title: ["Treated and promoted or detained and left behind" - intensive psychiatric care of residents of a psychiatric hostel over seven years].
abstract: OBJECTIVE
  In this observational study indicators for the quality of psychiatric care in a psychiatric hostel will be examined for all residents over a period of 7 years.
  
  
  METHODS
  Data has been collected at an annual basis. Relationships among variables have been analysed by means of random effects regression analyses for longitudinal data.
  
  
  RESULTS
  GAF score increases slightly. Number of psychopharmacological drugs and neuroleptics as well as inpatient costs remains stable. Psychiatric treatment costs are negatively related to the functional level, residents' age and the duration of stay in the residential facility. Even under control of several variables, variance of total costs was found to be mainly explained by the costs of inpatient and psychopharmacological treatment.
  
  
  CONCLUSIONS
  Increase of the general functional level indicates a positive development of autonomy. Changes and the influence factors of psychopharmacological treatment may indicate a need-oriented drug therapy. Some findings may indicate an institutionalisation process and an increasing of medical conditions in chronically mentally ill people.
authors.affiliation: Psychiatrische Institutsambulanz, Bezirkskrankenhaus Kaufbeuren. juan.valdes@bkh-kaufbeuren.de
authors.forename: Juan
authors.initials: J
authors.lastname: Valdes-Stauber
authors.forename: Reinhold
authors.initials: R
authors.lastname: Kilian
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014150:Antipsychotic Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003362:Cost-Benefit Analysis; D003688:Deinstitutionalization / Q000191:economics; D005260:Female; D005858:Germany; D016352:Group Homes / Q000191:economics*; D006208:Halfway Houses / Q000191:economics*; D017048:Health Care Costs / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000191:economics*; D006778:Hospitals, Psychiatric / Q000191:economics*; D006801:Humans; D057187:Independent Living; D007902:Length of Stay / Q000191:economics; D008134:Long-Term Care / Q000191:economics; D008297:Male; D001523:Mental Disorders / Q000191:economics / Q000534:rehabilitation*; D008875:Middle Aged; D011619:Psychotropic Drugs / Q000627:therapeutic use; D011785:Quality Assurance, Health Care / Q000191:economics; D012917:Social Adjustment; D055815:Young Adult
chemical_list: D014150:Antipsychotic Agents; D011619:Psychotropic Drugs