[Social rehabilitation in day care facilities for psychiatrically ill and handicapped patients--results of a concomitant study of a model program by the Rhine-Land District Group].
Within the extension of new services for mentally ill and disabled peoples outside of inpatient settings, the Landschaftsverband Rheinland (LVR) decided in 1990 to finance day care facilities especially for those patients who could previously not be integrated in the existing community psychiatry service structure due to the severity of their illness or handicap. A cost reducing effect in the clinical and residential service area was also intended. The first ten of these facilities were included in a 2-year research project. This report includes findings in various sectors: characteristics of the user group, functions and focal points of care, association with other community psychiatry services, cost effectiveness, and user opinions. Most visitors experienced a stabilisation of their personal situation and improvement of their quality of life. The average length of hospital stays was reduced from 102 to 25 days per year. The hopes accompanied with the programme were only partially fulfilled; possible consequences are discussed.
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FBI-Sozialmedizin, Universität Gesamthochschule Siegen.
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D000203:Activities of Daily Living / Q000523:psychology; D003131:Combined Modality Therapy; D003362:Cost-Benefit Analysis; D003631:Day Care, Medical / Q000191:economics; D005858:Germany; D006302:Health Services Research; D008607:Intellectual Disability / Q000191:economics / Q000523:psychology / Q000534:rehabilitation*; D007902:Length of Stay / Q000191:economics; D001523:Mental Disorders / Q000191:economics / Q000523:psychology / Q000534:rehabilitation*; D010348:Patient Care Team / Q000191:economics; D012050:Rehabilitation, Vocational / Q000191:economics; D012917:Social Adjustment