Lorenzen H
Psychiatr Prax. 1982 Nov;9(6):193-6.
In January 1980 a Psychiatric Department was established at the General Hospital for decentralised psychiatric treatment of inpatients. The article describes the preparatory planning which went into the concept of the Department. First of all, the Hospital is scheduled to look after a district with a population of 110,000. If patients are in need of psychiatric inpatient treatment, they are not selected according to diagnostic or other criteria. In connection with the Federal German Government's "Psychiatric Key Plan" the hospital set up an outpatient department and--financed at its own cost and from own resources--a psychosocial contacting department, a temporary and permanent home, decentralised sociopsychiatric services located in the community itself, and other projects. The article then describes the treatment concept which includes, besides psychosomatic and sociopsychiatric elements, psychotherapeutic aspects as well, the latter having a point of emphasis in group therapy. Finally, the article underlines fundamental concepts regarding the problem of co-operation with a large psychiatric hospital. It is pointed out that it will be necessary to develop a comprehensive treatment concept so that it becomes possible to find out for each patient which type of treatment and care will be most appropriate in his particular case both as regards outpatient and hospital treatment.
1980年1月，综合医院设立了精神科，用于对住院患者进行分散式精神科治疗。本文描述了该科室概念形成过程中的筹备规划。首先，该医院计划服务一个拥有11万人口的地区。如果患者需要精神科住院治疗，不会根据诊断或其他标准进行挑选。结合联邦德国政府的“精神科重点计划”，医院设立了一个门诊部，并自费且自筹资金设立了一个心理社会联络部、一个临时和永久性住所、位于社区内的分散式社会精神科服务以及其他项目。本文接着描述了治疗理念，除了身心和社会精神科元素外，还包括心理治疗方面，后者在团体治疗中具有重点地位。最后，本文强调了与一家大型精神病医院合作问题的基本理念。指出有必要制定一个全面的治疗理念，以便能够针对每位患者确定哪种治疗和护理在其特定情况下对于门诊和住院治疗都是最合适的。
