[In favour of a "new social psychiatry". Current focuses and trends of mental health care dealing between integrative and health economic perspectives].
Starting from modified sociodemographical, medical, familiar and health economical circumstances it is shown that in different areas of psychiatric supply fundamental offerings are missing or need to be established, thus one has to speak about an undersupply of certain groups (migrants, personality disorders, certain elderly patients). Some of these forward-looking trends and possible prospects in the field of social psychiatry are exemplarily displayed. The thesis is argued and illustrated that the existing social psychiatric institutions require a paradigmatic reorientation, which could be called "New Social psychiatry" and should complement the traditional social psychiatry, which has been orientated to schizophrenic illness, extramural alignment and the rehabilitation purpose of employment up to now.
Dammann
G
G
Psychiatrische Klinik Münsterlingen und Psychiatrische Dienste Thurgau, Schweiz. gerhard.dammann@stgag.ch
D003363:Cost Control; D003695:Delivery of Health Care / Q000191:economics* / Q000639:trends*; D006801:Humans; D008329:Managed Care Programs; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy; D008603:Mental Health; D011570:Psychiatry / Q000191:economics* / Q000639:trends*; D012936:Social Medicine / Q000191:economics* / Q000639:trends*