Zusammenfassung
Anliegen und Methode: Der Hilfebedarf 116 ehemaliger psychiatrischer Langzeitpatienten wurde durchschnittlich
42,9 Monate nach der Entlassung mit dem „Berliner Bedürfnisinventar” erhoben. Ergebnisse: Aus der Sicht der Betreuer benötigten die Patienten im Durchschnitt in 10 von 16
Lebensbereichen Unterstützung, aus der Sicht der Patienten in 7,3 Lebensbereichen.
In nahezu allen Lebensbereichen wurden mehr als 90 % des Hilfebedarfs gedeckt. Schlussfolgerungen: Der Hilfebedarf der ehemaligen Langzeitpatienten wurde überwiegend erfüllt. Die Patienten
waren ihrem Betreuungsbedarf entsprechend untergebracht.
Abstract
Objective: The aim of this study was to assess the needs for care of 116 former long-stay patients
during the first 42.9 months after discharge. Method: Patients and mental health professionals rated needs using the „Berliner Bedürfnisinventar”
(Berlin Needs for Care Inventory). Results: Out of a total of 16 needs areas, patients reported a mean number of 7.6 needs, therapists
reported 10 needs. Patients with lower global functioning scores showed a significantly
lower number of needs, while patients living in psychiatric nursing homes and patients
with learning disabilities had a significantly higher number of needs. In most areas,
agreement between patients' and therapists' assessment was good to moderate. In most
areas the rate of unmet versus total needs was above 90 %. Patients received help
almost exclusively from institutions or mental health services. Conclusion: The care needs of discharged patients were generally met and placement in institutions
was considered appropriate.
Literatur
1
Kilian R, Bernert S, Matschinger H, Mory C, Roick C, Angermeyer M C.
Die standardisierte Erfassung des Behandlungs- und Unterstützungsbedarfs bei schweren
psychischen Erkrankungen.
Psychiat Prax.
2001;
28
79-83
2
McCrone P, Leese M, Thornicroft G, Schene A H, Knudsen H C, Vazquez-Barquero J L,
Lasalvia A, Padfield S, White I R, Griffiths G.
Reliability of the Camberwell Assessment of Need-European Version. EPSILON Study 6.
European Psychiatric Services: Inputs Linked to Outcome Domains and Needs.
Br J Psychiatry Suppl.
2000;
39
34-40
3
Pryce I G, Griffiths R D, Gentry R M, Hughes I C, Montague L R, Watkins S E, Champney-Smith J,
McLackland B M.
The nature and severity of disabilities in long-stay psychiatric in-patients in South
Glamorgan.
Br J Psychiatry.
1991;
158
817-821
4
Vieten B, Brinkmann H.
Zufriedenheit der Angehörigen im Prozess der Deinstitutionalisierung.
Psychiat Prax.
2000;
27
221-227
5
Priebe S, Gruyters T, Heinze M, Hofmann C, Jäkel A.
Subjektive Evaluationskriterien in der psychiatrischen Versorgung - Erhebungsmethoden
für Forschung und Praxis.
Psychiat Prax.
1995;
22
140-144
6
Hoffmann K, Priebe S.
Welche Bedürfnisse nach Hilfe haben schizophrene Langzeitpatienten? - Probleme der
Selbst- und Fremdbeurteilung von „Needs”.
Fortschr Neurol Psychiat.
1996;
64
473-481
7
Haaster I van, Lesage A D, Cyr M, Toupin J.
Problems and needs for care of patients suffering from severe mental illness.
Soc Psychiatry Psychiatr Epidemiol.
1994;
29
141-148
8
Beecham J, Knapp M, Fenyo A.
Costs, needs and outcomes.
Schiz Bull.
1991;
17
427-439
9
Lesage A D, Morisette R, Fortier L, Reinharz D, Contandriopoulos A-P.
Downsizing psychiatric hospitals: Need for care and services of current and discharged
long-stay inpatients.
Can J Psychiatry.
2000;
45
526-531
10
Hoffmann K, Priebe S, Isermann M, Kaiser W.
Lebensqualität, Bedürfnisse und Behandlungsbewertung langzeithospitalisierter Patienten.
Psychiat Prax.
1997;
24
221-226
11
Cohen A, Eastman N.
Needs assessment for mentally disordered offenders: measurement of „ability to benefit”
and outcome.
Br J Psychiatry.
2000;
177
493-498
12
Hansson L, Vinding H R, Mackeprang T, Sourander A, Werdelin G, Bengtsson-Tops A, Bjarnason O,
Dybbro J, Nilsson L, Sandlund M, Sorgaard K, Middelboe T.
Comparison of key worker and patient assessment of needs in schizophrenic patients
living in the community: a Nordic multicentre study.
Acta Psychiatr Scand.
2001;
103
45-51
13
Kallert T W, Leisse M.
Schizophrenic patients' normative needs for community-based psychiatric care: an evaluative
study throughout the year following hospital release in the Dresden region.
Soc Psychiatry Psychchiatr Epidemiol.
2001;
36
1-12
14
Lasalvia A, Ruggieri M, Mazzi M A, Dall'Agnola R B.
The perception of needs for care in staff and patients in community-based mental health
services. The South-Verona outcome project 3.
Acta Psychiatr Scand.
2000;
102
366-375
15
Haberfellner E M, Grausgruber A, Grausgruber-Berner R, Ortmair M, Schöny W.
Die Enthospitalisierung psychiatrischer Langzeitpatienten in Oberösterreich - Soziodemografische
und klinische Daten.
Psychiat Prax.
2004;
31
192-197
16 American Psychiatric Association DSM IV .Diagnostic and Statistical Manual of Mental
Disorders 4th edition. Washington DC; APA 1994
17
Phelan M, Slade M, Thornicroft G, Dunn G, Holloway F, Wykes T, Stathdee G, Loftus L,
McCrone P, Hayward P.
The Camberwell Assessment of Need: The validity and reliability of an instrument to
assess the needs of people with severe mental illness.
Br J Psychiatry.
1995;
167
589-595
18 Holm K. ALMO Statistik-System Handbuch,. Linz; Universität Linz Eigenverlag 2002
19
House A, House B, Campbell M.
Measures of inter-observer agreement: calculation formulas and distribution effects.
J Behav Assess.
1981;
1
37-57
20
Leese M, Johnson S, Slade M, Parkman S, Kelly F, Phelan M, Thornicroft G.
User perspective on needs and satisfaction with mental health services. PRiSM Psychosis
Study 8.
Br J Psychiatry.
1998;
173
409-415
21
Wiersma D, Busschbach J van.
Are needs and satisfaction of care associated with quality of life? An epidemiological
survey among the severely mentally ill in the Netherlands.
Eur Arch Psychiatry Clin Neurosci.
2001;
251
239-246
22
Busschbach J van, Wiersma D.
Does rehabilitation meet the needs of care and improve the quality of life of patients
with schizophrenia or other chronic mental disorders?.
Community Ment Health J.
2002;
38
61-70
Dr. Egon Michael Haberfellner
Rehabilitationszentrum für psychosoziale Gesundheit Pro Mente Oberösterreich
Parkstraße 5
4540 Bad Hall · Österreich
eMail: haberfellnerem@promenteooe.at