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[Mental health care in Austria: history--developments--perspectives].
Neuropsychiatr 2008; 22(4):230-42N

Abstract

The reform of psychiatric services in Austria started during the second half of the seventies of the 20th century. During the early phase the reform focussed on dehospitalization and principles of community psychiatry. About 60% of psychiatric hospital beds were closed and the size of psychiatric hospitals was reduced. One of the psychiatric hospitals was closed and psychiatric departments were opened as part of district general hospitals. During this time the number of psychiatric hospital admissions increased markedly and a large proportion of mentally ill are treated as inpatients in non-psychiatric wards. Only about a fifth of self-employed psychiatrists working in their own office have a contract with health insurances. In Austria, the number of psychotherapists is much higher than the number of psychiatrist. A variety of different types of community services provide social and vocational rehabilitation, focussing on consultation, housing, daily structure and employment. Psychiatric services are nowadays fragmented into a number of sub-disciplines such as psychosomatics or child and adolescent psychiatry. This fragmentation and the missing coordination of psychiatric services hamper the enhancements of psychiatric care. This complicates the development of integrated services, i.e. the structured and planned cooperation of the different types of services. Since there are no binding rules for the organisation and planning in entire Austria, financing and organisation of services is fragmented. For establishing an integrated health care, coordination and cooperation between providers, sponsors of health care as well as policy makers are essential.

Authors+Show Affiliations

Klinik für Allgemeine Psychiatrie und Sozialpsychiatrie, Department für Psychiatrie und Psychotherapie, Medizinische Universität Innsbruck. ullrich.meise@i-med.ac.atNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

19080994

Citation

Meise, Ullrich, et al. "[Mental Health Care in Austria: History--developments--perspectives]." Neuropsychiatrie : Klinik, Diagnostik, Therapie Und Rehabilitation : Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater, vol. 22, no. 4, 2008, pp. 230-42.
Meise U, Wancata J, Hinterhuber H. [Mental health care in Austria: history--developments--perspectives]. Neuropsychiatr. 2008;22(4):230-42.
Meise, U., Wancata, J., & Hinterhuber, H. (2008). [Mental health care in Austria: history--developments--perspectives]. Neuropsychiatrie : Klinik, Diagnostik, Therapie Und Rehabilitation : Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater, 22(4), pp. 230-42.
Meise U, Wancata J, Hinterhuber H. [Mental Health Care in Austria: History--developments--perspectives]. Neuropsychiatr. 2008;22(4):230-42. PubMed PMID: 19080994.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Mental health care in Austria: history--developments--perspectives]. AU - Meise,Ullrich, AU - Wancata,Johannes, AU - Hinterhuber,Hartmann, PY - 2008/12/17/entrez PY - 2008/12/17/pubmed PY - 2009/3/6/medline SP - 230 EP - 42 JF - Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater JO - Neuropsychiatr VL - 22 IS - 4 N2 - The reform of psychiatric services in Austria started during the second half of the seventies of the 20th century. During the early phase the reform focussed on dehospitalization and principles of community psychiatry. About 60% of psychiatric hospital beds were closed and the size of psychiatric hospitals was reduced. One of the psychiatric hospitals was closed and psychiatric departments were opened as part of district general hospitals. During this time the number of psychiatric hospital admissions increased markedly and a large proportion of mentally ill are treated as inpatients in non-psychiatric wards. Only about a fifth of self-employed psychiatrists working in their own office have a contract with health insurances. In Austria, the number of psychotherapists is much higher than the number of psychiatrist. A variety of different types of community services provide social and vocational rehabilitation, focussing on consultation, housing, daily structure and employment. Psychiatric services are nowadays fragmented into a number of sub-disciplines such as psychosomatics or child and adolescent psychiatry. This fragmentation and the missing coordination of psychiatric services hamper the enhancements of psychiatric care. This complicates the development of integrated services, i.e. the structured and planned cooperation of the different types of services. Since there are no binding rules for the organisation and planning in entire Austria, financing and organisation of services is fragmented. For establishing an integrated health care, coordination and cooperation between providers, sponsors of health care as well as policy makers are essential. SN - 0948-6259 UR - https://www.unboundmedicine.com/medline/citation/19080994/[Mental_health_care_in_Austria:_history__developments__perspectives]_ DB - PRIME DP - Unbound Medicine ER -