Psychiatrische Praxis
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Psychiatrische Praxis · Jan 2001
Comparative Study[Deinstitutionalization, housing situation and subjective satisfaction of schizophrenic patients].
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. ⋯ Requirements for the further development of the complementary psychiatric care system are deduced.
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Psychiatrische Praxis · Jan 2001
[Psychiatric treatment of prisoners in general psychiatric wards exemplified by North Rhine-Westphalia and Rhineland-Pfalz].
The study was intended to provide information on the frequency and general condition of inpatient and outpatient treatment of mentally disturbed prisoners in general psychiatry in Germany. ⋯ The rare use of psychiatric beds in general psychiatry may reflect obstacles concerning the status of prisoners and reservations regarding difficult patients.
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Since the 1980's psychiatric care in Spain changed considerably (Reforma psiquiátrica española). In the course of this reform, many positive results were achieved. An extensive community network of mental health centres was build up which resulted in the majority of psychiatric patients being integrated in the Spanish general health care system and making a better organized mental health care structure possible. ⋯ An analysis of the experiences of the Spanish psychiatric reform shows that the tendency to retain the old mental hospitals, alongside the other institutions still exists. The process of deinstitutionalization and the original aims of the psychiatric reform cannot only be satisfied by the closure of large psychiatric hospitals as during the reform new aspects and problems as well the great complexity of the task have become apparent. This article together with the details of the Spanish sources gives the German public a good overview of the developments in Spanish psychiatry.