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：: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：: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:The high rank of social work in context with psychiatric treatment of in-patients is generally accepted. The value of social work and here especially the visit at home by the social worker has hardly been examined up to now. METHOD:In the article first of all the method of visits at home is presented. Furthe...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-814916
更新日期：2004-05-01 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：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：: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：:Characteristics of the present ecological threat concerning the mind of men are described. Some psychiatric cases are given describing on one hand psychotic patients whose concern about the endangered natural environment is more accidental, whereas in other patients the feeling to be threatened has been resulted in ps...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：:During the first half of the 19th century psychiatry became more and more influential in the evaluation of mentally ill offenders. "Doubtful" states of mind gained a particular importance for forensic practice. One of the mental disorders that was heavily disputed was amentia occulta (hidden madness) first described b...
journal_title：Psychiatrische Praxis
pub_type： 传,历史文章,杂志文章
doi：10.1055/s-2007-986239
更新日期：2008-03-01 00:00:00
abstract：OBJECTIVE:A comprehensive review of the present state and new approaches of patient participation in German psychiatry was conducted. METHODS:Literature search. RESULTS:Most psychiatric patients wish to be informed about their disease and treatment options and express a desire for participation in medical decisions. ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-2007-986410
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:In Germany, outpatient care is provided exclusively by physicians in private practice. This privilege is very strictly observed, with only a few exceptions. While psychiatric hospitals are routinely permitted to establish outpatient clinics, psychiatric departments of general hospitals, even if they serve a c...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-11-01 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：OBJECTIVE:To relieve the burden on family caregivers of dementia patients, the utilisation of day hospitals should be increased. Therefore, the predictive variables for utilisation as well as family caregivers' views regarding the quality of day hospitals must be investigated. METHODS:The cross-sectional study was car...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0028-1090044
更新日期：2009-05-01 00:00:00
abstract：:In the controversy about severely chronic mental patients, who still reside in the psychiatric hospital after decades of deinstitutionalization, their quality of life (QoL) has become a main topic. On the basis of a critique of the dominant, mere standardized approach to QoL this method is compared with a qualitative ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2002-34034
更新日期：2002-09-01 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
