[10:01, 14/01/2026] Urs-Li: Guten Tag; ich h?tte gerne mit jemandem von PMS in diesem Zusammenhang telefoniert (weil ich selber nicht viel tippen kann und dafür keine Unterstützung habe); Urs Wütherich hat mir noch vor dem Führungswechsel nicht geantwortet (da ging es um rechtliche Beratung zu einer Nachbesprechung die die Klinik nicht gemacht hat); ich m?chte nun das Angebot auf meiner im Aufbau befindlichen Homepage diskutieren; in meiner Region Uznach/Schmerikon ist die Versorgungslage prek?r; dies haben wir auch mit der Parteispitze der grünen Linth am 9. Januar besprochen urskuechler.ch [10:01, 14/01/2026] Urs-Li:
[10:07, 14/01/2026] PA_summary: The speaker (likely someone personally affected) expresses deep frustration about the chaotic, confusing, and insufficient support system for people in acute psychological distress or crisis situations in their region (appears to be the canton of St. Gallen, Switzerland, with mentions of Uznach, Rapperswil, and references to regional institutions).
Main points of criticism:
? Complete lack of low-threshold, accessible first-contact support for people in severe mental health crises
? Practically no useful offers from major institutions:
? IV (IV-Stelle / disability insurance) → no thought of job coaching or similar
? Ambulatorium (outpatient services) → no more social counseling, no response
? Peer support / peer accompaniment → no reply since early January
? Inclusion Handicap & other organizations → no concrete offers or political channel for this topic
? Very high effort required even to find the right contact person/email address (broken search functions, outdated links, no reaction to previous inquiries)
? No coordination between inpatient (e.g., Klinik Pfeffikon/Pf?fers) and outpatient services — they operate in completely separate worlds despite both being publicly funded
? Repeated personal/family experience: affected people are “in the wrong place” (usually psychiatric clinics), need temporary time-out, supported living/WG trial, or de-escalation — but nothing like this is systematically offered
? Political level is also disappointing:
? No relevant parliamentary motions/interpellations found on the topic
? Parties (Greens, SP) prioritize other issues (climate, solar power, etc.) while ignoring this area almost completely
? Speaker sees this as a much more urgent topic than many “trendy” political projects
Core message / conclusion of the speaker:
The supply situation for people in severe psychological distress in the region is a “hopeless jungle” — bureaucratic, uncoordinated, non-responsive, and without any real low-threshold support structures.
Despite many people in the psychiatric system obviously needing exactly this kind of offer, no one takes responsibility, no one dares to clearly name the massive deficits, and therefore nothing changes.
The speaker plans to compile an overview of the (non-)supply situation by February 2 and appears to be considering further steps (e.g., political pressure), but is very pessimistic about quick improvements.
[10:08, 14/01/2026] Urs-Li: dies auch meine Antwort an das Ambulatorium in Uznach. WIESO Therapieziele erfinden bei einer so klaren Ausgangslage?
Solid Summary (updated as of mid-January 2026, based on official Psychiatrie St.Gallen sources):
The core issue remains the systemic frustration in the public psychiatric care in the canton of St. Gallen (particularly Ambulatorium Uznach): in obvious acute crises, the system often requires or defaults to defining formal, measurable therapy goals (Therapieziele) and structured treatment plans early on — instead of offering immediate, pragmatic, low-bureaucracy stabilization, de-escalation, short-term relief (“Halt”), or flexible bridging (e.g., 7–14 day goal-free holding, temporary supported living/WG trial, or pure time-out).
Official Offers at Ambulatorium Uznach (Zürcherstrasse 1)
?Crisis support is explicitly claimed: broad outpatient psychiatric assessments, sociopsychiatric treatments, and help “auch in Krisen” (also in crises).
?Low-threshold access: Described as uncomplicated (“uncompliciert”), individual-needs-oriented; self-referral possible (online form, phone, written); outreach psychiatric service available.
