title: [Perspectives of psychiatric care in Leipzig--deinstitutionalization from the viewpoint of neurologist/psychiatrist in private practice and the work of consortium of community psychiatric services].
abstract: Two perspectives of mental health care in Leipzig are outlined. Critical aspects of deinstitutionalization are discussed from the point of view of an office-based Nervenarzt (neurologist and psychiatrist). The limitations of office-based practice in providing care for the severely mentally ill (SMI) are described, i.e. lack of a multidisciplinary community mental health team, community psychiatric nursing and social work back-up in particular. Residential service and nursing homes are often under-staffed and ill-prepared for caring for people with SMI. A second view-point describes the Verbund Gemeindenahe Psychiatrie, a community psychiatric service for the just under 500,000 population of Leipzig in seven community mental health centers each combining day hospital, out-patient clinics and multidisciplinary community psychiatric care. This service is unique in Saxony and well accepted by service users and professionals.
authors.affiliation: Facharzt/ärztin für Neurologie und Psychiatrie, Leipzig.
authors.forename: R A
authors.initials: RA
authors.lastname: Richter
authors.forename: M
authors.initials: M
authors.lastname: Nollau
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration*; D003688:Deinstitutionalization / Q000458:organization & administration*; D005858:Germany; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration; D011331:Private Practice / Q000458:organization & administration; D011570:Psychiatry / Q000458:organization & administration*