[Patients with mental retardation in a psychiatric hospital].
ABSTRACT Because only few data are available, inpatient care of patients with mental retardation was evaluated to get a valid data base concerning quality and quantity of care and to reveal their deficits.
All patients with first admission to a psychiatric hospital between 1996 and 2002 were included in te cohort study (n=9727). The analyses were based on the psychiatric basis documentation system (DGPPN-BADO). 192 patients (2%) had the diagnosis of a mental retardation according to ICD-10.
62% of patients suffered from a mild (F70), 26% from a moderate (F71) and 9% from a severe mental retardation (F72). The most frequent comorbid disorders were disruptive behaviour disorders, adjustment disorders, alcohol-related disorders, Schizophrenia and mood disorders. Mean length of stay was 34.8 days, rate of rehospitalisation within one year was 0.3. GAF improved on 11.8, CGI (improvement scale) was 3.4. Some predictors for these outcome criteria could be revealed.
The data allow a depth insight into inpatient care of patients with mental retardation. They deliver important clues for quality improvement in psychiatric hospital and for collaboration with outpatient services.
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ABSTRACT: The German mental healthcare system is currently undergoing discussions regarding the assessment of mental healthcare quality and the identification of potentials for optimizing mental healthcare. Quality assurance projects play an important role in the optimization of the care for the mentally ill in Germany. This review describes the most recent results of quality assurance programs from Germany as identified by a systematic literature search covering the time span 1 January 2008 until 1 June 2009. The German mental healthcare system is characterized by a high degree of structural quality. Quality assurance research in German mental healthcare is multifaceted and several projects are underway to determine the cost-effectiveness of procedures in mental healthcare and the development of quality indicators. In Germany, mental healthcare research is a rapidly developing field. Potentials for improvements can be identified in the assessment of process and outcome quality, the regional distribution, and the coordination among service providers. More studies are needed to identify the best methods to assess quality in mental healthcare with a view to improve process and outcome quality.Current opinion in psychiatry 09/2009; 22(6):636-42. DOI:10.1097/YCO.0b013e3283317c00 · 3.55 Impact Factor
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ABSTRACT: The transition from residential facilities to and from the psychiatric hospital setting is difficult for individuals with intellectual disabilities (ID). In the U.S.A., specialized psychiatric units for individuals with ID are uncommon and this population is usually served in generalized services. Nevertheless, providers of mental health services in the U.S.A. receive little training in their specific needs. Best practices call for coordination of plans between psychiatric units and community agencies, multidisciplinary care plans, staff education and comprehensive discharge planning in order to improve outcomes of psychiatric hospitalization. An inner city psychiatric unit in a major academic medical centre and a community agency providing residential care for individuals with ID cooperated to provide a plan of care for a client with ID both for hospitalization and for discharge leading to improved outcomes.Journal of Psychiatric and Mental Health Nursing 07/2011; 19(3):248-56. DOI:10.1111/j.1365-2850.2011.01775.x · 0.98 Impact Factor