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At least 19 recordsLinked to original sources
PubMed1988

[Need for social psychiatric services--a management model in scientific evaluation].

Social-psychiatric services have for a long time been a focus in the controversial discussion about the further development of outpatient mental health care. Presented is the Baden-Württemberg Social Psychiatric Services model, which is oriented towards outpatient social welfare provision of persons with chronic mental illness, complementing the medical-psychiatric treatment provided by office-practice psychiatrists. Evaluation of the Social Psychiatric Service for its first year of full operation, 1984, has shown that this type of service delivery organization is capable, above all, of reaching persons with "recently" chronic mental illness, who are serviced in the framework of community mental health care systems mainly on an outpatient basis. Provision of care, i.e. of social welfare and counselling measures, may in this group constitute an efficient contribution towards their social rehabilitation. Effective functioning of this organizational model presupposes sufficiently well-established cooperation with other facilities and services involved in service provision, which, as the Baden-Württemberg trial has shown, can in actual fact be ensured.

Chronic Disease↗
PubMed1992

[Psychological testing within the scope of social psychiatric service].

As a psychologist working within the Social Psychiatric Service I find myself exposed to certain assignments and methodological expectations. One of the most common images is that of a "trick- and test specialist" that most of the time would appear along with multitude of open and hidden fantasies towards psychological methods of testing. It's not always easy to meet such expectations appropriately. But due to the severe consequences that may arise from statements of the Service we have to emphasise the limitations of such means of assistance. The mathematical operations of test constructors may be extraordinarily brilliant; the possibilities of transforming psychic phenomena into abstract numbers create however, as many complications as the choice of social scales and standards we have to make for our measurements. Hence, psychological results will still have to follow several different steps of examination that are reciprocally related to each other, even when using methods that seem to provide more comfortable, easier solutions.

Attitude of Health Personnel↗
PubMed2000

[Expectations and satisfaction of social-psychiatric services regarding their collaboraton with the psychiatric hospital] .

OBJECTIVE: Collaboration with the psychiatric hospital should be investigated from the viewpoint of social-psychiatric services (SpDi). METHODS: Based upon a content analysis of interviews with staff members of all social-psychiatric services working in the catchment area of a psychiatric hospital, a questionnaire was developed which consists 32 Items assessing expectations and satisfaction in 6-step Likert-type scales. RESULTS: Response rate was 80% (n = 40). SpDi's staff express high expectations to psychiatric hospital. They assess good inpatient treatment, patient's information about treatment, SpDi's involvement in discharge planning, patient's attendance at SpDi's consulting in the hospital, and networking of psychiatric institutions to be very important. Differences between expectation and satisfaction especially refer to information of SpDi about client's admission, SpDi's involvement in discharge planning, and knowledge of hospital staff about social-psychiatric services. CONCLUSIONS: Evaluation of expectations and satisfaction of SpDi as an important partner of the psychiatric hospital allows conclusions for quality assurance of psychiatric care and offers concrete clues for a better collaboration at the interface of out-patient and in-patient care being advantageous for patients.

Hospitals, Psychiatric↗
PubMed1997

[Expectations and service performance of social psychiatry services in free Saxony. An analysis of viewpoints of psychiatric practice and clinical specialists and coworkers of social psychiatric services].

