Steinhart I, Bosch G
Z Gerontol. 1984 Nov-Dec;17(6):367-72.
The possibilities as well as the limits of day-hospital treatment for elderly mentally ill patients are described, using as a basis a general survey on the situation of psychiatric day-hospitals in the Federal Republic of Germany and West Berlin. As of July 1, 1982, there were at least seven day-hospitals specializing in psychogeriatric patients, whereas a further eight institutions admitted elderly mentally ill patients as well as the usual patients. For all these day-hospitals a review of the current status is given regarding funds, size of program, integration into the existing network of psychiatric services, referral sources, the individual programs perceived mission, clientele, exclusionary criteria, duration of stay, therapeutic activities and staffing. Finally problems such as indication, clientele and delimitation of other ways of treatment are discussed. Questions are asked with regard to the purpose and the necessity of specialized psycho-geriatric partial hospitalization programs.
本文以对德意志联邦共和国和西柏林精神病日间医院状况的全面调查为基础,描述了老年精神病患者日间医院治疗的可能性和局限性。截至1982年7月1日,至少有七家专门收治老年精神病患者的日间医院,另有八家机构除收治普通患者外,也收治老年精神病患者。针对所有这些日间医院,本文对其资金、项目规模、融入现有精神病服务网络的情况、转诊来源、各项目所认知的使命、服务对象、排除标准、住院时间、治疗活动和人员配备等现状进行了综述。最后讨论了诸如适应症、服务对象以及与其他治疗方式的界限等问题。文中还就专门的老年精神病部分住院治疗项目的目的和必要性提出了疑问。