Ungewitter, C. and Boettger, D. and El-Jurdi, J. and Kilian, R. and Losert, C. and Ludwig, K. and Steinkohl, V. and Bramesfeld, A. (2013) Service structure and cooperation in mental health care. NERVENARZT, 84 (3). pp. 307-314. ISSN 0028-2804,
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This study assesses exemplarily the regional structure of mental health services and the practice of cooperation of mental health service providers. The aim is to identify starting points for improving mental health care. (1) Mapping of mental health services in four exemplary regions (urban/rural, East/West Germany) using the European Service Mapping Schedule. (2) Analysis of the practice of cooperation in mental health care using focus groups and a postal survey of psychiatrists and psychotherapists working in private practice. All surveyed regions have a well-developed and complex service system available. Cooperation in mental health care takes place in flexible networks rather than in fixed relationships. An explicit concept of cooperation does not exist. Time and resources promote cooperation. Psychiatrists and psychotherapists working in outpatient care mainly cooperate among themselves and rarely on an interdisciplinary basis. In particular psychotherapists are usually not part of cooperation networks. Improvements in mental health care are more likely to be achieved through improving cooperation rather than just developing additional services. Starting points for improvements include-beyond the increase of resources for cooperation - the training of medical students and psychiatrists in cooperation practice, reimbursement of cooperation and coordination and the implementation of systematic coordination of service networks.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; Mental health services; Public-private Cooperation; Focus groups; Network management; Interdisciplinary communication |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Apr 2020 11:59 |
| Last Modified: | 23 Apr 2020 11:59 |
| URI: | https://pred.uni-regensburg.de/id/eprint/17061 |
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