[Occupational status of Saxony social psychiatry service clients as a result of the reunification of Germany].
OBJECTIVE
Evaluating the establishment of social psychiatry services (SPS) in Saxony was part of a public health research project.


METHODS
One of the variables in a specifically designed assessment instrument--used in 8 SPS during the period 08/95-01/97--was the retrospective statement concerning changes in the client's vocational situation caused by the social upheavals in 1989.


RESULTS
40.6% (n = 335) answered in the affirmative. Men are significantly overrepresented in the group with vocational changes; compared to the population without vocational changes the proportion of currently unemployed persons (56%) is five times higher; only 16% are still employed. Neurotic/personality disorders as well as brief mental disturbances and dependency disorders are more frequent than in the whole SPS-clientele.--The most important constellation (19%) identified by a configuration-frequency analysis is that of patients with prolonged psychotic disorders (started < 1990, not associated with dependency disorder) who were employed at sheltered workplaces during the GDR-period despite of their mental disorder.


CONCLUSIONS
Following the political German reunification possibilities of vocational rehabilitation have deteriorated and up to now the number of newly established alternatives in regional mental health services is insufficient.
Klinik und Poliklinik für Psychiatrie und Psychotherapie am Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden.
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D000328:Adult; D003158:Community Psychiatry / Q000639:trends; D003430:Cross-Sectional Studies; D005260:Female; D005544:Forecasting; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D008875:Middle Aged; D012050:Rehabilitation, Vocational / Q000639:trends*; D012759:Sheltered Workshops / Q000639:trends; D012922:Social Change; D014478:Unemployment / Q000639:trends*
Zur beruflichen Situation von Klienten Sozialpsychiatrischer Dienste Sachsens im Gefolge der deutschen Wiedervereinigung.