Lehmkuhl D, Bosch G, Steinhart I
Sozialpsychiatrischen Dienstes, Gesundheitsamt Reinickendorf, Berlin.
Psychiatr Prax. 1987 Nov;14(6):192-8.
All 77 residents aged under 65 in geriatric nursing homes and homes for the elderly in the Berlin (W) district of Charlottenburg were assessed in regard to mental illness and impairment. Additionally, data were collected covering psychopathology, clinical and personal data, medical and social care as well as the extent of contacts to nonresidents and institutional setting. 85% of these younger residents-8% of the total residential population-proved to be mentally ill. Primarily, they suffered from addiction, schizophrenia or mental retardation. Projecting our results to the total residential population of Berlin living in such homes, 728 younger mentally ill or retarded patients or 0,5%o of the population aged under 65 would live in such institutions. These residents had histories of unfavorable living conditions and a long psychiatric case history with frequent hospitalization. Distinct differences in regard to patient data as well as settings were found among public, welfare and private institutions. Results are discussed and arguments for improving care of this population are presented.
对夏洛滕堡西区（西柏林）老年疗养院和养老院中所有77名65岁以下的居民进行了精神疾病和损伤评估。此外，还收集了涵盖精神病理学、临床和个人数据、医疗和社会护理以及与非居民接触程度和机构环境的数据。这些较年轻的居民中85%（占总居住人口的8%）被证明患有精神疾病。他们主要患有成瘾症、精神分裂症或智力障碍。将我们的结果推算到居住在这类机构中的柏林总居住人口，728名较年轻的精神病或智障患者，即65岁以下人口的0.5‰，将居住在这类机构中。这些居民有不利生活条件的历史，并且有很长的精神病史，经常住院。在公立、福利和私立机构之间，在患者数据以及机构环境方面发现了明显差异。对结果进行了讨论，并提出了改善对这一人群护理的论据。
