• Hendrik Kluge, Claus Kulke, Angelika Waldmann, Angela Werge-Reichenberger, Angela Steffens, Thomas W Kallert, and Thomas Becker.
• Universität Leipzig, Klinik und Poliklinik für Psychiatrie, Germany. klugeh@medizin.uni-leipzig.de
• Psychiatr Prax. 2002 Oct 1; 29 (7): 374-80.

ObjectiveDifferences in the intensity of social psychiatric care for mentally ill people are examined in two communal socio-psychiatric services in Saxony. Service users are subdivided into three groups according to intensity of service use (low utilization, average utilization and high utilization).MethodsThe analyses are based on data from a standardized documentation system in a rural and urban catchment area.ResultsIntensity of care varies with structural parameters (geographical distance between patient home and service, staff resources). A small group (about 20 % of all clients) with a high frequency of contacts with service staff (high users) receive more than 50 % of all care contacts.ConclusionStandardized documentation is a good basis for the description of different patterns of service utilization, but more information is needed about service users, e.g. data on their health care needs.

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