[Reintegration in residential facilities--a catamnestic study].

Abstract:

:A rehabilitation programme at the University Clinic of Social Psychiatry, Berne, is described. The facility includes a half-way house and sheltered home in a suburb, where 20 psychiatric long-stay patients are trained for an independent life in the community. In a follow-up study 80 patients, mostly chronic schizophrenics, were examined in order to evaluate the outcome. After an average time-interval of 6 years only 14% were in a mental hospital, 31% lived in sheltered accommodations, and 55% lived independently in the community. 57% of the patients were working full- or part time and a further 20% worked in sheltered workshops. Apart from these very good results a careful assessment of the social circumstances reveals an ongoing impairment: 80% have only poor social relations and depend on psychiatric treatment and medication, 77% need invalidity rents and more than one third live or work in sheltered institutions. The study shows that psychiatric long-stay patients can reach a stable reintegration in the community. The ongoing impairment mainly affects the social relations and the financial resources, areas which are important for the quality of life.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Hubschmid T,Pfister F,Spalinger J

subject

Has Abstract

pub_date

1988-05-01 00:00:00

pages

78-83

issue

3

eissn

0303-4259

issn

1439-0876

journal_volume

15

pub_type

杂志文章
  • [New strategies in schizophrenia: impact of endophentotypes].

    abstract::Despite the compelling evidence for a strong heritability of schizophrenia, the aetiology and genetic underpinnings of this disabling disease still remain unclear. Reasonable explanations for current problems in identifying candidate genes for schizophrenia are the complexity of its genetic background as well as the h...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2004-828480

    authors: Opgen-Rhein C,Neuhaus A,Urbanek C,Dettling M

    更新日期:2004-11-01 00:00:00

  • [Myasthenia gravis in the frontier of psychiatric diagnosis].

    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:

    authors: Rohr W

    更新日期:1992-09-01 00:00:00

  • [Increasing prevalence of amphetamine--and methamphetamine-induced psychosis].

    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

    authors: Härtel-Petri R,Rodler R,Schmeisser U,Steinmann J,Wolfersdorf M

    更新日期:2005-01-01 00:00:00

  • [The neuronal level of motor activity: determination of motor cortex excitability by TMS].

    abstract::Transcranial magnetic stimulation as mapping method offers the possibility to measure aspects of motor cortex excitability painlessly and non-invasively. Using this neurophysiological tool, new insights into the effects of central-acting drugs are possible. Particularly striking seems to be the potential of this appro...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2004-828492

    authors: Eichhammer P,Langguth B,Müller J,Hajak G

    更新日期:2005-04-01 00:00:00

  • [Edema related to treatment with olanzapine].

    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

    authors: Wustmann T,Fiedler T,Gutmann P

    更新日期:2009-04-01 00:00:00

  • [Antidepressants and Driving Ability]

    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

    authors: Brunnauer A,Laux G

    更新日期:2003-05-01 00:00:00

  • ["If I were the department head in this case..."--interventional interview with patients and co-workers of a psychiatric department].

    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

    authors: Scheidt P,Schweitzer J,Maischein L,Tebbe B,Hirschenberger N,Enssle M,Krause U,Voigtländer W

    更新日期:2001-05-01 00:00:00

  • [Experience of Practice-Based Psychiatrists and Neurologists During the COVID-19 Pandemic].

    abstract:AIM:To date, to our knowledge there are no studies regarding attitudes and experiences of outpatient medical personnel during a pandemic. This study's aim was to evaluate the impact of the COVID-19 pandemic in March 2020 on German psychiatrists and neurologists. METHODS:An e-mail and fax-based short survey of 2,072 pr...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-1159-5575

    authors: Bohlken J,Schömig F,Seehagen T,Köhler S,Gehring K,Roth-Sackenheim C,Matschinger H,Riedel-Heller SG

    更新日期:2020-05-01 00:00:00

  • [A psycho-educational family group for reducing stress and preventing recurrence for families of schizophrenic patients. Catamnestic results of the Tübingen family project].

