Time-efficacy in community psychiatry - Utopia and reality of network management

Objective: The development of community psychiatry needs an increasing netw ork management between inpatient and outpatient care. As a whole the questi on of management structure is open for discussion. Instruments such as psyc hosocial workshops and community psychiatric team conferences are in need o f a critical survey. Methods: Our paper offers data in basic network manage ment referring to false connections in interinstitutional cooperation by ph one. Results: The number of false connections is on a highly significant le vel, up to six times higher when contacting ambulant complementary staffs o r administrative levels than within medical systems. Conclusion: These resu lts demonstrate a large gap between utopia and reality of network managemen t. Community psychiatric systems must take care for longitudinal medical st aff orientation in structural management.