[What Expectations do Mental Disordered People have about the Treatment in an Psychiatric Hospital?]

Patiens are mostly passive utilizer of the health-care-system. They are confronted with a supply of medical service and they are allowed to show their satisfaction with it retrospectively. Our medical system has in future to develope itself from an effective perspective to an utilizer orientated medicine. Orientation to the utilizers means to ask for the expectations of the patients for supply (at customer's option). Aim of our investigation was to check the subjective expectations of the patients before the beginning of in-patient treatment: 1. What is their opinion about the label of the disorder, they are suffering. 2. Of what therapeutic measures do they expect help for theirselves. 3. Do they want to play a part in planning of therapeutic measures. 209 of 344 (61 %) of the patients were at admission ready for answering a self designed questionnaire. Only 4 % of the patients said, that their disorder is called insanity. They preferred labels like mental illness (45 %), somatic illness (43 %) and mental health problem (42 %). A pharmacological therapy expected in totally 61 % of the patients. Mostly were expected drugs against depressive disorders (32 %), drugs against addiction (31 %) and tranquilizers (29 %). Only 10 % of the patients expected to get antipsychotic drugs. A verbal therapeutic intervention expected 76 % of the patients. To have a speak with the doctor is with 69 % a first rank desire, followed by speaking with the psychologist (60 %), the nurses (58 %) and the patients comrades (56 %). Psychotherapy in a narrower sense expect only 40 % of the patients. Furthermore there are privacy and recreation throug promenades in front of the expectations (69 %), followed by relaxation (59 %), occupational therapy (55 %) and sports or acitive exercise therapy (54 %). 75 % of the patients want to be informed about the therapy. 69 % want to cooperate with planning of the therapy. Only 21 % commit the therapy to the doctor. About one third of the patients expect a consultation with their relatives, the custodians and their family doctor.