[The need and actually successful work-related rehabilitation measures for first-admission psychiatric patients]. / Uber den Bedarf und die tatsächlich erfolgten berufsbezogenen Rehabilitationsmassnahmen bei ersteingewiesenen psychiatrischen Patienten.

Presented are the findings of a follow-up study of 258 psychiatric patients who had for the first time been admitted to inpatient psychiatric treatment in 1979. Using standardized forecasting instruments, the patients themselves, their treating physician, and a member of the care staff were asked to give their views of the patient's occupational outlook, his chances for resettlement, and the need for vocational rehabilitation services following discharge. The needs statements made at discharge are contrasted with the vocational and job-related rehabilitation measures actually initiated and carried out in the year following discharge; additionally, the patients' vocational situation at discharge is compared with their situation twelve months later, and the course of the rehabilitation measures provided is described. Along with the discrepancies between needs statements and amount of vocational rehabilitation services actually initiated and carried out, the empirical findings point to a non-specific, dispersive approach to providing rehabilitation services. The possible causes for this discrepancy between needs and service provision, with its rather serious implications, as well as the doubtful effectiveness of the rehabilitation services provided are discussed, practice-related consequences are outlined.

[Familial stresses as a sequel of psychiatric diseases in a relative. Results of an interview with relatives]. / Familiäre Belastungen als Folge psychischer Erkrankung eines Angehörigen. Ergebnisse einer Angehörigenbefragung.

The results of interviews with relatives of 179 patients committed to psychiatric treatment are reported. The relatives were interviewed in 1980, one year after discharge of the patient--who had been hospitalized for psychiatric problems for the first time--usually in the family setting. Our main interest was to investigate the concern of the relatives induced by the illness of a family member, and to take stock of the nature and extent of family stress at a relatively early stage of a psychiatric illness. We also wished to know what support the relatives had received, and from what sources, and from what other sources they would have wished such support. The results confirm what other investigators have suggested, i.e that community-centred care apparently leads to an increase in family stress, and that outpatient services and facilities have, to date, played a very minor role in overcoming the problems in the families of psychiatric patients.

[After care behavior of first-admission psychiatric patients during the year after their discharge]. / Das Nachsorgeverhalten ersteingewiesener psychiatrischer Patienten im Jahr nach ihrer Entlassung.

228 patients who had been admitted for the first time to a psychiatric hospital were questioned one year after their discharge in respect of the use they made of the medical and non-medical facilities or institutions. The article describes the actual state of affairs in the after-care behaviour of the psychiatric patients, and goes into details with regard to the diagnosis-specific differences in their behaviour. It is especially in this group of patients that a great demand exists with regard to treatment facilities. 90% of the patients have some kind of contact with our health system, and almost 3/4 have undergone treatment for mental disturbances. The main burden of medical outpatient follow-up of psychiatric patients continues to rest with the family physicians. This is equally true for almost all groups of diagnosed diseases. The patients with schizophrenic psychoses represent the only difference, since they will tend to preferably look up a neurologist for the treatment of their mental complaints.