    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:

    authors: Scherrmann TE,Seizer HU,Rutow R,Vieten C

    更新日期:1992-05-01 00:00:00

  • [Structure and contents of online counselor's responses in the field of eating disorders].

    abstract:OBJECTIVE:The importance of online counselling for many areas of health care has been increasing over the last years. Nevertheless, there is a lack of systematic research on the quality and specifics of the therapeutic intervention. METHODS:n = 1056 responses written by online counsellors between 12 / 2007 and 11 / 20...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0030-1248481

    authors: Wesemann D,Fritsch S,Kündiger C,Grunwald M

    更新日期:2010-11-01 00:00:00

  • [Confusional states in advanced age--a current review of the literature].

    abstract::Delirium--a state of acute or subacute confusion--is a common organic mental syndrome occurring predominantly in old age. The disorder is highly prevalent in psychiatric institutions, in general hospitals and nursing homes. Patients affected by delirium carry an increased mortality-risk and will become dependent on nu...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Hewer W,Förstl H

    更新日期:1994-07-01 00:00:00

  • [Working with a family systems therapy approach as part of the routine treatment on acute psychiatric wards: sustained effects on team members' workload].

    abstract:OBJECTIVE:Assessing long-term effects of a family systems therapy approach (systems therapy methods in acute psychiatry, SYMPA) on occupational stress and interdisciplinary cooperation of team members in three German psychiatric hospitals. METHODS:Pre-post-follow-up survey using the Maslach Burnout Inventory (MBI) and...

    journal_title:Psychiatrische Praxis

    pub_type: 评论,杂志文章

    doi:10.1055/s-0032-1327201

    authors: Haun MW,Kordy H,Ochs M,Schweitzer J,Zwack J

    更新日期:2012-11-01 00:00:00

  • [Munchhausen patients in general hospitals--Clinical features and treatment approaches in C-L psychiatry settings].

    abstract::Factitious disorders have been reported in 0.5 - 1 % of general hospital patients. It often takes several years until the disorder is detected. During this period, enormous health care cost can arise not least out of iatrogenic self-induced mutilations and related secondary somatic complications. Apart from surgeons a...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2002-34656

    authors: Rothenhäusler HB,Kapfhammer HP

    更新日期:2002-10-01 00:00:00

  • [Influences of second generation antipsychotics on the course of schizophrenia].

    abstract::Although there were multiple initiatives to modify course and outcome of schizophrenia by optimizing present psychopharmacologic strategies many unsolved problems still exist. There is no doubt that first generation antipsychotics reduce positive symptoms of psychosis but the impact on negative symptoms or disturbance...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2004-828473

    authors: Messer T

    更新日期:2004-11-01 00:00:00

  • [Assisted living for former long-term hospitalized psychiatric patients].

    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:

    authors: Schmidl F,Berghofer G,Lang A,Rudas S

    更新日期:2000-01-01 00:00:00

  • [Psychotherapy units in Bavarian state mental hospitals].

    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

    authors: Wolfersdorf M,Klein HE,Dose M

    更新日期:2004-11-01 00:00:00

  • [High utilisers with affective and schizophrenic disorders in the psychiatric health care system: a comparison between Eastern and Western Germany].

    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 exam...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0034-1369867

    authors: von Rad K,Puschner B,Spießl H,Grempler J,Janssen B,Becker T,Freyberger H

    更新日期:2014-10-01 00:00:00

  • [Schizophrenic patients, who still live in psychiatric hospitals despite decades of deinstitutionalization. Part 1 of the Hessian Deinstitutionalisation Study].

    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

    authors: Franz M,Meyer T,Ehlers F,Gallhofer B

    更新日期:2002-07-01 00:00:00

  • [Encountering the person in his environment--approaches to psychosocial management].

    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

    authors: Klug G

    更新日期:2003-04-01 00:00:00

  • [The inpatient group in a psychiatric clinic--structure, interaction regulations, patient judgments].

    abstract::Structure and functioning of a group therapy comprising all patients of a psychiatric ward is described in terms of psychoanalytic and group dynamics, behaviour therapy and cognitive psychology. 34 acutely-ill patients with heterogenic diagnoses reported their experiences with this group technique at day of discharge....

