Summary
Community care is a crucial element in the organization and development of psychiatric services. The basic idea of community care is that it guarantees equalaccess to services for all people in need. In this study an empirical approach to community care is undertaken using the concept of travel time. The importance of distance to the use or nonuse of mental health services has been documented for a long time. But if distance is measured by travel time, additional elements, as for example the available transport system are considered relevant for the accessibility of services. It can be shown that most patients of two child psychiatric outpatient services do not accept a travel time exceeding half an hour. Outreach activities of services located in rural areas can partly compensate for the geographic disadvantage of those patients living at long distance to the service.
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References
Acton JP (1975) Nonmonetary factors in the demand for medical services: some empirical evidence. J Political Economy 83: 595–614
Blumberg MS (1965) Psychiatric bed needs: factors relating to demand for psychiatric services in California. Sacramento: Office of Planning; California Department of Mental Hygiene. (cited according to Shannon GW et al. 1986)
Breaky WR, Kaminsky MJ (1982) An Assessment of Jarvis' Law in an Urban Catchment Area. Hosp Community Psychiatry 33: 661–664
Brown MB (1983) BMDP Statistical Software, Department of Biomathematics, University of California. University of California Press, Los Angeles
Deutscher Bundestag (1975) Bericht über die Lage der Psychiatrie in der Bundesrepublik Deutschland. Drucksache 7/4200. Bonn
Faris REL, Dunham HW (1939) Mental disorders in urban areas: an ecological study of schizophrenia and other psychoses. University of Chicago Press, Chicago
Häfner H, Heiden W an der (1983) The impact of a changing system of care on patterns of utilization by schizophrenics. Soc Psychiatry 18: 153–160
Häfner H, Heiden W an der, Buchholz W, Bardens R, Klug J, Krumm B (1986) Organisation, Wirksamkeit und Wirtschaftlichkeit komplementärer Versorgung Schizophrener. Nervenarzt 57: 214–226
Häfner-Ranabauer W, Günzler G (1984) Entwicklung und Funktion des psychiatrischen Krisen- und Notfalldienstes in Mannheim. Fortschr Neurol Psychiatr 52: 83–90
Kleining G, Moore H (1968) Soziale Selbsteinstufung (SSE). Ein Instrument zur Messung sozialer Schichten. Köln Z Soziol Sozial-psychol 20: 502–552
Langeheine R (1980a) Log-lineare Modelle zur multivariaten Analyse qualitativer Daten. Eine Einführung. Oldenbourg, München
Langeheine R (1980b) Multivariate Hypothesentestung bei qualitativen Daten. Z Sozialpsychol 11: 140–151
Miners L, Greeve S, Salber E, Scheffler R (1975) Demand for medical care in a rural setting: racial comparisons. Health Serv Res 13: 595–614
Person PH (1962) Geographic variation in first admission rates to a state mental hospital. Public Health Rep 77: 719–731
Remschmidt H, Schmidt MH (Hrsg) (1977) Multiaxiales Klassifikationsschema für psychiatrische Erkrankungen im Kindes- und Jugendalter nach Rutter, Shaffer und Sturge. Huber, Bern Stuttgart
Rössler W, Häfner H, Heiden W an der, Kreuzer S, Martini H, Sundström GA (1985) Außerstationäre psychiatrische Versorgung. Landesprogramm Baden-Württemberg, Beltz, Weinheim
Rössler W, Häfner H, Martini H, Heiden W an der, Jung E, Löffler W (1987) Landesprogramm zur Weiterentwicklung der außerstationären psychiatrischen Versorgung Baden-Württemberg —Analysen, Konzepte, Erfahrungen. Deutscher Studien Verlag, Weinheim
Rössler W, Häfner H, Jung E, Löffler W, Heiden W an der Martini H (1988) Zur Notwendigkeit Sozialpsychiatrischer Dienste —Ein Versorgungsmodell in der wissenschaftlichen Erprobung. Rehabilitation 27: 103–111
Shannon GW, Bashshur RL, Lovett JE (1986) Distance and the use of mental health services. Milbank Q 64: 303–330
Stern M (1977) Factors in the Utilization of Mental Health Centers and State Hospitals. Hosp Community Psychiatry 28: 379–381
Statistisches Landesamt (1987) Bevölkerungsfortschreibung für den Rhein-Neckar-Kreis. Stuttgart
Schubö W, Uehlingen HM (1986) SPSS-X, Handbuch der Programmversion 2.2. Fischer, Stuttgart
U.S. Public Health Service (1961) Areawide planning for hospitals and related health facilities. USPHS pub. no 855. Washington. (cited according to Shannon GW et al. 1986)
Vaslamatzis GR, Kontaxakis V, Markidis M, Katsouyanni K (1987) Social and resource factors related to the utilization of emergency psychiatric services in the Athens area. Acta Psychiatr Scand 75: 95–98
Walter R, Kampert K, Remschmidt H (1988) Evaluation der kinder-und jugendpsychiatrischen Versorgung in drei hessischen Landkreisen. Prax Kinderpsychol Kinderpsychiatr 37: 2–11
Weiss P, Macaulay JR, Pincus A (1967) Geographic Location and State Hospital Utilization. Am J Psychiatry 124: 637–641
Weyerer S, Dilling H (1978) Zur Bedeutung der geographischen Lage psychiatrischer Krankenhäuser für Aufnahmeraten und Aufenthaltsdauer. Psychiatr Prax 5: 58–64
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Rössler, W., Riecher, A., Löffler, W. et al. Community care in child psychiatry. Soc Psychiatry Psychiatr Epidemiol 26, 28–33 (1991). https://doi.org/10.1007/BF00783577
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DOI: https://doi.org/10.1007/BF00783577