title: [Changes and necessity of local geronto-psychiatrical networks].
abstract: This article discusses the problems and possible solutions of health care for older mentally ill people and people with dementia by the means of an analysis of literature and hermeneutical reflection. On the basis of statistics and scientific knowledge, the need of local gerontopsychiatric institutions is shown from a professional, ethical and economical point of view. The City of Bremen is taken as an example to describe the need as well as the possibilities in gerontopsychiatric health care structures.
authors.affiliation: Diplom-Berufspädagoge für Pflegewissenschaft, Bremen, Germany. amahler@nord-com.net
authors.forename: Arne
authors.initials: A
authors.lastname: Mahler
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000453:epidemiology*; D003155:Community Mental Health Centers / Q000639:trends; D019058:Community Networks / Q000639:trends*; D003430:Cross-Sectional Studies; D005260:Female; D005544:Forecasting; D005858:Germany; D006301:Health Services Needs and Demand / Q000639:trends*; D006299:Health Services for the Aged / Q000639:trends*; D006707:Homes for the Aged / Q000639:trends*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011157:Population Dynamics; D014505:Urban Population / Q000706:statistics & numerical data*
vernacular_title: Möglichkeiten und Notwendigkeit gemeindenaher gerontopsychiatrischer Netzwerke - Am Beispiel von klinischen Plätzen für alt gewordene psychisch gestörte oder demente Menschen in exemplarischen Einzugssektoren der Stadtgemeinde Bremen -