Abstract
There is high variance in how mental health services across the globe are organized. How do mental health services in an Austrian and German alpine district differ (Austria: Bezirk Reutte in Tirol; Germany: Southern Oberallgäu in Bavaria)? Quantitative data were assessed with the European Service Mapping Schedule (ESMS). Additionally, 30expert interviews (15 in each region) were evaluated using qualitative content analysis (Mayring). In both regions there is no psychiatric hospital and alack of outpatient psychiatrists and psychotherapists. ESMS shows surprising differences in how mental health services are organized in both regions, which are reflected in the expert interviews. In regions where medical-psychiatric services tend to become sparse, there is ashift towards non-medical community services, which may cover different spheres of daily life and span from housing to self-help. The study highlights that while structural and process quality can be compared, it is difficult to find indicators for outcome quality.
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