Versorgung und Versorgungskonzepte in der Kinder- und Jugendpsychiatrie

BACKGROUND: The situation of child and adolescent psychiatric care has gradually improved since 2007, since the creation of the special medical specialty CAP+P. The workinggroup “Versorgung” of the OGKJP provides an overview of the CAP-Services in Austria. There are still massive deficits in supply. This introduction deals with the presentation of the legal requirements and their implementation. The currently valid care concept is laid down in the Austrian Structure Plan Health (ÖSG) and includes outpatient, day-care and inpatient care. Regulatory structures exist for outpatient and inpatient care, but not for dayclinic care. The field of CAP has various special features: the multimodality, the multiprofessionalism, the age groups of those affected, different and differently presented diseases per age, the restriction to a certain age group (< 19 years) and—this connects it with adult psychiatry—a high prevalence of the diseases as well as the integration of psychotherapeutic medicine into the specialization. The consequences resulting from these special features have not yet found their way into the structural and financial calculations. CONCLUSIONS: Based on the terms describing the term care: “care”, “provision” and “supply”, a model is presented that could be used as a way of thinking when planning health measures in this area. Since mentally ill children and adolescents can be found in all parts of society, the establishment of a centrally responsible and interdepartmental body for mental health is required.