Abstract
Mental illnesses regularly impair participation in social life. Therefore it is from atherapeutic point of view very important to offer community-based therapy focused to individual needs. The psychiatric treatment system in Germany, which is currently highly fragmented, must be modified in the sense of afunctionally networked structure.Various control aspects are of particular importance. In terms of regional care, there are different care models in Germany. The focus is on "regional budgets", which are implemented in 19regions in Germany. In addition, there are care approaches in the form of "stepped care," "home treatment," and "assertive community treatment."It turns out that new care structures based on regional framework conditions and new provision of care in psychiatry and psychotherapy are suitable for offering treatment measures tailored to individual needs. Due to the principle of regional responsibility, areorientation to amore ambulant psychiatric and psychotherapeutic care that supports participation in life can be achieved.
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