Remschmidt H, Walter R, Warnke A
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Philips-Universität, Marburg.
Psychiatr Prax. 1990 May;17(3):99-106.
A mobile child and youth psychiatric service is presented that concerned with the mental health care of a county with a population of 239,000 inhabitants. This kind of service was conceived especially to meet the demands of rural regions which are high, as empirical investigations about administrative and real prevalence have shown. The hypothesis that child and youth psychiatric or other specialized institutions create demands not normally existing, could be refuted. The service proved to be an efficient model for mental health care in rural regions so that it can be looked upon--especially in areas which are not sufficiently provided with child psychiatric institutions--as a fully valid alternative to other kinds of mental health services. Still, there is the problem of financing, which is not yet completely solved. A standardized regulation for the whole Federal Republic is suggested with the participation of the health insurance funds.
本文介绍了一项流动儿童和青少年精神科服务，该服务涉及一个拥有23.9万居民的县的精神卫生保健。正如关于行政患病率和实际患病率的实证研究所表明的那样，这种服务的设立尤其旨在满足农村地区的高需求。儿童和青少年精神科或其他专业机构会制造出原本不存在的需求这一假设可以被推翻。事实证明，该服务是农村地区精神卫生保健的有效模式，因此，尤其是在儿童精神科机构供应不足的地区，它可以被视为其他精神卫生服务的完全有效的替代方案。不过，仍然存在融资问题，尚未得到彻底解决。建议在医疗保险基金的参与下，为整个联邦共和国制定标准化规定。
