Abstract

In connection with the UN Convention on the Rights of Persons with Disabilities, mental healthcare concepts increasingly focus on the prevention of violence and coercion. Hospital care with an open-door policy is linked with areduction in violence and coercive measures. The authors describe aspecific therapeutic milieu aiming to promote social resources and to reduce institutional exclusion. Open-door policies can be extended to and tied in with outreach community mental health work. Model projects according to §64b of the German Social Code (SGBV) on interdisciplinary care enable flexible needs-based care including home treatment for severe mental illness.

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