Wolter-Henseler D K
Westfälische Klinik für Psychiatrie und Psychotherapie Abteilung Gerontopsychiatrie Friedrich-Wilhelm-Weber-Strasse 30 D-48147 Münster.
Z Gerontol Geriatr. 2000 Dec;33(6):471-9. doi: 10.1007/s003910070021.
A comprehensive survey of psychogeriatric services was carried out as a part of public health planning in Solingen, a city of 165,000 inhabitants. The investigations consisted of extensive questionnaires and numerous interviews. Mental disorders are suspected in 15-20% of general practitioner's patients, in 62% of community health care center clients and in 65.5% of the residents of geriatric nursing homes and old people's homes. Hardly half of the latter and less than 20% of the clients of community health care center are under psychiatric treatment. Psychiatrists reach only about half as many elderly persons as must be expected from epidemiological data; the rate of clinical psychogeriatric treatment is lower than in some other German regions. The extend of psychotherapy in old age is very low. Collaboration between general practitioners and psychiatrists should be improved; in institutions training and supervision are deficient.
作为对拥有16.5万居民的索林根市公共卫生规划的一部分，开展了一项针对老年精神科服务的全面调查。调查包括广泛的问卷调查和大量访谈。全科医生的患者中有15% - 20%疑似患有精神障碍，社区医疗中心的服务对象中有62%，老年疗养院和养老院的居民中有65.5%。后者中接受精神科治疗的不到一半，社区医疗中心的服务对象中接受治疗的不到20%。精神科医生接触到的老年人数量仅约为流行病学数据预期数量的一半；临床老年精神科治疗率低于德国其他一些地区。老年心理治疗的普及程度非常低。全科医生和精神科医生之间的合作应予以改善；在机构中，培训和监督存在不足。
