Objective: The variety of institutional treatments in psychiatry, as well a
s financial aspects make it necessary to evaluate these institutions for th
e quality of their medical care. At the Central Institute of Mental Health
in Mannheim, the quality of treatment at the gerontopsychiatric day-clinic
is assessed on the level of outcome quality. Method: The patients are exami
ned at admission, at discharge, half a year and one year after discharge. P
sychopathology, activities of daily living, social situation and quality of
life are assessed by means of standardized instruments. Results: Prelimina
ry results show that at discharge, patients are less depressed, have achiev
ed a higher level of social activities and contacts and that their quality
of life improved in most domains. In some domains of quality of life improv
ement is highly correlated with the amelioration of depressive symptoms, in
others not. Conclusion: Whether these effects of treatment will last, has
to be studied in follow-up examinations.