Long-Term Care with and without Relocated Forms of Residence

Duration
The length of long-term inpatient care depends on the respective level of development of the clients. On the one hand it may represent a time-limited model but also could mean life-long care.

Maintaining psychological and physical stability
The years of experience of the Grü­ner Kreis with people with existing comorbidity show the urgent necessity of possible further care and therapy/rehabilitation after completed inpatient therapy (going beyond 18 months). In order to assist those concerned and to be able to maintain the physical and psychological stability that has been gained, in 2000 the possibility for long-term inpatient care with and without relocated forms of residence (“external, relocated residence) was created.
Previously, in the absence of suitable further care options,  people with dependency disorders and psychological disorders all too frequently became so-called “revolving-door patients” despite their favourable developmental progress. In many cases, with the completion of inpatient therapy there was a relapse into old behaviour patterns, to numerous further attempts at therapy in various psychiatric institutions and in the SUD  assistance network, and frequently to complete “dropping out” of the therapy context of the healthcare system.

Trying out independence
Long-term inpatient care with or without relocated forms of residence offers those concerned a follow-up care and treatment model after the completion of the inpatient-therapy phase. In this way steps towards the greatest possible independence can be tried out and implemented. In addition, the structures of the therapeutic community can continue to be used.

Living independently
Above and beyond this there is the possibility of living independently in an integrated residential unit of the therapeutic community or in a nearby flat rented from the Grüner Kreis. The associated care takes place according to a jointly and individually developed therapy/rehabilitation and care plan. This corresponds to the resources and deficiencies of the clients and can be adapted to changes in the living situation as required.
In the case of life crises or the return into old coping strategies (relapse, psychological crises etc.) those affected can temporarily be completely readmitted to the inpatient framework of the therapeutic community. After the coping with this crisis situation, the return to their own residence unit can take place as part of the long-term inpatient care.