The article describes the cooperation of a Department of Psychiatry with an old @entity1 's center or a home for the aged, and the possibilities and difficulties experienced during such cooperation over a period of five years. The starting point of this co-operation was that both institutions required one another for coping with their work. We tried to make a virtue of necessity. Of course it would not be easy to transfer our kind of cooperation to any other institution. However, we would point out the following problems of cooperation and the developments experienced by us: An old @entity1 's home with care facilities is suitable as a complementary to a @entity146 hospital for the continuing treatment of very aged @entity1 who are severely @entity716 . In an old @entity1 's home with nursing facilities it should certainly be possible to translate into reality a comprehensive @entity146 care programme besides drug therapy, if the personnel is properly instructed and the ensuing conflicts are mastered, although the scope is bound to be limited by shortage of personnel. Instructions can consist of team discussions on individual cases, consultation hours, and emergency services; time must be allowed to help the @entity1 as well as to advise the nurses. Such cooperation can be financed (in the Federal Republic of Germany) on the one hand by sickness insurance payments of medical services rendered to the @entity1 , and on the other hand by a lumpsum to be included in the fees charged by the home, although such lumpsums cannot unfortunately cover all the activities and therapy group costs in a satisfactory way. Almost all the inmates of an old @entity1 's nursing home display some @entity146 , although only about one-half of them require direct @entity146 treatment. The remaining @entity1 can be stabilised by means of comprehensive @entity146 care based on an understanding of their conflicts and difficulties. Development of such cooperation between @entity146 hospital and old @entity1 's nursing home is not continuous. It takes place phasewise, frustration alternating with effectivity. The article describes the course of such development in detail.(ABSTRACT TRUNCATED AT 400 WORDS)

["Turning trouble into virtue"--5 years of cooperation of a XXXX department with a center for the elderly and home for the aged].

@entity1 :: ('9606', 'Species') :: ['patients', 'people'] @entity716 :: ('MESH:D011605', 'Disease') :: ['psychotic'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric', 'psychiatric abnormalities']
@entity146 :: (MESH:D001523,Disease) :: ['psychiatric']