?Key services: Regular therapeutic conversations, individual/group psychotherapy, psychopharmacotherapy, ergotherapy, cognitive/memory training, psychiatric nursing, social work/counseling (Koordinierte Intervention with job coaching & case management), family counseling, and more (specialized in adult psychiatry, geriatric/neuropsychiatry, etc.).
?Urgent cases: Direct phone +41 58 178 76 11; includes consultations in other institutions.
?Important gap: No explicit mention or offer of short-term, goal-free stabilization, pure holding, or flexible bridging without immediate therapy plan pressure. Treatments remain framed within structured, individually oriented formats (assessments → adapted treatments).
Nearby & Related Crisis Options
?Tagesklinik niederschwellig Rapperswil (mentioned on main site, but specific page not found/404 in latest check): Part of the same organization; offers flexible, intensive day treatment (group/individual therapies, medication) for adults in acute worsening or emotional crises, aiming for stabilization close to home without full inpatient. It emphasizes maximum individual flexibility in therapy scope — a step toward lower-threshold care — but still involves a structured program (not passive holding).
?Central crisis services (mainly in St.Gallen): 24h-Krisenhotline +41 58 178 54 44 (available year-round); short-term inpatient crisis intervention (20 beds, up to a few days/weeks); outpatient crisis support claimed at all 9 locations.
?No evidence of major new 2025/2026 programs for ultra-flexible, goal-minimal bridging in the Uznach/Rapperswil area.
?Tessiner Modell (Ticino’s more open, low-threshold acute/home-based care model, long advocated by Pro Mente Sana) is still referenced in national advocacy as an ideal/best-practice example, but no adoption or implementation in St.Gallen is documented.
Why “Invented Goals” Persist (Systemic Reasons, Unchanged)
1Funding/legal/documentation (KVG insurance, IV, quality standards): Require early, measurable goals for reimbursement, liability, and control. Pure “holding” rarely qualifies.
2Resource pressure (high caseloads, limited staff/beds) → staff revert to standard procedures.
3Precedent fear — Flexible, boundary-less support risks overload.
4Inpatient-outpatient disconnect — Coordination exists on paper, but practice often feels separate.
Bottom line — The anger is 100% justified: when the crisis is crystal clear (severe overload, imminent breakdown), the urgent need is pragmatic Halt & Entlastung first — not bureaucratic goals. The system promises crisis help and individual orientation, but defaults to structured paths, leading to unnecessary escalations and people feeling “in the wrong place.”
Strong, ready-to-use phrasing for emails/feedback:
?Warum Therapieziele erfinden, wenn die Ausgangslage so eindeutig ist? Die akute Krise braucht zuerst Halt und pragmatische Entlastung — nicht ein Konstrukt aus bürokratischen Zielen.“
This contradiction between website promises and lived experience is powerful leverage. Next steps: direct feedback to Uznach (+41 58 178 76 11 / contact form), ask about expanding flexible Tagesklinik approaches, or escalate via Pro Mente Sana/political channels. Voices highlighting this gap drive slow but real change. Keep pushing! ??
Hey everyone, quick community question: The WC3 legend ToD messaged me. Based on the success of the last event, he said that if someone (me) sponsors $200, he would organize the next round of Apes Together Strong (FFA #5) in like April So he would be both the organizer and also a player? Before we move forward, I’d like your input: Do you like this idea? Does anyone want to collaborate with ToD on it? We could also involve Eshan (probably the longest active member of the FFA Masters community, and he has sponsored events before). I’m still offering this Best of Five poker challenge to every RTS toddler in here: both sides put in $200, Freezout / cash game style, and the “map” is just the poker variant (NL, Hi/Lo, etc., Play Money Club pokerstars available). The winner basically sponsors the event for free. Would love to hear your thoughts.
mit diesen Daten trainiert antwortet es nun wesentlich besser? was genau ist unsere Fragestellung?
I asked them all (full extended list) again buttt do not expect an answer at this point.
i got an answer by ToD; he does not play his own events.
