title: [Unplanned discharge in a psychiatric day clinic - argument for an individualized approach].
abstract: OBJECTIVE
  Drop-outs, respectively unplanned discharges in psychiatric therapy are often explained by so-called lack of insight into the disease or difficult circumstances of admission. We were interested in the question how often drop outs are noticed in a voluntarily day clinic setting where nearly all psychiatric diseases are treated.
  
  
  METHODS
  The charts of all patients discharged in 1998 (n = 65) were screened referring to their mode of discharge.
  
  
  RESULTS
  31 patients (47.7 %) regularly ended their treatment. An unplanned discharge was registered with 34 patients (52.3 %).
  
  
  CONCLUSIONS
  The statistically relevant term of drop-out does not appear to be the right one to deal with the individual treatment situation and the motivation for the limitation of treatment. A typology of prematurely ended therapies is developed.
authors.affiliation: Abteilung Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Garlipp
authors.forename: K P
authors.initials: KP
authors.lastname: Seidler
authors.forename: K
authors.initials: K
authors.lastname: Amini
authors.forename: W
authors.initials: W
authors.lastname: Machleidt
authors.forename: H
authors.initials: H
authors.lastname: Haltenhof
mesh_terms: D000328:Adult; D003631:Day Care, Medical / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008499:Medical Records; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D012114:Residential Treatment / Q000379:methods; D012189:Retrospective Studies
vernacular_title: Behandlungsabbruch in der psychiatrischen Tagesklinik - Plädoyer für eine differenzierte Betrachtungsweise.