[Differential indication of inpatient and day clinic treatment in psychosomatics].

Aim of the "DINSTAP"-study is to identify criteria that are of importance for a decision between inpatient or day clinic treatment in patients that are usually admitted to psychosomatic clinics in Germany. 299 inpatient and 268 day clinic treatment episodes from 10 clinics were included in the study. Next to basic data and diagnosis, severity of symptoms and impairment were evaluated (pre, post). A questionnaire was developed which includes aspects that are relevant for differential indication according to clinical experts. This questionnaire was filled out before admission. First results show that patients in both treatment settings were comparable concerning impairment at intake. Inpatients showed better improvement (SCL-90-R, GAF) over the course of treatment. Aspects like the necessity of relief from everyday tasks or a daily "training situation" at home allowed a prediction of therapist's decision for inpatient or day clinic treatment. Further detailed analyses are planned to answer the question of differential indication more comprehensively. Georg Thieme Verlag KG Stuttgart-New York.