Rössler W, Häfner H, an der Heiden W, Jung E, Martini H
Zentralinstitut für Seelische Gesundheit, Mannheim.
Psychiatr Prax. 1988 Jul;15(4):109-14.
Care of aged mentally diseased patients is one of the subjects whose reform had been underlined as particularly urgent in the 1975 report on the state of psychiatry in the Federal Republic of Germany. Whereas in psychiatric hospitals there is now evidence of a growing trend to reduced hospital stay and to readmission after a period of release, no change seems to be in sight in respect of caring for the aged on an outpatient basis. The financial losses suffered by public health care organisations for aged mental outpatients have resulted in housing an increasing number of mentally ill persons of old age in homes for the aged, instead of caring for them as psychiatric outpatients. Since more and more aged persons will be represented among the population in future, it is more than ever before imperative to arrive at suggestions for a feasible solution. The article reviews the present situations (including acceptance of existing institutions by the aged) and explains the importance of public social care units in outpatient care of elderly people. The assessment was made by means of an official questionnaire operation in the Land of Baden-Württemberg. Efforts are suggested in respect of revised basis rules of organisation and staff to improve public outpatient gerontopsychiatric care.
老年精神病患者的护理是1975年德意志联邦共和国精神病学状况报告中特别强调需要进行紧急改革的主题之一。如今在精神病医院，有证据表明住院时间缩短以及出院一段时间后再次入院的趋势日益明显，但在门诊护理老年人方面似乎没有什么变化。公共卫生保健机构在老年精神科门诊患者身上遭受的经济损失，导致越来越多的老年精神病患者被安置在养老院，而不是作为精神科门诊患者进行护理。由于未来老年人口在总人口中的占比将越来越大，因此比以往任何时候都更迫切需要提出可行的解决方案建议。本文回顾了当前状况（包括老年人对现有机构的接受情况），并阐述了公共社会护理单位在老年人门诊护理中的重要性。评估是通过在巴登-符腾堡州进行的官方问卷调查来进行的。建议在修订组织和人员的基本规则方面做出努力，以改善公共老年精神科门诊护理。
