Böcker F M, Höpfner K, Böcker A
Abteilung für Psychiatrie und Psychotherapie, Kreiskrankenhaus Saale-Unstrut Naumburg.
Fortschr Med. 1998 Sep 10;116(25):30-3.
Recently, the importance of psychiatric day hospital treatment is increasing in German psychiatry, as the regionalization and community-orientation of care advance and catchment areas become smaller. When a psychiatric department of a local general hospital is within easy reach of the patient's residence, the means for intensive treatment, as is available in a hospital, can be utilized during the day, while the patient spends a considerable amount of time (in fact, two thirds) in the familiar surroundings of his/her own home. This is applicable for many psychiatric conditions, including neuroses, personality disorders and psychosomatic diseases. As compared to conventional individual outpatient psychotherapy on the one hand and a distinct limited stay in a psychosomatic sanatorium far from home on the other hand, psychotherapy in a day hospital offers a promising additional way to provide effective and lasting professional help early and with a low threshold. The article summarizes the experience gained in a newly founded department of psychiatry and psychotherapy at a general hospital in one district of eastern Germany, where the staff is struggling to meet the needs of the catchment area in spite of a too small number of hospital beds.
近年来，随着医疗服务的区域化和社区化发展，以及服务覆盖区域的缩小，精神科日间医院治疗在德国精神病学领域的重要性日益凸显。当当地综合医院的精神科距离患者住所较近时，患者白天可以利用医院提供的强化治疗手段，而晚上则大部分时间（实际上是三分之二的时间）待在自己熟悉的家中。这适用于许多精神疾病，包括神经症、人格障碍和心身疾病。与传统的个体门诊心理治疗相比，一方面，它不同于远离家乡的身心疗养院中有限的住院治疗；另一方面，日间医院的心理治疗提供了一种很有前景的额外途径，能够以较低的门槛尽早提供有效且持久的专业帮助。本文总结了德国东部某地区一家综合医院新成立的精神科和心理治疗科所积累的经验，尽管病床数量过少，但该科室的工作人员仍在努力满足服务覆盖区域患者的需求。
