M Bauer1, H Kunze, M Von Cranach, J Fritze, T Becker. 1. Klinik für Psychiatrie und Psychotherapie, Städtische Kliniken Offenbach, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universität, Offenbach am Main, Germany. mbauer.psych-of@gmx.de
Abstract
OBJECTIVE: To describe the ongoing process of German psychiatric reform and the structure and functioning of mental health services. METHOD: Information sources used include official reports describing mental health services, relevant publications related to organization and functioning of services. RESULTS: There has been far-reaching change in mental health care since the late 1960s: psychiatric hospitals have lost about 50% of their beds and one psychiatric hospital has been closed. One hundred and sixty-five general hospital psychiatric units have been built up. Out-patient, community and residential services have been developed. There is a lack of diversified residential and rehabilitation services, particularly for the most severely ill. Co-ordination of care is not always ensured, transfer of patients to remote nursing homes has occurred in some places. Carers and service users articulate their views to an increasing degree. CONCLUSION: Political and professional enthusiasm have been important in implementation of the German reform. Evolving it further will require major efforts.
OBJECTIVE: To describe the ongoing process of German psychiatric reform and the structure and functioning of mental health services. METHOD: Information sources used include official reports describing mental health services, relevant publications related to organization and functioning of services. RESULTS: There has been far-reaching change in mental health care since the late 1960s: psychiatric hospitals have lost about 50% of their beds and one psychiatric hospital has been closed. One hundred and sixty-five general hospital psychiatric units have been built up. Out-patient, community and residential services have been developed. There is a lack of diversified residential and rehabilitation services, particularly for the most severely ill. Co-ordination of care is not always ensured, transfer of patients to remote nursing homes has occurred in some places. Carers and service users articulate their views to an increasing degree. CONCLUSION: Political and professional enthusiasm have been important in implementation of the German reform. Evolving it further will require major efforts.
Authors: Sebastian von Peter; Lena Göppert; Jenny Ziegenhagen; Timo Beeker; Rosa Glück; Birte Groth; Uwe Groß; Arne Reinholdt; Robin Boerma; Matthias Heißler; Juri Habicht; Julian Schwarz Journal: Front Psychiatry Date: 2021-04-23 Impact factor: 4.157
Authors: Stefan M Bartusch; Bernd R Brüggemann; Hermann Elgeti; Marc Ziegenbein; Wielant Machleidt Journal: Clin Pract Epidemiol Ment Health Date: 2007-11-26