[Involuntary Hospitalization in Frankfurt/Main, Germany--anachronism or up-to-date?--the psychiatric information system PISA].
OBJECTIVE
The evaluation of local mental health and complementary psychosocial care remains a difficult venture. For this reason systematic development of appropriate services is barely possible. The present study aimed to get reliable data of psychiatric in- and out-patient treatment as well as of complementary psychosocial care.


METHODS
In the city of Frankfurt/Main the PISA project was initiated by the municipal mental health Mo-Ruservice. 677 involuntary hospitalizations were examined in the psychiatric clinics of the city of Frankfurt/Main with regard to diagnoses, socio-demographic data, complementary psychosocial outpatient care and circumstances of hospitalization.


RESULTS
Any complementary psychosocial care was missing in more than seventy percent of patients. Only 10 percent of involuntarily admitted patients were examined by a physician before reaching the hospital and in only 1.3 percent the municipal mental health service had been consulted.


CONCLUSIONS
Results show that a systematic improvement of precautionary complementary psychosocial care for risk patients is needed as well as the obligation of psychiatric emergency consultation before involuntary hospitalization.
Kirschenbauer
Hans-Joachim
HJ
Stadtgesundheitsamt Frankfurt am Main, Frankfurt/Main. hans-joachim.kirschenbauer@stadt-frankfurt.de
Wagner
Peter
P
Seehuber
Dietmar
D
Weber
Bernhard
B
Grube
Michael
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003625:Data Collection / Q000706:statistics & numerical data; D019033:Delivery of Health Care, Integrated / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D005260:Female; D005858:Germany; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006751:Hospital Information Systems / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D008875:Middle Aged; D009313:National Health Programs / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D018570:Risk Assessment