Hostname: page-component-7c8c6479df-7qhmt Total loading time: 0 Render date: 2024-03-28T03:22:23.144Z Has data issue: false hasContentIssue false

Rehabilitation and Institutionalisation in Community Care in West Germany

Published online by Cambridge University Press:  29 January 2018

Heinrich Kunze*
Affiliation:
Psychiatrisches Krankenhaus Merxhausen, 3501 Emstal/Kreis Kassel, West Germany

Abstract

This study examines the quality of residential care in non-psychiatric nursing homes and psychiatric group homes for a representative epidemiologically-based sample of patients discharged from a psychiatric hospital in West Germany. There were twice as many chronically ill patients in sheltered accommodation as in hospital, 85% of them in nursing homes, which scored badly on all measures of therapeutic environment. This poverty of social environment was correlated with severity of symptoms for schizophrenics, especially with flatness of affect and poverty of speech. Nursing homes were just as likely as hospitals to promote chronic illness and hinder rehabilitation.

Type
Papers
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Apte, R. Z. (1968) Halfway Houses (Occasional Papers on Social Administration, Nr. 27). London: G. Bell.Google Scholar
Enquete-Kommission (1975) Bericht über die Lage der Psychiatrie in der Bundesrepublik Deutschland. Deutscher Bundestag Drucksache 7/4200 und 4201.Google Scholar
Kitzig, P. (1980) Betreuungsformen chronisch psychisch Kranker ausserhalb des psychiatrischen Krankenhauses. Psychiatrische Praxis, 7, 212222.Google Scholar
Kunze, H. (1981a) The mentally ill and disabled in the light of the reform in psychiatric care In Proceedings of the Third European Regional Conference of Rehabilitation, 6–10 April 1981, Vienna, Austria. Pub. Vienna: Austrian Workers' Compensation Board.Google Scholar
Kunze, H. (1981b) Psychiatrische Ubergangseinrichtungen und Heime. Stuttgart: Enke.Google Scholar
Reimer, F. (1977) Die Psychiatrie-Reform am psychiatrischen Krankenhaus. Nervenarzt, 48, 303309.Google Scholar
Wing, J. K. (1961) A simple and reliable subclassification of chronic schizophrenia. Journal of Mental Science, 107, 862865.CrossRefGoogle ScholarPubMed
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.