After the "Polyclinic system" that had predominated in the GDR had been dismantled, a far-reaching restructuring of the complementary psychiatric care sector became necessary. In the State of Saxony, comprehensive establishment of a homogeneous home-visit outpatient service is the first building block in an interlinked system of regionalized community psychiatry. Based on about 20 years of experience in the Federal States of the FRG, this function is fulfilled by social psychiatry services (SPS). The present study investigates the expectations of free-practising psychiatrists (n = 165), doctors in psychiatric hospitals (n = 95) and staff of social psychiatry services (n = 138) throughout the State of Saxony in respect of available care and the way these new care structures work. The results are approximately representative owing to the high rate of responses in an anonymous postal survey of three specified groups (48.5%, 67.4%, 84.0%). All the groups surveyed expected that the clientel to be looked after by SPS will chiefly consist of the group of chronically mentally ill persons. Moreover, the consistently expressed expectations as to the central care/therapy to be provided by SPS can be summarised as the core of directly client-oriented SPS work. This consists of the elements "welfare work", "individual and institutionalised social therapy", and "help in administrative measures". The main differences between the two groups of doctors is that free-practising psychiatrists more often expect a large SPS involvement with regard to social therapy provided at an institutional level, whereas hospital doctors expect this with regard to medical therapies in the strict sense. Hospital doctors have greater expectations that SPS will also fulfil further functions: work with relatives, public relations, establishment of a crisis service and running self-help groups. The expectations of SPS staff with regard to the therapy they should provide themselves exceed what has already been currently achieved in all sectors. A detailed analysis of contents is also presented in this article. Besides improved staffing, SPS employees state that eliminating internal organisational and postgraduate training deficits are two major requirements for stabilization of their work. Appraisals of the quality of care for the chronically mentally ill in the outpatient complementary sector requested by hospital doctors and SPS staff in comparison with former provision structures in the GDR, show deterioration in the economic security of patients as well as of possibilities available in occupational rehabilitation. On the other hand, there are some improvements in the training of specialist staff whereas protection of the personality rights of patients as well as care measures are now free from ideological bias. These are crucial prerequisites for an update individualised, need-orientated therapeutic procedure. To counteract overburdening of the SPS with expectations of care and to enable a more unequivocal positioning of its structure in a complex system of psychosocial care, further need-orientated development and establishment of psychiatric facilities close to the community concerned, are urgently required, a least as far as the State of Saxony is concerned.

Ambulatory Care↗
PubMed2000

[Cooperation between social-psychiatric services and psychiatric hospital--expectations and chances of improvement].

OBJECTIVE: Expectations of social-psychiatric services regarding their cooperation with psychiatric hospitals should be examined by qualitative research. METHODS: Based upon a content analysis of interviews with nine social-psychiatric services working in the catchment area of a psychiatric hospital, the statements were analysed quantitatively to assess their relative importance. RESULTS: Expectations on patient related communication between SpDi and hospital staff were expressed most frequently. Further aspects of an "ideal" cooperation from the SpDi's point of view are sympathy for each other, information of patients, community based psychiatric care, and quality of inpatient care. CONCLUSIONS: Social-psychiatric services' expectations represent important clues to improve the cooperation at the interface between outpatient and inpatient care and should be taken into consideration with respect to continuity of treatment of the chronically mentally ill.

Attitude of Health Personnel↗
PubMedDate not supplied

[Psychiatric services, social cooperation, voluntary activities. New relationships for new strategies].

OBJECTIVE: Eighteen years after the 1978 reform law no. 180, psychiatric services have to find new roles and goals in the social arena, in order to continue to effectively pursue the improvement of mental health in the community. The aim of the present paper is to show some theoretical and practical elements that could stimulate in the psychiatric services a deep consideration about the relationship between psychiatric services and "private social" bodies, particularly social co-operatives and voluntary organisations. METHOD: The elements shown in this study come from an analysis: a) of the literature about the crisis factors of the Italian welfare state, particularly in the Public Health Service and in the social assistance; b) of the literature about the development of the "private social" and about the relationship with the public services; c) of national and regional laws, particularly of Veneto region; d) of the present experiences in South Verona Psychiatric Service. RESULTS: The crisis of the traditional welfare state, the emergence in large sectors of general population of needs related to social fragmentation and relational impoverishment, the aspiration of a great number of individuals excluded from society to benefit of the right to full citizenship, all this urgently questions the traditional roles and responsibilities, the organisation, operational modalities, and the community orientation of existing health and human services. Within this framework, the relationship between psychiatric services (or, broadly speaking, public services in general) and "private social" bodies, particularly social co-operatives and voluntary organisations, has become part of a foreseeing, strategic new awareness of mental health workers. CONCLUSION: A shift from a relationship of mutual exploitation between organisations, to one of co-operation between them, each considering the other as an equal partner, may be a critical step forward a new model of welfare. This, in turn, would hopefully meet the needs for health of the population in terms of efficiency, quality, relevance and consideration of the users' resources and social competencies.

Humans↗