Kaiser W, Hoffmann K, Isermann M, Priebe S
Krankenhaus Spandau, Berlin.
Psychiatr Prax. 1998 Mar;25(2):67-71.
In a two-year follow-up we report on discharges in a cohort of 422 middle-term and long-term inpatients and prognoses of their psychiatrists and psychologists concerning time of discharge and location, after 50% long-term patients with a present stay of more than two years and 82% of middle-term patients (stay: 6-24 months) had been discharged. More than one-third of the long-term patients could be placed in sheltered accommodation, but 42% are still referred to nursing homes. All together 68% are still in institutional settings--either as inpatients or in nursing homes. Prognoses were not very reliable concerning the time of discharge but substantial with regard to placement in sheltered accommodation. This can be interpreted as a result of successful co-operation between inpatient and community-based services.
在为期两年的随访中，我们报告了422名中长期住院患者的出院情况，以及他们的精神科医生和心理医生关于出院时间和地点的预后情况。当时，50%住院时间超过两年的长期患者和82%住院时间为6至24个月的中期患者已经出院。超过三分之一的长期患者能够入住庇护性住所，但仍有42%被转至养老院。总体而言，68%的患者仍处于机构环境中——要么是住院患者，要么在养老院。关于出院时间的预后不太可靠，但在入住庇护性住所方面则较为显著。这可以解释为住院服务与社区服务成功合作的结果。
