Perspectives of psychiatric care in Leipzig - Deinstitutionalisation from the viewpoint of an office-based neurologist and psychiatrist of psychiatric care
Ra. Richter et M. Nollau, Perspectives of psychiatric care in Leipzig - Deinstitutionalisation from the viewpoint of an office-based neurologist and psychiatrist of psychiatric care, PSYCHIAT PR, 27, 2000, pp. S95-S99
Two perspectives of mental health care in Leipzig are outlined. Critical as
pects of deinstitutionalisation are discussed from the point of view of an
office-based Nervenarzt (neurologist and psychiatrist), The limitations of
office-based practice in providing care for the severely mentally ill (SM1)
are described, i.e. lack of a multidisciplinary community mental health te
am, community psychiatric nursing and social work back-up in particular. Re
sidential service and nursing homes are often under-staffed and ill-prepare
d for caring for people with SMI. A second view-point describes the Verbund
Gemeindenahe Psychiatrie, a community psychiatric service for the just und
er 500.000 population of Leipzig in seven community mental health centers e
ach combining day hospital, out-patient clinics and multidisciplinary commu
nity psychiatric care. This service is unique in Saxony and well accepted b
y service users and professionals.