Steinkamp G, Netz P, Werner B
Fakultät für Soziologie, Universität Bielefeld.
Gesundheitswesen. 1996 Sep;58 Suppl 2:132-8.
Gerontopsychiatric centres are functional settings which provide mainly out-patient care for mentally ill elderly persons. The centres were established in order to transfer the care of mentally ill elderly people from in-patient to out-patient care. This study examines to which extent this goal can be reached and where the limits of this transfer are. Two regions, the city of Bielefeld without gerontopsychiatric centre and the Gütersloh district with such a centre, were compared. It was shown that a transfer from intramural to extramural care was successfully accomplished by gerontopsychiatric centres. The transfer is scarcely limited by kind and severity of the disorder. Often an informal network is necessary for an out out-patient or partially out-patient care. But also with weak networks out-patient care is possible if there is a good-functioning formal network. Gerontopsychiatric centres constitute a central structural element in community-oriented care of the mentally ill elderly. They can help to realize the goal of a self-determinant and independent life.
老年精神科中心是主要为老年精神病患者提供门诊护理的功能性机构。设立这些中心是为了将老年精神病患者的护理从住院护理转为门诊护理。本研究探讨了这一目标能在多大程度上得以实现以及这种转变的局限在哪里。对两个地区进行了比较，一个是没有老年精神科中心的比勒费尔德市，另一个是设有此类中心的 Gütersloh 区。结果表明，老年精神科中心成功地实现了从机构内护理到机构外护理的转变。这种转变几乎不受疾病种类和严重程度的限制。对于门诊或部分门诊护理而言，非正式网络常常是必要的。但即便网络薄弱，如果有运作良好的正式网络，门诊护理也是可行的。老年精神科中心是社区导向型老年精神病护理的核心结构要素。它们有助于实现自主和独立生活的目标。
