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Grimm-Halkevopoulos, Beate and Brieger, Peter (2019): Gemeindepsychiatrie in zwei europäischen Regionen: Vergleich des Bezirks Reutte in Tirol mit dem südlichen Oberallgäu in Bayern. In: Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz, Vol. 62, No. 2: pp. 156-162

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Abstract

BackgroundThere is high variance in how mental health services across the globe are organized.ObjectivesHow do mental health services in an Austrian and German alpine district differ (Austria: Bezirk Reutte in Tirol;Germany: Southern Oberallgau in Bavaria)?Materials and methodsQuantitative data were assessed with the European Service Mapping Schedule (ESMS). Additionally, 30expert interviews (15 in each region) were evaluated using qualitative content analysis (Mayring).ResultsIn both regions there is no psychiatric hospital and alack of outpatient psychiatrists and psychotherapists. ESMS shows surprising differences in how mental health services are organized in both regions, which are reflected in the expert interviews.DiscussionIn regions where medical-psychiatric services tend to become sparse, there is ashift towards non-medical community services, which may cover different spheres of daily life and span from housing to self-help.ConclusionThe study highlights that while structural and process quality can be compared, it is difficult to find indicators for outcome quality.

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