Rössler W, Häfner H, Jung E, Löffler W, an der Heiden W, Martini H
Zentralinstitut für Seelische Gesundheit, Mannheim.
Rehabilitation (Stuttg). 1988 May;27(2):103-11.
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.
长期以来，社会精神病学服务一直是关于门诊心理健康护理进一步发展的争议性讨论的焦点。本文介绍了巴登-符腾堡州社会精神病学服务模式，该模式以向慢性精神疾病患者提供门诊社会福利为导向，对门诊执业精神科医生提供的医学-精神病学治疗起到补充作用。对1984年全面运作的第一年的社会精神病学服务进行的评估表明，这种服务提供组织首先能够接触到患有“近期”慢性精神疾病的患者，这些患者主要在社区心理健康护理系统的框架内接受门诊服务。在这一群体中，提供护理，即社会福利和咨询措施，可能对他们的社会康复做出有效贡献。这种组织模式的有效运作以与服务提供中涉及的其他设施和服务建立充分良好的合作为前提，正如巴登-符腾堡州的试验所示，这实际上是可以确保的。
