Details

Autor(en) / Beteiligte

• Stoppe, Gabriela
• Otto, André
• Koller, Manfred
• Staedt, Jürgen

Titel

7-year-follow-up investigations of the geriatric psychiatric inpatient service in a separated care at a state hospital (obligatory service) and an integrated care at a university hospital in Goettingen, Germany -- I. Type of patients

Ist Teil von

• Psychiatrische Praxis, 2005-07, Vol.32 (5), p.239

Ort / Verlag

Germany

Erscheinungsjahr

2005

Quelle

MEDLINE

Beschreibungen/Notizen

• 7 years after our first investigation we were interested in the stability versus (trends of) change in geriatric psychiatric inpatients while the structure of services was mainly unchanged. We performed standardised chart reviews of randomly selected groups of geriatric psychiatric inpatients who had been treated in 1998 and 1999 in the Psychiatric University Hospital (PUK; n = 104) or the Psychiatric State Hospital (LKH; n = 100), which together treat all psychiatric inpatients in the region. With regard to age, the PUK provides integrated and the LKH separated care. Mean patients' age decreased. Compulsory admissions according to state laws decreased significantly. Specialist treatment before admission decreased. Premedication showed a dramatic decrease of antidementia drug treatment and a nearly unchanged high rate of prescriptions of antipsychotics and benzodiazepines. With a lower age and lower rate of specialist treatment we could not find signs of a better outpatient care preceding hospital admission during follow-up.