Michaelis R, Crome B, Kulenkampff M, Schwartz R B
Psychiatr Prax. 1982 Nov;9(6):197-202.
Six years of experience in the psychiatric and neurologic department of the General Hospital at Itzehoe (122 beds, including 78 psychiatric patients and 44 neurological patients; 5 assistant physicians, 1 psychologist, 2 senior physicians, 1 Medical Director [Head]; 38 nurses, 1 social worker, 2 occupational therapists) allow us to summarize initially the efficiency of such an institution: A department like this is basically able to take over full responsibility for the psychiatric care of a community district including the town and adjacent areas of other districts (totalling 120,000 inhabitants). The prerequisites--as is the case in the Steinburg district--are that a hospital is available for patients with chronic mental diseases; close cooperation with an established sociopsychiatric service; and, last but not least, a possibility of transferring patients for the purpose of long-term rehabilitation and withdrawal treatment in relevant institutions. Hence, it is absolutely out of place to label such work performed by "small" departments as "gilded" or "miniature psychiatry". Such departments are increasingly becoming the representatives of a type of psychiatry which definitely has a future because it operates near the patients' domiciles. However, it will be necessary to revise the job schedules, since the number of personnel employed in this type of work is by no means sufficient for conducting a type of psychiatry which is in line with modern concepts and requirements.
在伊策霍综合医院的精神科和神经科工作了六年（该医院有122张床位，其中包括78名精神科患者和44名神经科患者；有5名助理医师、1名心理学家、2名主任医师、1名医务主任[负责人]；38名护士、1名社会工作者、2名职业治疗师），使我们能够初步总结这样一个机构的工作效率：这样一个科室基本上能够全面负责一个社区区域（包括城镇及其他区域的相邻地区，总人口12万）的精神科护理工作。其前提条件——就像施泰因堡地区的情况一样——是要有一家收治慢性精神疾病患者的医院；与成熟的社会精神病服务机构密切合作；最后但同样重要的是，要有将患者转至相关机构进行长期康复和戒毒治疗的可能性。因此，将“小”科室开展的此类工作称为“镀金”或“微型精神病学”是完全不合适的。这样的科室正日益成为一种精神病学类型的代表，这种类型的精神病学肯定是有前途的，因为它在患者住所附近开展工作。然而，有必要修订工作时间表，因为从事这类工作的人员数量远远不足以开展符合现代理念和要求的精神病学工作。
