Müller H
Psychiatrischen Klinik Schlössli, Oetwil am See/Schweiz.
Psychiatr Prax. 1987 Nov;14(6):199-202.
The geronto-psychiatric departments of the Klinik Schlössli are run on the principles of milieu therapy. The family therapeutic approach brought additional points of emphasis: the patient, although committed to a hospital, still belongs to a family; the hospitalized patient too is a member of the society. As a consequence of this approach, the family interview is used to serve the wellbeing of the entire family. Patient as well as relatives are prepared for the hospitalization, guilt feelings are dealt with, family problems worked through, new life phases for patient and relatives are planned. Possibilities for strengthening the family's relation with patient as well as institution are discussed, practical help initiated to relieve special pressures; even marital problems of the old couple are addressed. The hospital has developed definite admission procedures: After an initial visit by family members in the hospital, the patient is visited by collaborators of the institution. Following this or immediately after admission, a family interview takes place. Additional meetings with the family or part of it follow if indicated.
施洛斯利诊所的老年精神科按照环境疗法的原则运作。家庭治疗方法带来了更多重点：患者虽住院，但仍属于家庭；住院患者也是社会成员。基于这种方法，家庭访谈用于促进整个家庭的福祉。患者及其亲属都为住院做好准备，处理内疚感，解决家庭问题，规划患者及其亲属的新生活阶段。讨论加强家庭与患者及机构关系的可能性，提供实际帮助以减轻特殊压力；甚至老年夫妇的婚姻问题也会得到解决。医院制定了明确的入院程序：家庭成员首次到医院探视后，机构工作人员会对患者进行探视。在此之后或入院后立即进行家庭访谈。如有必要，还会与家庭或其部分成员进行额外会面。
