[Integrative treatment in psychiatric hospitals brings long-term improvements to local outpatient treatment...

In the future, a range of outpatient solutions with services provided by different partners will have to be developed for highly complex psychiatric cases. The programme expenses will be covered by different institutions. Taking the example of the Department of Addiction and Psychotherapy of the Rhine state hospital in Bonn, three integrative projects are presented, which have had a secondary, lasting effect on local outpatient treatment structures. Besides the excellent clinical cooperation between the different institutions involved, an important element of all three projects has been the intensive cooperation between all three sponsors. For the future, it will be necessary to create financial incentives for the participants in addition to promoting integrative approaches. Much creative management is also needed on the part of the psychiatric hospital in order to fulfil its role as a centre of competence for psychiatric problems.