Abstract：
:Vocational rehabilitation of mentally ill patients is now focused outside the psychiatric hospital. Three types of programmes play a major role: outpatient work therapy programmes at psychiatric hospitals, jobs in (partly) sheltered employment facilities as in companies specially adapted for employing mentally ill persons, and workshops for the mentally disabled. In the north-western German region of Westphalia-Lippe (population: 9 million) we carried out a three-year prospective study on a regionally representative sample from such rehabilitation institutions to assess the course and outcome of vocational rehabilitation. The sample comprised 295 men and 176 women with a mean age of 36.1 year (+/- 9.6). The majority were chronically ill patients with a history of frequent long-term hospitalisation. 61% of all probands were suffering from schizophrenic disorders. The outcome of vocational rehabilitation differs substantially among the three programme types, primarily due to varying baseline conditions, subjective expectations or goals, and courses of illness. The programmes are not alternatives but should be seen as supplementary components of a care system which has to meet a wide range of patient requirements. Vocational integration into the open labour market is a desirable and realistic objective for only some of those concerned.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Reker T,Eikelmann B,Schonauer K,Folkerts Hsubject
Has Abstractpub_date
1998-03-01 00:00:00pages
76-82issue
2eissn
0303-4259issn
1439-0876journal_volume
25pub_type
杂志文章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
更新日期：2002-07-01 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：OBJECTIVE:In a cross-sectional study in 79 schizophrenic patients the quality of life (QOL) of a group of community-based patients under supervision of an outpatient unit (n = 47) and a group of long-stay patients in an inpatient rehabilitation centre in the same area (n = 32) was compared. METHODS:The patients' QOL w...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
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：
更新日期：1981-08-01 00:00:00
abstract：:The segregation of sexes in an acute psychiatric unit was followed up by means of a research survey. Patients and staff members were questioned about the ward climate before and after changing the admission procedure. The male patients merely noticed a decreased influence of sexual problems on the ward atmosphere. The...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
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
更新日期：2010-11-01 00:00:00
abstract：:Since the 1980's psychiatric care in Spain changed considerably (Reforma psiquiátrica española). In the course of this reform, many positive results were achieved. An extensive community network of mental health centres was build up which resulted in the majority of psychiatric patients being integrated in the Spanish...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2000-11-01 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：OBJECTIVE:There are only some reports about discharge letters addressed to patients. By a case report benefits and potential of letters to patients should be shown. METHOD:The presented case report describes the hospital stay of a 19 year old patient suffering from schizophrenia. RESULTS:The case report indicates tha...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2005-866986
更新日期：2006-09-01 00:00:00
abstract：:Basing on a review of the literature and on own research, the authors examine the incidence rate of convulsions under neuroleptic treatment. In addition, the authors go into the neurophysiological and neuropharmacological mechanisms of the convulsive action of neuroleptics. An attempt is made to present information on...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1985-11-01 00:00:00
abstract：OBJECTIVE:To determine the conditional factors underlying a premature termination of vocational rehabilitation programs. METHODS:123 rehabilitation participants were assessed prospectively regarding sociodemographic and psychopathological variables, level of functioning, subjective health, intellectual and work capaci...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2005-915245
更新日期：2006-04-01 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：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
更新日期：2004-11-01 00:00:00
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 schizophre...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1988-05-01 00:00:00
abstract：OBJECTIVES:Although guidelines usually recommend monotherapy, in clinical practice, antipsychotic polypharmacy is common especially with chronically ill patients. We therefore assessed the current practice of antipsychotic polypharmacy in "high-utilising" patients with schizophrenia in Germany. METHODS:Antipsychotic m...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0033-1343185
更新日期：2013-10-01 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：: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: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：:The term "Social Psychiatry" was first used in English in 1917 by E. E. Southard. Six years before, in 1911 Max Fischer, director of Wiesloch Mental Hospital near Heidelberg employed the terms "Sozialpsychiatrie" and "Soziale Psychiatrie" in German. ...
journal_title：Psychiatrische Praxis
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1995-07-01 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：OBJECTIVE:In the context of the current discussion of integrating rehabilitative elements into the (acute) treatment of patients with mental disorders, it is investigated what rehabilitative elements actually are and whether these elements are considered in existing guidelines. METHODS/RESULTS:An expert-based consensu...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-814990
更新日期：2005-03-01 00:00:00
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
更新日期：2004-11-01 00:00:00
abstract：:Objective Therapy recommendations of relatives of individuals with psychotic disorders. Method A total of n = 52 inpatient relatives were interviewed about their attitude towards psychotherapy and antipsychotics. Results Over 80 % of the relatives recommended psycho- and pharmacotherapy. Concerns reduced recommendatio...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0042-102622
更新日期：2017-05-01 00:00:00
abstract：:Community care and sectorisation, specialisation and differentiation, integration of psychiatric and other medical services, crises intervention and emergency psychiatry--and patient's choice--are basic issues of the organisation of psychiatric services. They are discussed and evaluated in respect of the Region of Man...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：:Primarily from the perspective of psychopharmacology, schizophrenic symptomatology has recently been dichotomized into "plus" and "minus" symptoms, although the role of cognitive dysfunctions has been regarded as particularly important for the diagnosis since the time of Eugen Bleuler. Many studies show that schizophr...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-2001-11577
更新日期：2001-03-01 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：OBJECTIVE:Improvement of depression treatment by health insurance based case-management. Criteria of improvement were a higher treatment rate of patients suffering from affective disorders or depression by psychiatrists or psychotherapists than by general practitioners or family doctors and sickness fund payments. MET...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0033-1349557
更新日期：2014-11-01 00:00:00
abstract：:The effectiveness of day hospital care of geriatric psychiatric patients was evaluated in a pilot study. The main aspect was the training of social competence, i.e. a training leading to growing personal independence of the demands of every day life, such as hygiene , fitness considering the household, etc. During day...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1984-03-01 00:00:00
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：
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:To provide an overview of empirical findings with regard to compulsive hoarding. METHODS:A systematic literature search of medical and psychological journals was conducted using PubMed. Relevant publications from the reference lists and recent books were also identified and included. RESULTS:The article rev...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-0029-1223364
更新日期：2010-05-01 00:00:00
