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[The third pillar of psychiatric health care reform].
Psychiatr Prax. 2003 Sep; 30(6):318-25.PP

Abstract

OBJECTIVE

Coordination of all psychiatric services is essential for the successful implementation of community oriented services, particularly in a decentralised health system like the one in Germany. This study investigates which mechanisms are implemented for coordinating and planning psychiatric services throughout the 16 German States (Länder).

METHOD

Analysing mental health legislation and policy documents of the States. Guided expert interviews with the psychiatry departments of the State governments.

RESULTS

Coordinating and planning panels exist in all States on district level and in most States on State level for various tasks. Most of these mechanisms are implemented without legal obligation. 4 States have a mental health evaluation panel, which scrutinises all psychiatric services once a year and reports publicly to the government. 12 States have a mental health legislation and 13 States published a central psychiatric planning document.

CONCLUSION

The continous implementation of mechanisms for coordinating and planning psychiatric services in the German States represent the dynamics of psychiatric reforms there. The effect of these mechanisms on the implementation of community oriented psychiatric care should be subject to further research.

Authors+Show Affiliations

Abteilung Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, Germany. bramesfeld.anke@mh-hannover.deNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

12970817

Citation

Bramesfeld, Anke, and Matthias Wismar. "[The Third Pillar of Psychiatric Health Care Reform]." Psychiatrische Praxis, vol. 30, no. 6, 2003, pp. 318-25.
Bramesfeld A, Wismar M. [The third pillar of psychiatric health care reform]. Psychiatr Prax. 2003;30(6):318-25.
Bramesfeld, A., & Wismar, M. (2003). [The third pillar of psychiatric health care reform]. Psychiatrische Praxis, 30(6), 318-25.
Bramesfeld A, Wismar M. [The Third Pillar of Psychiatric Health Care Reform]. Psychiatr Prax. 2003;30(6):318-25. PubMed PMID: 12970817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The third pillar of psychiatric health care reform]. AU - Bramesfeld,Anke, AU - Wismar,Matthias, PY - 2003/9/13/pubmed PY - 2004/2/24/medline PY - 2003/9/13/entrez SP - 318 EP - 25 JF - Psychiatrische Praxis JO - Psychiatr Prax VL - 30 IS - 6 N2 - OBJECTIVE: Coordination of all psychiatric services is essential for the successful implementation of community oriented services, particularly in a decentralised health system like the one in Germany. This study investigates which mechanisms are implemented for coordinating and planning psychiatric services throughout the 16 German States (Länder). METHOD: Analysing mental health legislation and policy documents of the States. Guided expert interviews with the psychiatry departments of the State governments. RESULTS: Coordinating and planning panels exist in all States on district level and in most States on State level for various tasks. Most of these mechanisms are implemented without legal obligation. 4 States have a mental health evaluation panel, which scrutinises all psychiatric services once a year and reports publicly to the government. 12 States have a mental health legislation and 13 States published a central psychiatric planning document. CONCLUSION: The continous implementation of mechanisms for coordinating and planning psychiatric services in the German States represent the dynamics of psychiatric reforms there. The effect of these mechanisms on the implementation of community oriented psychiatric care should be subject to further research. SN - 0303-4259 UR - https://www.unboundmedicine.com/medline/citation/12970817/[The_third_pillar_of_psychiatric_health_care_reform]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2003-42165 DB - PRIME DP - Unbound Medicine ER -