Social Psychiatric Service
Social psychiatric services (abbreviated SPD or SPDI ) offer advice and support to persons with (suspected) addictions , for gerontological and psychiatric ill people and for people with mental illness such. B. schizophrenic disorders , affective disorders , personality disorders , post-traumatic stress disorders , etc. Not only those affected, but also relatives, friends, acquaintances and work colleagues can turn to the social psychiatric services.
description
The laws on help and protective measures in the event of mental illness (PsychKG) are similar in most federal states. The definition of tasks can also be interpreted differently in the districts and urban districts. What all services have in common is prevention, crisis intervention and aftercare (after inpatient stays). In some municipalities, the service has been transferred to a private agency. Here, the lower health authority is responsible for overseeing the proper execution of the task. Another special feature is the authorization to treat certain services by the Association of Statutory Health Insurance Physicians (KV). Here, the medical staff is allowed to administer medication in psychiatric emergencies.
In Section 1 of the PsychKG NRW, the scope of application is defined as follows:
- Assistance for people who show signs of mental illness, who are mentally ill, or who continue to experience the effects of a mental illness.
- Mental illnesses within the meaning of the law are psychoses requiring treatment as well as other psychological disorders and dependency disorders of comparable severity that require treatment. In all assistance and measures, special consideration must be given to the will and needs of those affected.
In the recommendations of the Federal Government's Expert Commission on the reform of care in the psychiatric, psychotherapeutic-psychosomatic area of November 1988, certain tasks and working methods are formulated for social psychiatric services. These tasks and working methods include in detail:
- Advice to those seeking help, relatives and people in the social environment, including institutions providing care or treatment,
- Preventive help in order to ensure at the onset of the illness or relapse and in the case of impending conflict situations that the affected person can be treated by a doctor in good time and that appropriate care facilities can be used in conjunction with the treatment,
- Follow-up assistance to facilitate reintegration into the community and to avoid re-admission to hospital for people discharged from inpatient psychiatric treatment through individual care, advice and the introduction of suitable measures,
- The regular implementation of doctor-led consultation hours,
- Carrying out home visits in order to get to know the situation in the apartment and the closer social environment personally, if necessary also to be able to intervene directly,
- Coordination of individual help,
- Cooperation with all services and facilities in the supply region that deal with the care and treatment of the mentally endangered, sick and disabled, in particular with the regionally responsible psychiatric hospital facilities,
- Additional offers of help in the form of group offers for individual patients, groups and relatives, initiation of groups of lay helpers and relatives , public relations work, institutional advice
With regard to the house visits by the social psychiatric service listed above, it is important for those who do not want such visits to know that, according to Article 13 of the Basic Law on the inviolability of their own home , no one has to let the social psychiatric service into their home. Only the police may - and only if there is imminent danger - gain access to a citizen's apartment and enter the apartment against his or her will. Due to rights protected in the Basic Law, the Social Psychiatric Service is also prohibited from deceiving the owner of the apartment to gain access to his apartment or to pass on information obtained about the apartment of a person experienced in psychiatry.
Every citizen has the right to help and advice from the social psychiatric service, but is not legally obliged to accept it. There are no costs for those affected. An important target group are people who otherwise get no help or who do not accept it. Outsourcing help is therefore the focus of the work. Clients can discuss problems and find out about options for help. Further therapeutic offers can be arranged. The frequency of contact with people in need varies, from one-time contacts to support over several years. The employees of the services are subject to confidentiality .
The integration of mentally ill people into the community is an essential goal for social psychiatric services. Cooperation with other institutions in the region within the framework of a community psychiatric approach is an important feature of the work. In addition, coordination tasks result from comprehensive knowledge of the respective regional supply landscape.
In most of the social psychiatric services, specialists in psychiatry and psychotherapy work together with qualified social workers / pedagogues. Nurses, occupational therapists and psychologists also work in some services.
The social psychiatric services are part of the public health service ; they are compulsory tasks for the districts and urban districts. In most cases, the social-psychiatric services are attached to the health authorities.
At the supra-local level there are B. in NRW, a state working group of social psychiatric services, in which technical problems are discussed and relevant information is exchanged.
literature
- Wienberg, Günther (Ed.): The new “Psychiatry Personal Ordinance”. Opportunity for community psychiatry . 2nd expanded edition. Psychiatrie-Verlag, Bonn 1992
- Recommendations of the Federal Government's Expert Commission on the reform of care in the psychiatric and psychotherapeutic, psychosomatic field on the basis of the Federal Government's model program for psychiatry . Federal Minister for Youth, Family, Women and Health, 1988.
Web links
- Social Psychiatric Service City of Braunschweig on the city's official website
- Excerpts from Psych-PV on the pages of H.-W. plug
Individual evidence
- ↑ Psychosocial Service City of Braunschweig ( Memento of the original from December 17, 2011 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
- ↑ PsychKG NRW online .
- ↑ Excerpts from materials on Psych-PV ( page no longer available , search in web archives ) Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. .
