[Psychiatric care under the new conditions]

The authors discuss the foreseen development of psychiatry under new conditions. They assume a new administrative set-up of the country, the introduction of health insurance and the establishment of a medical chamber (equivalent of Royal Colleges). In ambulatory care they assume that the hitherto existing policlinical system will be replaced by independently working specialists. In addition a part will be played also by specialized ambulatory psychiatric care in psychiatric in-patient institutes and in semimural institutions (psychiatric day sanatoria, therapeutic workshops etc.). Psychiatric in-patient treatment still is concentrated in psychiatric sanatoria. It is, however, necessary that they should be legally independent and change their working style. They must apply humane and social principles and get rid of control work and repressive approaches; hospitalization should be only voluntary. At the same time social control is necessary as well as collaboration with charitative and religious organizations and new developing, independent initiatives. Another prerequisite of these changes is revision or amendement of some contemporary legal provisions.