The mental health care system in Saxony-Anhalt changed structurally because of the development in society over the last years. A sufficient psychiatric care assessment is needed for further development. This survey is describtion an analysis of the structure quality of the availability of outpatient, inpatient and community based psychiatric care facilities standardized for the time from 1996 until 1998 in Saxony-Anhalt, one of the federal states of the eastern part of Germany. The European Service Mapping Schedule (ESMS-V3) was used to classify 365 institutions visited by visiting groups of the "Committee for Issues of Psyciatric Care in Saxony-Anhalt". Afterwards inhabitants correlated numbers were calculated. Outpatient care was provided by an average of 4 psychiatrists and 3 psychochologists in private praxis with a concentration in the urban areas. 48 acute beds, 13 elective beds and 13 day hospital places per 100.000 inhabitants were available, which is very low in compared to the German average. Regional differencies were also shown here with a shortage in the southern and eastern regions. Non acute non hospital residential services with indefinite stay and 24-hour support amounted to 240 places per 100.000, all other sorts of residential facilities amounted only 24 places per 100.000 also with regional differences. If the results are more differenced for who the facilities were available, it was evident, that the most were available for mental retarded people. The demands of the Psyciatric-Enquete and Community Psychiatry has been not competely realized. Further surveys are needed. We suggest to use the ESMS-V3 standardized in socialpsychiatric basis documentation. |