title: [Client-orientation versus institutional-orientation. What helps towards client-orientation in psychiatric settings?].
abstract: Client- or Patient-Orientation is seen as an indicator for quality of psychiatric work. How to observe and record this orientation? Three different concepts are presented: the German A11, a staff- and client-oriented documentation, Soteria Bern, and Shepherd's 25 homes-investigation around London. Four areas of typical conflicts of interest between client- and institutional orientation are presented with examples: duty times, strategies to fill up beds, "creaming off", and application-talks for clients to enter a residential setting. On the basis of the quality of Life and Care research and the 3 concepts above questions for visiting and evaluating homes and living groups and for personal check-ups are presented.
authors.forename: Maria
authors.initials: M
authors.lastname: Rave-Schwank
mesh_terms: D016265:Conflict of Interest; D005060:Europe; D005544:Forecasting; D006801:Humans; D016134:Organizational Policy; D010817:Physician-Patient Relations; D011567:Psychiatric Department, Hospital / Q000639:trends; D011570:Psychiatry / Q000639:trends*; D011618:Psychotic Disorders / Q000523:psychology / Q000534:rehabilitation; D011641:Public Relations; D011785:Quality Assurance, Health Care / Q000639:trends*; D011788:Quality of Life / Q000523:psychology