Summary
Since 1969, a comprehensive community mental health service has been gradually set up in Mannheim, Federal Republic of Germany. The implementation of a dense network of complementary services for the treatment of schizophrenic patients changes the functions of psychiatric hospitals. The main burden of care for chronic patients shifts from the hospital to the complementary services in the community, while the psychiatric hospital is prepared to provide crisis intervention and emergency care. The intensive utilization of aftercare facilities appears to have led to a distinct decrease in long-term hospital stay as well as to an increase in the probability of remaining outside the hospital and not being readmitted.
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Häfner, H., an der Heiden, W. The impact of a changing system of care on patterns of utilization by schizophrenics. Soc Psychiatry 18, 153–160 (1983). https://doi.org/10.1007/BF00583566
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DOI: https://doi.org/10.1007/BF00583566