[Child and adolescent psychiatric and therapeutic treatment needs in care settings in the Lower Austrian industrial district. A survey of the demand situation]. / Kinder- und jugendpsychiatrischer und therapeutischer Behandlungsbedarf bei fremduntergebrachten Kindern und Jugendlichen. Eine Erhebung der Bedarfslage in Einrichtungen im NÖ Industrieviertel.

An increasing need for child and adolescent psychiatric care is clearly observed in recent years. The present study deals with 20 child and youth care facilities taking care of 439 children and adolescents, in the industrial district, in Lower Austria. The aim of the study is to evaluate treatment needs of this special group of patients. The care facilities reported that 270 children and adolescents (62%) show psychiatric problems. Of these, 220 (50.1%) are diagnosed with one or more psychiatric diagnoses, and 200 children and adolescents are receiving child and adolescent psychiatric treatment. Eleven care facilities reported the necessity for treatment in 80-100% of their accommodated children and adolescents. This results in highly stressful working conditions for professional psychosocial helpers and high treatment needs within their fosterlings. It is evident that more intensive networking and cooperation between institutions and helpers involved is necessary. Further, the development of new, low-threshold child and adolescent psychiatric services would be desirable to adequately meet the increasing need for psychiatric treatment in children and adolescents.

[Day care clinics central and/or distributed. A standard element of child and adolescent psychiatric care]. / Tageskliniken zentral und/oder disloziert. Ein Standardelement der kinder- und jugendpsychiatrischen Versorgung.

BACKGROUND: Day-care clinics as specialized care units of child and adolescent psychiatric care in Austria represent an important component for person-orientated treatment offers. In addition to numerous advantages, they also put higher demands on the young patients and their relatives. METHODS: The Austrian structure for day-care settings is recorded in the Austrian structure plan for health. Therefore, particular attention is paid to structural quality criteria, which are based on the Austrian concept of performance-oriented hospital financing. RESULTS: A high demand and need for readiness for transdisciplinary, multimodal treatment concepts and forms is discussed. It becomes ovious that there is a need for large spatial resource requirements. The establishment of several day clinic groups at one location and spatial requirements cannot be found in the concept of performance-oriented hospital financing. CONCLUSION: To ensure and evaluate the quality of treatment, recommendations are made on a patient-related and team- or organization-related level. The workgroup "day-care-clinic" of the Austrian Society for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy recommends a treatment structure characterized by transdisciplinarity and participation. Further, it regionalized and local access and the integration of the day clinic into the community is necessary. Networking with other care structures and using social-psychiatric networks is essential. Regional characteristics should be taken into account and specialized, topic-specific day clinic groups should be increasingly included in further planning and concepts.

[Cooperation between child and adolescent psychiatry and youth welfare concerning socio-educational residence for children and adolescents]. / Kooperation zwischen Kinder- und Jugendpsychiatrie und Kinder- und Jugendhilfe mit speziellem Schwerpunkt auf die Unterbringung von Kindern und Jugendlichen in sozialpädagogischen Wohnformen.

Departments of child and adolescent psychiatry and child and youth welfare care for many children and adolescents jointly. Cooperation is particularly important for treating most difficult children and young people. Many of these children and adolescents face difficult living conditions, are often traumatized and exhibit strongly externalising behaviour. Residential extra familial care settings often pose major problems for all professional partners. Departments of child and adolescent psychiatry can make valuable contributions at all levels. First, concerning specific child and adolescent psychiatric diagnosis and treatment, especially in consultant and liaison service and second supporting cooperative institutional care formats. A concrete proposal for a possible cooperation between departments of child and adolescent psychiatry and child and youth welfare care are discussed.