title: [Integration of new psychosocial facilities into the health care system: considerations on a social ecological evaluation concept exemplified by ambulatory crisis care].
abstract: With respect to the methodological problems concerning the outcome evaluation of crisis intervention centers the outlines of a social-ecological research approach are developed. It is suggested that this approach is more suitable to take into account the role of the network of mental health services. The data come from a research project which was designed to explain the historical and social aspects of the process of integration of a crisis intervention service. The results indicate that on the one hand the practice of the service strongly depends on what other services do and on the other hand influences them. The social integration of an institution into the network of other services is discussed as an alternative criterion of evaluation.
authors.affiliation: Psychologisches Institut der Freien Universität Berlin.
authors.forename: K
authors.initials: K
authors.lastname: Leferink
authors.forename: J B
authors.initials: JB
authors.lastname: Bergold
mesh_terms: D000553:Ambulatory Care / Q000639:trends*; D003155:Community Mental Health Centers / Q000639:trends*; D003419:Crisis Intervention; D005544:Forecasting; D005858:Germany / Q000453:epidemiology; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D009313:National Health Programs / Q000639:trends*; D010348:Patient Care Team / Q000639:trends; D015397:Program Evaluation