tìm thấy những người trẻ sẵn sàng làm việc trong lĩnh vực chăm sóc sức khỏe tâm thần. Ở đây, sự tách biệt của bác sĩ tâm thần và nhân viên y tế tâm thần khác từ môi trường làm việc bảo vệ của một tổ chức chăm sóc sức khỏe nói chung dường như là một yếu tố quan trọng. | 52 PSYCHIATRY IN SOCIETY find young people willing to work in this mental health care field. Here too the separation of psychiatrists and other mental health staff from the protective work environment of a general health care institution seems to be an important factor. The professional environment in a general hospital with interdisciplinary cooperation provides support in work opportunity for permanent education and help in solving difficult tasks. The predominance of social care tasks associated with the risk of alienating the psychiatrist from the general health care field could lead to an increasing loss of expertise. To prevent this from happening comprehensive and carefully planned training is needed. At the same time two closely connected areas of mental health care are threatening to break apart. Inpatient acute care provided at psychiatric units in general hospitals and hence integrated in the general health care system will benefit from accumulating professional knowledge new and better technologies and therapeutic approaches and will undergo increasing specialization and impressive improvement in the quality of care provided. The outpatient psychiatric care for those patients not in need of psychosocial treatment or support will probably also undergo growing specialization with future advances in modern inpatient care. The psychosocial care of the seriously and chronically mentally ill however which should be functionally closely connected with acute care will be in danger of losing its standards and of being separated from the general health care system. In this respect it is not yet clear in most countries where the mental health care systems are headed nor can the future perspectives be fully fathomed yet. One thing however is sure the breakaway of no matter which part of mental health care from the general health care system is bound to harbour great risks for both the health care personnel and the mentally ill. CONCLUSIONS In most countries around
