Does one of the best practice models manage to care for the mentally ill across sectors?
All models are created for each patient Case better care in terms of outcome, symptom reduction and quality of life. But they mostly only network on the horizontal level, not on the vertical level, so they are either active on the hospital level or in the outpatient area.
So there is no potential as template for standard supply ...?
The models are good in their areas. But they are not so suitable for changing the system as whole, because none has real link to the other sector. The advantages, however, are that waiting times are reduced and the supply is more networked and more intensive. If more complex and intensive treatment were possible in the outpatient sector, admissions to the clinic could be avoided.
What would be necessary for real cross-sector care?
We need network structure in the region that also includes the patient's living environment. What is needed is care path that is geared to the changing needs of patients. Specialist, psychological psychotherapist, sociotherapist, outpatient nurse and crisis teams must be networked with the supplying clinic. Financial incentives are needed for the coordinating functions, as the Council of Experts also demands. The legislature must make the framework conditions mandatory, because partial interests usually outweigh.
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