[Health management of dependent chronic schizophrenic patients in community psychiatric treatment].
This retrospective study evaluates the question, if the sectored psychiatric organisation of Hannover's University Hospital (MHH) is able to provide the full range of necessary services including suitable facilities for the most unmanageable chronic schizophrenics. It was concluded that during the observation period (1988 to early 1991) under the prevailing nursing conditions it was impossible to adequately care for, within the sector, a small number (5.2%) of these patients (approx. 0.57% of all schizophrenic inpatients). These "new long-terms" shared the characteristics of poorly controlled symptomatology with persistent active symptoms and unpredictability of behaviour; some were assaultive, hyperactive or suicidal. Finally, appropriate characteristics of planning and evaluating services able to offer adequate long-term (in-) patient care for this studied population are discussed.
Abteilung Klinische Psychiatrie an der Medizinischen Hochschule Hannover.
H
H
Becker
D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000639:trends; D000368:Aged; D003156:Community Mental Health Services / Q000639:trends*; D003688:Deinstitutionalization / Q000639:trends*; D005260:Female; D005858:Germany; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology