Estimating Needs for Mental Health Care: A Contribution of by H. Häfner (auth.), Prof. Dr. Dr. Heinz Häfner (eds.)

By H. Häfner (auth.), Prof. Dr. Dr. Heinz Häfner (eds.)

The many major adjustments that experience take place within the psychological health and wellbeing provider of alternative international locations within the final 20 years have made administrative and political selection making within the distribution of care companies a way more harmful enterprise. within the usa, for instance, the variety of occupied psychiatric beds fell from 550,000 in 1955 to 190,000 in 1977. England and Wales skilled related if much less reported alterations, whereas within the Federal Republic of Germany an analogous development grew to become obvious a few 5 years in the past, even supposing the following the preliminary hospitalisation charges have been reduce. Enquiry into the true wishes for numerous varieties of psychological health and wellbeing care, in particular the necessity for medical institution beds, for locations in houses and hostels, and for expert out-patient therapy, has now turn into a funda­ psychological objective of analysis in social psychiatry. to accomplish this objective by way of epi­ demiological suggestions and techniques, together with the research of actual morbidity charges and the estimation of the comparable want for care, has to be used.

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A technique for studying psychiatric morbidity in in-patient and out-patient series and in general population samples. Psycho!. Med. : The management of schizophrenia in the community. In: Psychiatric medicine. Usdin, G. ) p 437. New York: Brunner Mazel1977 a. K. In: Alternatives to mental hospital treatment. A. ) pp. 227-264 New York: Plenum 1977b. : Reasoning about madness. : The industrial rehabilitation of long-stay schizophrenic patients. Med. Res. Council memo. No. : Institutionalism and schizophrenia.

The research worker. In: Positions, movements and directions in health services research. Maclachlan, G. ) pp. 20-32 London: Oxford University Press 1974 b. : A technique for studying psychiatric morbidity in in-patient and out-patient series and in general population samples. Psycho!. Med. : The management of schizophrenia in the community. In: Psychiatric medicine. Usdin, G. ) p 437. New York: Brunner Mazel1977 a. K. In: Alternatives to mental hospital treatment. A. ) pp. 227-264 New York: Plenum 1977b.

That there 37 should be some variation could easily be explained. For instance the population of the municipality of Copenhagen is a so-called residual population, a shrinking population. The number of inhabitants has been quite rapidly decreasing during recent decades. The borough of Copenhagen comprises the centre of the capital. Those who leave that part of the capital and settle in the suburbs are the wealthy and healthy and relatively young inhabitants; the old and disabled tend to stay where they are, especially if they are poor and cannot afford the considerably higher rent to be paid in the suburbs.

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