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  Česky / Czech version Prakt. Lék., 2005, 85, No. 3, p. 159-164.
 
Rehabilitation and psychotherapy of patients suffering initial and chronic psychotic affections — Complex care at the day-patient community center "Fokus" 
KONEČNÝ M. 

Fokus Praha, Komunitní centrum Břevnov - denní stacionář a ateliér Extra-art
 


Summary:

       The objective of the present páper is to report on the seven-year on-going project support by inlernational grants, in which the author participates actively. In question is a program of regular rehabilitation and psy-chotherapeutic sojourns for patients suffering psychosis, which is whollysingular not only in the Czech republic but also in all of Europe. The project "Circus Therapy" applying elements of art-, music-, drama--therapy, physical exercise, and narrative therapy, is a component of complex care of the day-patienl center (DPC) "Fokus", Prague, and is focused indiscriminately on patients chronic psychotic disease as wcll as on patients suffering initial psychosis. Experience from the DPC "Fokus", Prague, confirms the results of a number of studies and reports in the literatuře according to which complex care in DPCs improves compliance in patients, improves their adherence to pharmacotherapy, lowers the number of relapses and so even of repeated hospitalization, and as a result reduces a great percentage of costs for the treatment of such patients. The author presents a review of the group of palients thal háve participated in the project "Circus Theara-py" within the years 1997 and 2004, arguing against the opinion that care in DPCs is not sufficiently pro-fessional from ťhe point of view evidence-based medicíně, and documents to the contrary that complex therapy of patients down with psychosis in DPCs is on a high professional level.

        Key words: : psychosis - intermediary care - day-patient center - psychotherapeutically and socially orien-ted psychiatry - neurobiology - circus therapy - family therapy - geslalt therapy - pharmacotherapy
       

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