Das Offentliche Gesundheitswesen
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Offentl Gesundheitswes · Aug 1989
[Emergency services for crisis intervention--8 years' experience of a social psychiatry service in a rural area].
This is a report on a special around-the-clock service for psychiatric crisis intervention, maintained by social workers of a Sociopsychiatric Service (SpD) in cooperation with a psychiatrist. Only in a few number of cases it is necessary to make use of Federal German psychiatric legislation ("Psych-KG"). ⋯ The introduction of this sociopsychiatric concept which stresses the importance of familiar community environment, has clearly changed quality and quantity of compulsory admission in rural areas also. Only half of the work of this special service for crisis intervention is called for during regular working hours.
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Offentl Gesundheitswes · Aug 1989
[Medical rehabilitation of disability insurance--determination of the status and future perspectives].
The legal prerequisites for medical rehabilitation offered by the pension insurance institutions are described. The definition of position includes the attitude towards applying for rehabilitation and its repercussions on the selection of rehabilitation, specific questions with regard to expert opinion, the indications for general medical rehabilitation measures and the changes within the concept of rehabilitation. ⋯ Some examples of rehabilitation measures relating to specific indications are chosen to demonstrate successes and problems in this regard. Finally, the present state of research in rehabilitation and its future development are considered.