Indication of different forms of therapy in long-term in-patient treatment.

The contribution presented attempts to demonstrate disturbance characteristics in children who are used in practice as differential indication criteria in the choice between medical-pedagogical and psychotherapeutic methods of treatment. 171 of a total of 238 children in a medical-pedagogical/psychotherapeutic children's home were examined; these children were discharged between the foundation of the institution in 1968 and July 1987. Apparently, the presence of a partial performance weakness, a hyperkinetical/development-dependent or dissocial disturbance as well as a disturbance of the central nervous system can be regarded as indicators for medical-pedagogical measures, the diagnosis of a neurotic/emotional disturbance as well as at least average intelligence level as indication criteria for an analytical child therapy. The disturbance conditions found correspond with the indicators for a medical-pedagogical and/or psychotherapeutical treatment described in specialist literature. Moreover, the success quota was compared with the remission rate known in child psychiatric practice.