Wulf Rössler

Learn More
BACKGROUND In community mental health care, knowledge about costs of care is very limited. Only few studies have related costs to outcome measures. METHOD This German study assesses the cost of psychiatric care of 66 schizophrenic patients during one year of living in the community. Predictors of high cost were identified. RESULTS The average cost of(More)
BACKGROUND The value of the individual placement and support (IPS) programme in helping people with severe mental illness gain open employment is unknown in Europe. Our aim was to assess the effectiveness of IPS, and to examine whether its effect is modified by local labour markets and welfare systems. METHODS 312 patients with severe mental illness were(More)
OBJECTIVE The aims of this study were to develop an indicator for comparing the effectiveness of community mental health care across different areas, and to compare the effectiveness of care for schizophrenic patients in two European regions. METHOD In a long-term follow-up, service utilization, needs for care and met needs of schizophrenic patients were(More)
OBJECTIVE Case management studies from Europe and the United States continue to yield conflicting results. At a symposium at the World Psychiatric Conference in Hamburg in 1999, researchers from four European countries explored the possible reasons for differences in outcome. They also examined reasons for the differing foci of case management studies(More)
Germany turned towards community-based mental health care in the mid seventies, during a general climate of social and political reform. The continuing deinstitutionalisation process and the implementation of community mental health services was considerably affected by the reunification of East and West Germany in 1990, which required dramatic changes in(More)
BACKGROUND This study examined functional social support (FSS) and its impact on treatment outcome in alcohol-dependent outpatients treated with supervised disulfiram. METHOD FSS was assessed cross-sectionally in 46 severe alcohol-dependent patients participating in a close-meshed biopsychosocial treatment program. The FSS was measured with the Medical(More)
BACKGROUND The boundaries of bipolarity have been expanding over the past decade. Using a well characterized epidemiologic cohort, in this paper our objectives were: (1). to test the diagnostic criteria of DSM-IV hypomania, (2). to develop and validate criteria for the definition of softer expressions of bipolar-II (BP-II) disorder and hypomania, (3). to(More)
Aus zahlreichen Untersuchungen der vergangenen Jahrzehnte wird erkennbar, daß die Einstellung der Bevölkerung gegenüber psychisch Kranken von großen Vorurteilen geprägt ist. Da die Einstellung der Allgemeinbevölkerung auch das gemeindenahe Konzept gemeindepsychiatrischer Versorgung beeinflußt, stellt sich die Frage, welche Möglichkeiten der Beeinflussung(More)
Bedarfsorientierung, Evidenz und Wirtschaftlichkeit sind als Kriterien für die Bewertung von Versorgungsleistungen unstrittig. Daten, die einen Abgleich von Anspruch und Wirklichkeit ermöglichen könnten, liegen in der psychiatrischen Versorgung nur ausschnitthaft vor. Besonders im ambulanten Sektor ist die Kostentransparenz unzureichend. Die realen Ausgaben(More)
Background Beliefs about the helpfulness of interventions are influencing the individual help-seeking behavior in case of mental illnesses. It is important to identify these beliefs as professional helpers are asked to consider them in their treatment recommendations. Objective Assessing lay proposals for an appropriate treatment of mental illnesses.(More)