Indication for Inpatient Psychosomatic Rehabilitation in Primary Care Patients with Chronic Mental Disorders and Participation Impairments

Die Rehabilitation
Beate Muschalla, Michael Linden

Abstract

Mental disorders often result in social and occupational participation restrictions, which may be an indication for an inpatient psychosomatic rehabilitation treatment. These patients are usually treated by general practitioners, who function as an important gate keeper in the pathway to rehabilitation treatment. The question is which patients receive an inpatient treatment, and which do not. A prototypically representative sample of 307 patients with chronic mental disorders from 40 general practitioners were examined by a psychosomatic consultant. The investigation included the medical history, treatment status, illness status, capacity status and participation impairment. The psychosomatic consultant gave a recommendation whether an inpatient rehabilitation was indicated or not. 64% of the patients with chronic mental disorder had not received an inpatient rehabilitation in the past 5 years and there was no present indication. In 5.2% of cases an inpatient rehabilitation had been done before, but there was no indication for a renewal. In 27% there was no rehabilitation in the past five years but now seen indicated. In 3.6% there was an inpatient rehabilitation in the past and a renewed indication now. Patients who had alread...Continue Reading

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