Linden M, Kemming M
Forschungsgruppe Ambulante Therapie an der Psychiatrischen Klinik und Poliklinik der FU Berlin.
Psychiatr Prax. 2000 Nov;27(8):406-11.
The need for psychiatric crisis services is generally accepted. Additional to traditional crisis clinics which are located in general or psychiatric hospitals in recent years also special community crisis services were implemented. The question is whether there are differences in patients and type of care between traditional and new services.
In this study empirical data are reported on reasons for contact, on patients and on interventions for a hospital based crisis clinic and a community crisis service. 132 service and 364 clinic contacts were recorded.
There were more neurotic patients in the community service and more psychotic patients in the clinic. In both services inpatient care had to be arranged in one third of the cases. In the hospital based crisis service fewer legal commitments were necessary. A speciality of the community crisis service is the possibility to look after patients in their homes.
Both services have similar features, but there are also differences which show that the new service offers new possibilities of care.
对精神科危机服务的需求已得到普遍认可。除了传统的位于综合医院或精神病医院的危机诊所外，近年来还实施了特殊的社区危机服务。问题在于传统服务与新服务在患者及护理类型方面是否存在差异。
本研究报告了基于医院的危机诊所和社区危机服务在接触原因、患者情况及干预措施方面的实证数据。记录了132次社区服务接触和364次诊所接触。
社区服务中的神经症患者更多，诊所中的精神病患者更多。在两种服务中，三分之一的病例都需要安排住院治疗。在基于医院的危机服务中，需要进行法律强制住院的情况较少。社区危机服务的一个特色是能够在患者家中对其进行照料。
两种服务有相似之处，但也存在差异，这表明新服务提供了新的护理可能性。
