‘Treated and promoted or detained and left behind’ – seven years of intensive psychiatric care for residents of a psychiatric home

Background/Objectives: Deinstitutionalisation of long-term psychiatric inpatients in Germany not seldom led to a trans-institutionalisation into residential care facilities. There is scarce literature on the quality and the effectiveness of the psychiatric treatment provided in this facilities. Methods: Data on the type, dosage, and costs of psychiatric and somatic medication, the number, duration, costs of psychiatric in- and outpatient treatment have been collected for all 92 inhabitants of a psychiatric nursing home on an annual basis. Global functioning of patients has been assessed at the beginning and end…