[Experiences and materials on internal sectorization of large psychiatric hospitals]. / Erfahrugen und Materialien zur inneren Sektorisierung psychiatrischer Grosskrankenhäuser.

The city of Bremen is divided into 5 catchment areas ("sectors") for the care of psychiatric patients. Internal sectorization of the mental hospital was introduced by relating certain wards to certain catchment areas. The development of internal sectorization and its impact on the diagnostic and therapeutic work in the hospital as well as on the cooperation with external services is described. Some data on patient flows are given. In addition we report on the results of an inquiry in psychiatric hospitals regarding sectorization and other forms of community oriented psychiatric care in the Federal Republic of Germany. The literature on sectorization as one principle of community psychiatry is overviewed.

[Model for a sociopsychiatric out-patient clinic? (author's transl)]. / Modell für eine sozialpsychiatrische Ambulanz? Uber die Arbeitsweise des Sozialpsychiatrischen Dienstes in Berlin

In the psychiatric social services of the Public Health Departments in Berlin (Charlottenburg, Spandau, Kreuzberg), data concerning the clients, the work of the coworkers and the quality of client care were collected. More than 80% of the clients of the psychiatric social service suffer from severe psychiatric disturbances: alcoholism, psychiatric geriatric illness and schizophrenia. This diagnosis range differs significantly from that of the physicians in a private practice. Competition, therefore, does not exist between the psychiatric social services and the psychiatrists in a private practice. --The coworkers of the social istuation (housing, profession, salary and social contacts) to be poor for every second (to third) client and unfavorable for the course of the disease. Psychiatric social care in the areas of medicine, nursing and welfare as well as the coordination of the care was evaluated as unsatisfactory for every second (to third) client. --Dor social workers and physicians, the percentage of direct patient-oriented activity was about 45%, the percentage of indirect patient-oriented activity was about 55%, about 40% of the work-time was used for administration. An improvement in the organization could free more work-time for meaningful activity. --The psychiatric social services fulfill an important function for out-patient care, particularly for the severly mentally disturbed. The existing gaps in client care cannot begin to be closed by just expanding the psychiatric social services in terms of personnel in the Public Health Department. Extensive structural changes must also be made in regard to psychiatric care.