Summary
The implementation of community mental health care for psychiatric patients in Mannheim, an industrial city of approximately 300,000 inhabitants, poses questions concerning the impact of outpatient treatment on the probability of rehospitalization. For this purpose the use of extramural facilities by a group of 148 patients with a diagnosis of schizophrenia was studied over a period of 18 months. Based on a model of utilization that allows for the removal of confounding effects the statistical analysis reveals that outpatient contacts with psychiatrists in practice or with an outpatient clinic indeed reduces time in hospital and also improves the psychopathological status of the patients.
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References
Affleck JW, Burns J, Forrest AD (1976) Longterm follow-up of schizophrenic patients in Edinburgh. Acta Psychiatr Scand 53:227–237
Bardens R (1984) Kostenanalyse bei Nachsorgeeinrichtungen für schizophrene Patienten. Universität Mannheim
Blumenthal P, Kreisman D, O'Connor FA (1982) Return to the family and its consequence for the rehospitalization among recently discharged mental patients. Psychol Med 12:141–147
Bredenkamp J (1969) Experiment und Feldexperiment. In: Graumann C (Hrsg) Handbuch der Psychologie, Bd. I. Hogrefe, Göttingen
Brown GW, Birley JL, Wing JK (1972) Influence of family life on the course of schizophrenic disorders: A replication. Br J Psychiatry 121:241–258
Brown GW, Carstairs GM, Topping GC (1958) The post-hospital adjustment of chronic mental patients. Lancet 685–689
Brown GW, Monck EM, Carstairs GM, Wing JK (1962) The influence of family life on the course of schizophernic illness. Br J Prevent Soc Med 16:58–65
Ciompi L (28.–29.9.84) Prognose and rehabilitative Verfahren bei chronisch psychotisch Kranken. Lecture held at the Internationales Symposium zur Rehabilitation chronisch psychotisch Kranker. Medizinische Hochschule Hannover
Clark WG, Del Guidice J (1970) (eds) Principles of psychopharmacology. Academic Press, New York, London
Deutscher Bundestag (1975) Bericht über die Lage der Psychiatrie in der Bundesrepublik Deutschland — Zur psychiatrischen und psychotherapeutisch/psychosomatischen Versorgung der Bevölkerung. Drucksache 7/4200. Bonner Universitätsdruckerei, Bonn
Dowell DA, Ciarlo JA (1983) Overview of the community mental health centers program from an evaluation perspective. Community Mental Health J 19:95–125
Erickson RC (1975) Outcome studies in mental hospitals: a review. Psycholog Bull 82:519–540
Garfield SL, Bergin AF (1978) (eds) Handbook of psychotherapy research. Wiley, New York
Haefner H, an der Heiden W (1983) The impact of a changing system of care on patterns of utilization by schizophrenics. Soc Psychiatry 18:153–160
Haefner H, an der Heiden W, Buchholz W, Bardens R, Klug J, Krumm B (1986) Organisation, Wirksamkeit und Wirtschaftlichkeit komplementärer Versorgung Schizophrener. Nervenarzt (in press)
an der Heiden W, Klug J (1980) An integrated record system for the observation of the demand for medical and social aftercare as a basis for organizing extramural sevices. In: Stroemgren E, Dupont A, Achton Nielsen J (eds) Epidemiological research as a basis for the organization of extramural psychiatry. Munksgaard, Copenhagen 54–59
Parkes CM, Brown GW, Monck EM (1962) The general practitioner and the schizophrenic patient. Br Med J 1:972
Rosenblatt A, Mayer J (1974) The recidivism of mental health patients: a review of past studies. Am J Orthopsychiatry 44:697–706
Vaughn CE, Leff JP (1976) The measurement of expressed emotion in the families of psychiatric patients. Br J Soc Clin Psychol 15:157–165
Vaughn CE, Leff JP (1976) The influence of family and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. Br J Psychiatry 129:125–137
Wing JK, Brown GW (1970) Institutionalism and schizophrenia. Cambridge University Press, Cambridge
Wing JK, Cooper JE, Sartorius N (1974) Measurement and classification of psychiatric symptoms. Cambridge University Press, London
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This work has been performed as part of the Sonderforschungsbereich “Psychiatrische Epidemiologie” at the University of Heidelberg and was financially supported by the Deutsche Forschungsgemeinschaft
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an der Heiden, W., Krumm, B. Does outpatient treatment reduce hospital stay in schizophrenics?. Eur Arch Psychiatr Neurol Sci 235, 26–31 (1985). https://doi.org/10.1007/BF00380965
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DOI: https://doi.org/10.1007/BF00380965