title: [High service users in communal socio-psychiatric services].
abstract: OBJECTIVE
  Differences in the intensity of social psychiatric care for mentally ill people are examined in two communal socio-psychiatric services in Saxony. Service users are subdivided into three groups according to intensity of service use (low utilization, average utilization and high utilization).
  
  
  METHODS
  The analyses are based on data from a standardized documentation system in a rural and urban catchment area.
  
  
  RESULTS
  Intensity of care varies with structural parameters (geographical distance between patient home and service, staff resources). A small group (about 20 % of all clients) with a high frequency of contacts with service staff (high users) receive more than 50 % of all care contacts.
  
  
  CONCLUSIONS
  Standardized documentation is a good basis for the description of different patterns of service utilization, but more information is needed about service users, e.g. data on their health care needs.
authors.affiliation: Universität Leipzig, Klinik und Poliklinik für Psychiatrie, Germany. klugeh@medizin.uni-leipzig.de
authors.forename: Hendrik
authors.initials: H
authors.lastname: Kluge
authors.forename: Claus
authors.initials: C
authors.lastname: Kulke
authors.forename: Angelika
authors.initials: A
authors.lastname: Waldmann
authors.forename: Angela
authors.initials: A
authors.lastname: Werge-Reichenberger
authors.forename: Angela
authors.initials: A
authors.lastname: Steffens
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Kallert
authors.forename: Thomas
authors.initials: T
authors.lastname: Becker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D003362:Cost-Benefit Analysis / Q000706:statistics & numerical data; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000191:economics / Q000453:epidemiology* / Q000534:rehabilitation; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics / Q000706:statistics & numerical data*; D020380:Needs Assessment / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000191:economics / Q000706:statistics & numerical data; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D012949:Social Work, Psychiatric / Q000191:economics / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014505:Urban Population / Q000706:statistics & numerical data; D014600:Utilization Review / Q000706:statistics & numerical data