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Results for “Deinstitutionalization”

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PubMed2001

[Deinstitutionalization, housing situation and subjective satisfaction of schizophrenic patients].

OBJECTIVE: After the German reunification the deinstitutionalisation of long-term hospitalised psychiatric patients and the restructuring of the complementary psychiatric care has become necessary in the "new" German states. Hereby it became possible to offer alternative residential settings and new community-oriented care programmes for the mentally disabled. METHODS: Ten years after the beginning of this process we analysed the impact of the housing conditions and the subjective satisfaction of 245 chronic schizophrenic patients living in different residential care-settings or with family resp. on their own in the Dresden region. Additionally we asked for the satisfaction with the organisation of the deinstitutionalisation process. RESULTS: The subgroups--defined by the residential setting--differ in sociodemographic variables and in the levels of psychopathology (PANSS) and social disabilities (DAS-M). It is shown how deficiencies and restrictions of the living situation and the deinstitutionalisation process are reflected in the respective judgments of the patients especially referring to autonomy and self-determination. CONCLUSIONS: Requirements for the further development of the complementary psychiatric care system are deduced.

Activities of Daily Living↗
PubMed2004

[Deinstitutionalization of long-stay psychiatric patients in upper austria - living situation, social and clinical characteristics more than one year after discharge].

OBJECTIVE: In Upper Austria, a total of 409 long-stay patients were discharged to various residential facilities between 1995 and 2000. This paper describes psychopathology and sociodemographic characteristics. METHODS: A random sample of 116 former long-stay patients were followed for an average 42.9 months after discharge. RESULTS: Patients had spent an average 19.3 years in psychiatric wards. 47 patients (40.5 %) were placed in nursing homes, 16 patients (13.8 %) in old-age homes, 32 patients (27.6 %) in other institutions and only 15 patients (12.9 %) in group homes, and 6 patients (5.2 %) with families. ICD-10 diagnosis was schizophrenia in 56 patients (48.3 %) and mental retardation in 33 patients (28.4 %). Level of social and functional disabilities was high. CONCLUSIONS: Most long-stay patients were able to live outside psychiatric hospitals, but institutional care still plays an essential role.

Adult↗
PubMed1979

Community care and deinstitutionalization: a review.

After one hundred years the family is once again being asked to assume its major function as care-giver for the long-term mentally ill. Is the family able to support chronic mental patients? Is it willing to assume responsibility for these patients? This article addresses these questions, as well as others, and discusses the implications of family policy for community care.

Aftercare↗