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The extent of psychic and physical disturbances of patients admitted to the Center of Psychiatry in Frankfurt/M. because of organic psychosyndromes in the year 1988 was analysed. Especially the results of the hospital treatment and the proceeding mode of caretaking were examined. Usually an unspecific state of confusion was the main reason for admittance of most of the patients (n = 59). The majority of the patients suffered from a mid-ranged to marked state of dementia. The results of the treatment for these patients was highly significantly worse compared to patients admitted with a psychosis or a depressive syndrome. A non-significant statistical correlation was found for the results of the medical treatment and medical diseases. Concerning the treatment with psychic drugs a pragmatistic order was used. Analysing the results no advantage of a treatment with up to 4 different drugs compared to a monotherapy could be found. Patients who were not treated with psychic active substances tended to have a poorer outcome. At the end of the stay in the hospital 25.4% of patients were classified with a good outcome after treatment, 49.2% had a slight degree of recovery.

All patients admitted to the Frankfurt Psychiatric Clinic suffering from organic psycho-syndromes were studied in a transversal survey. It was intended to evaluate the importance of clinical treatment within the psychiatric care system of a major city including various aspects of the diseases, psychosociological determinants and the continuation of service for these patients following clinical treatment. For the transversal survey a questionnaire was developed to record the psychopathological syndrome on admission, the order to referring patients to the clinic, outcome of treatment and service following clinical care. Patients suffering from organic psycho-syndromes represent a small quota of 4.2% according to the total admission rate. Within the group of elderly patients over 65 years of age it is remarkable that more cases with an affective psychosis were admitted than with organic psycho-syndromes. This small group of patients is in regard to interdisciplinary diagnostical and therapeutical proposals according to a high rate of multiple morbidity of distinct importance. The results of the presented study indicate the necessity to intensify the efforts of cooperation of psychiatric clinic, nursing homes and ambulatory care services for elderly patients with organic psycho-syndromes.