title: [Implementing models of cross-sectoral mental health care (integrated health care, regional psychiatry budget) in Germany: systematic literature review].
abstract: OBJECTIVE
  Cross-sectoral integrated health-care and the regional psychiatry budget are two models of cross-sectoral health care (comprising in-patient and out-patient care) in Germany. Both models of financing were created in order to overcome the so-called fragmentation in German health care. The regional psychiatry budget is a specific solution for psychiatric services whereas integrated health care models can be developed for all areas of health care. The purpose of this overview is to elucidate both the current state of implementation of these models and the results of evaluation research.
  
  
  METHODS
  Systematic literature review, additional manual search.
  
  
  RESULTS
  28 journal articles and 38 websites referring to 21 projects were identified. The projects are highly heterogenuous in terms of size, included populations and services, aims, and steering-function (concerning the different pathways of care).
  
  
  CONCLUSIONS
  The projects yield innovative models of mental health care capable of competing with the co-existing traditional financing systems of in-patient and out-patient services. The future of mental health care organisation in Germany is currently open and under political discussion.
authors.affiliation: Zentrum für Psychiatrie Südwürttemberg, Abteilung Psychiatrie I der Universität Ulm.
authors.forename: Petra
authors.initials: P
authors.lastname: Schmid
authors.forename: Tilman
authors.initials: T
authors.lastname: Steinert
authors.forename: Raoul
authors.initials: R
authors.lastname: Borbé
mesh_terms: D002017:Budgets / Q000458:organization & administration*; D019090:Case Management / Q000191:economics / Q000458:organization & administration; D003153:Community Health Services / Q000191:economics / Q000458:organization & administration*; D003299:Cooperative Behavior; D017046:Cost Savings / Q000191:economics; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration*; D005380:Financing, Government / Q000191:economics / Q000458:organization & administration; D005858:Germany; D019981:Health Care Sector / Q000191:economics / Q000458:organization & administration*; D006284:Health Plan Implementation / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D001523:Mental Disorders / Q000534:rehabilitation*; D008962:Models, Theoretical; D009313:National Health Programs / Q000191:economics; D010348:Patient Care Team / Q000191:economics / Q000458:organization & administration; D011570:Psychiatry / Q000191:economics / Q000458:organization & administration*; D011613:Psychotherapy / Q000191:economics / Q000458:organization & administration*; D011785:Quality Assurance, Health Care / Q000191:economics / Q000458:organization & administration; D012040:Regional Health Planning / Q000191:economics / Q000458:organization & administration*; D012917:Social Adjustment; D016896:Treatment Outcome