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Schmidt LG

    更新日期:1982-09-01 00:00:00

  • [Trial employment: a provisional work setting for psychiatric patients].

    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:

    authors: Längle G,Köster M,Mayenberger M,Günthner A

    更新日期:2000-05-01 00:00:00

  • [Perspectives of psychiatric care in Leipzig--deinstitutionalization from the viewpoint of neurologist/psychiatrist in private practice and the work of consortium of community psychiatric services].

    abstract::Two perspectives of mental health care in Leipzig are outlined. Critical aspects of deinstitutionalization are discussed from the point of view of an office-based Nervenarzt (neurologist and psychiatrist). The limitations of office-based practice in providing care for the severely mentally ill (SMI) are described, i.e...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Richter RA,Nollau M

    更新日期:2000-09-01 00:00:00

  • [Acute dyskinesia as the cause of jaw dislocation].

    abstract::A case of an acute dyskinesia of a young, schizophrenic woman caused by neuroleptic therapy is reported. The acute dyskinesia was the reason for a complete luxation in the jaw-joint. The patient showed phenomenons (brain-atrophy, cognitive dysfunction, negative symptoms) which are discussed to be connected with acute ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Kozian R,Kiszka T,Peter K,Kühne GE

    更新日期:1992-07-01 00:00:00

  • [Occupational status of Saxony social psychiatry service clients as a result of the reunification of Germany].

    abstract:PURPOSE:Evaluating the establishment of social psychiatry services (SPS) in Saxony was part of a public health research project. METHOD:One of the variables in a specifically designed assessment instrument--used in 8 SPS during the period 08/95-01/97--was the retrospective statement concerning changes in the client's ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Kallert TW,Leisse M

    更新日期:1999-05-01 00:00:00

  • [Promoting Self-Management in Primary Care - the Association of Motivation for Change, Self-Efficacy and Psychological Distress Prior to the Onset of Intervention].

    abstract::Anxiety, depressive and somatoform disorders are highly prevalent in primary care. Managing these disorders is time-consuming and requires strong commitment on behalf of the general practitioners (GPs). Furthermore, the resources for the management of these patients are limited by the increasing workload in primary ca...

    journal_title:Psychiatrische Praxis

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1055/s-0034-1387686

    authors: Zimmermann T,Puschmann E,Porzelt S,Ebersbach M,Ernst A,Thomsen P,Scherer M

    更新日期:2015-07-01 00:00:00

  • [Social integration of mentally handicapped persons (author's transl)].

    abstract::It was the establishing of associations of parents and friends of mentally handicapped persons that started, above all in the 50's and 60's, in many countries direct and intensive endeavours for the improvement of their social situation. In this context the major goals are the normalisation of their living conditions ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Mutters T

    更新日期:1981-08-01 00:00:00

  • [Phototherapy and lithium prophylaxis].

    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:

    authors: Heim M,Morgner J

    更新日期:1997-07-01 00:00:00

  • [Obstacles to innovation].

    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:

    authors: Veltin A

    更新日期:1987-08-01 00:00:00

  • [Diagnosed Depression and Utilization of Health Care Services and Preventive Measures in the General Adult Population in Germany - Results from a Nationwide Cross-Sectional Telephone Survey].

    abstract:OBJECTIVE:To examine the association of diagnosed depression with the utilization of health care services and preventive measures among men and women in the general population in Germany. METHODS:Cross-sectional analysis of data from a representative telephone survey (men N = 18,675, women N = 24,518, 18 years and old...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0042-122327

    authors: Maske UE,Jaedtke M,Luppa M,Riedel-Heller S,Kleiber D,Busch MA

    更新日期:2019-03-01 00:00:00

  • [Art therapy in psychiatry (author's transl)].

    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:

    authors: Wellendorf E

    更新日期:1980-02-01 00:00:00