title: [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 social characteristics of such schizophrenic patients still residing in the long-stay wards in the German state of Hesse after decades of DI are presented. The n = 266 patients investigated displayed a marked degree of negative symptoms and moderate positive symptoms but, however, severe social disabilities. In addition, the patients were very dependent in daily living, had an extremely impoverished social network and leisure activities. The findings contribute to the research on "difficult-to-place" patients described in the literature.
authors.affiliation: Arbeitsgruppe Sozialpsychiatrie, Psychiatrische Klinik, Justus-Liebig-Universität, Giessen. michael.franz@psychiat.med.uni-giessen.de
authors.forename: Michael
authors.initials: M
authors.lastname: Franz
authors.forename: Thorsten
authors.initials: T
authors.lastname: Meyer
authors.forename: Frauke
authors.initials: F
authors.lastname: Ehlers
authors.forename: Bernd
authors.initials: B
authors.lastname: Gallhofer
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003688:Deinstitutionalization / Q000639:trends*; D005260:Female; D005544:Forecasting; D005858:Germany; D006801:Humans; D008134:Long-Term Care / Q000639:trends*; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012951:Socialization