title: [Clinic discharge of schizophrenic patients: treatment termination or transition? A catamnestic study of community psychiatric management].
abstract: In order to evaluate which single or combined factors can lead to best acceptance of continuing out-patient psychiatric care, a random sample of 73 patients diagnosed as schizophrenic were entered into a follow-up study on leaving a psychiatric hospital. In a given region with only one public mental health center it was found that early and comprehensive planning of hospital dismissal, cooperation of family and--where possible--no change of the responsible therapist led to a 84% rate of patients remaining in the regional psychiatric care system, with a rehospitalisation rate of 33% within a year. Literature on the subject is reviewed in perspective of the rather high acceptance of psychiatric aftercare and the rather low rate of rehospitalisation.
authors.affiliation: Psychiatrische Universitätsklinik Zürich.
authors.forename: D
authors.initials: D
authors.lastname: Hell
authors.forename: P
authors.initials: P
authors.lastname: Zingg
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology; D010351:Patient Discharge; D010359:Patient Readmission; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012931:Social Environment
vernacular_title: Klinikaustritt schizophrener Patienten: Behandlungsabbruch oder Ubergang? Eine katamnestische Untersuchung zur gemeindenahen psychiatrischen Versorgung.