Psychiatrische Praxis
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Psychiatrische Praxis · Jul 1998
[Prevalence and treatment of depressive syndromes in homes for the aged. Survey of a rural catchment area].
The investigation aimed at assessing the prevalence of depression among residents in a nursing home. ⋯ Elderly patients with depressive disorders living in nursing homes need a more specific psychiatric treatment.
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While as a result of the report of the German Federal Government's Inquiry Commission a nationwide programme for further development of the provision of care to the mentally ill was launched, Baden-Wuerttemberg went it's own ways with its "Programme for the Development of Outpatient Psychiatric Care 1982-1986". In 1994 Baden-Wuerttemberg's concept of a "Communal Psychiatric Combine" ("Gemeindepsychiatrischer Verbund", GPV) was worked out; this concept increases in some respects the existing differences from other states. ⋯ In the following, Baden-Wuerttemberg's understanding of a "Communal Psychiatric Combine" is contrasted with the combine concept of the expert commission. The potential effects of the reginal care situation as well as the chances of implementation are discussed with reference to earlier experiences.
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Psychiatrische Praxis · Jul 1998
Letter["Because it concerns me"--patient-directed discharge letters].
Evaluation of practicability and acceptance of discharge summaries addressed directly to patients after psychiatric hospitalisation. ⋯ Both doctors' and patients' acceptance and evaluation was very positive. Argumentations for this view were the need to give and get information and the impression that this procedure can enhance confidence and trust.