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.
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Offentl Gesundheitswes · Jul 1989
[Vaccination status of children and adolescents in Schleswig-Holstein. Principles and initial experiences of an assessment throughout the district].
Isolated ("punctual") spot checks in individual cities or regions of Federal Lands cannot result in a convincing pattern of the degree of vaccination achieved. In January 1988 the Land of Slesvig-Holstein started the statistical recording of complete protection by vaccination in accordance with age (preventive health care for children and adolescents by protective vaccination). ⋯ Achievement of complete protection is recorded, including regular and delayed results for measles, mumps, BCG, pertussis and rubella. Such long-term statistics on results can be obtained only if all the work teams of youth doctors cooperate and if they are properly motivated to determine the state of health of the population.