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Psychiatrische Praxis最新文献

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[A comparison of direct admissions to inpatient-equivalent home treatment with transfers from psychiatric wards].
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-12-20 DOI: 10.1055/a-2477-3639
Peter Brieger, Luisa Klocke, Andreas Bechdolf, Sebastian von Peter, Gerhard Längle, Martin Holzke, Konstantinos Nikolaidis, Reinhold Kilian, Jürgen Timm, Stefan Weinmann, Tamara Waldmann, Johanna Zur Verth, Svenja Raschmann, Julian Schwarz, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Janina Richter, Johanna Baumgardt, Johannes Hamann
{"title":"[A comparison of direct admissions to inpatient-equivalent home treatment with transfers from psychiatric wards].","authors":"Peter Brieger, Luisa Klocke, Andreas Bechdolf, Sebastian von Peter, Gerhard Längle, Martin Holzke, Konstantinos Nikolaidis, Reinhold Kilian, Jürgen Timm, Stefan Weinmann, Tamara Waldmann, Johanna Zur Verth, Svenja Raschmann, Julian Schwarz, Sandeep Rout, Constance Hirschmeier, Uwe Herwig, Janina Richter, Johanna Baumgardt, Johannes Hamann","doi":"10.1055/a-2477-3639","DOIUrl":"https://doi.org/10.1055/a-2477-3639","url":null,"abstract":"<p><strong>Aim: </strong>Different access routes to inpatient-equivalent home treatment (IEHT) were examined.</p><p><strong>Methods: </strong>Baseline differences were examined using exploratory group comparisons, treatment effects by type of admission using regression analysis.</p><p><strong>Results: </strong>Of 200 StäB users, 144 (72%) were admitted directly to IEHT, while 56 (28%) were transferred. Direct admissions showed a higher prevalence of affective disorders, while transfers more often had schizophrenia. There were no relevant differences in terms of treatment effects.</p><p><strong>Conclusion: </strong>Access to IEHT treatment is used flexibly, treatment outcomes do not differ significantly. Outreach services should be designed even more flexible.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Involuntary treatment under guardianship law in psychiatric hospitals in Germany: results of an online survey].
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-12-19 DOI: 10.1055/a-2463-9581
Lukas Stürner, Tanja Henking, Georg Juckel, Jakov Gather, Tilman Steinert
{"title":"[Involuntary treatment under guardianship law in psychiatric hospitals in Germany: results of an online survey].","authors":"Lukas Stürner, Tanja Henking, Georg Juckel, Jakov Gather, Tilman Steinert","doi":"10.1055/a-2463-9581","DOIUrl":"https://doi.org/10.1055/a-2463-9581","url":null,"abstract":"<p><strong>Aim of the study: </strong>To determine the circumstances of involuntary treatment under the German Civil Code (BGB) in psychiatric hospitals serving a catchment area.</p><p><strong>Method: </strong>Medical directors of psychiatric hospitals in Germany, including psychiatric departments at general hospitals and university clinics, were interviewed by means of an online survey.</p><p><strong>Results: </strong>The response rate among the N=397 institutions addressed was 43%. Coercive treatment according to the German Civil Code (BGB), which must be requested by a guardian and approved by a court, is relatively rare and mainly involves the forced administration of psychotropic drugs. 90% of the responding institutions had carried out such coercive treatment within the last five years. Involvement in involuntary treatment carried out in somatic hospitals was rarely reported. For the most part, it is not systematically recorded.</p><p><strong>Conclusion: </strong>Taking into account the lack of data, there is a need for a national register of such intervention, including involuntary treatment in somatic hospitals.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Effects of Peer Support Work in Psychiatry: A Systematic Literature Review of Reviews].
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-12-18 DOI: 10.1055/a-2490-6896
Peggy Walde, Birgit Völlm
{"title":"[Effects of Peer Support Work in Psychiatry: A Systematic Literature Review of Reviews].","authors":"Peggy Walde, Birgit Völlm","doi":"10.1055/a-2490-6896","DOIUrl":"https://doi.org/10.1055/a-2490-6896","url":null,"abstract":"<p><strong>Objective: </strong>The current systematic review summarizes reviews on effects of formalized peer support work in clinical psychiatric settings in order to obtain an up-to-date picture of the current state of evidence.</p><p><strong>Methods: </strong>Search in five electronic databases for relevant literature reviews regarding effects of peer support work in psychiatric settings. Database searches were complemented by a hand search.</p><p><strong>Results: </strong>16 reviews were found. They evaluate effects of peer support on clinical or psychosocial outcomes. No consistent effects are found for clinical outcomes. Small positive tendencies occur for psychosocial outcomes.</p><p><strong>Conclusions: </strong>The authors of the reviews consistently mentioned the low quality of the primary studies. Therefore, the present results can rather be interpreted as a preliminary tendency. Further studies are necessary for evaluation of peer support in a more differentiated way.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Everything can - nothing must? Peer support on acute psychiatric wards].
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-12-02 DOI: 10.1055/a-2447-6831
Celina Stolz, Anna Oster, Klara Czernin, Josef Baumgartner, Julia Junghanss, Lieselotte Mahler
{"title":"[Everything can - nothing must? Peer support on acute psychiatric wards].","authors":"Celina Stolz, Anna Oster, Klara Czernin, Josef Baumgartner, Julia Junghanss, Lieselotte Mahler","doi":"10.1055/a-2447-6831","DOIUrl":"https://doi.org/10.1055/a-2447-6831","url":null,"abstract":"<p><p>Peer support is recommended for improving acute psychiatric care, but research is lacking. This qualitative study examines the impact, particularly on coercive measures, through semi-structured interviews with four peers, four patients, and twelve (non-peer) staff members from two acute psychiatric wards. Analysis shows that peers experience unique opportunities and challenges in this context. Their effects include mediating between patients and the team, normalizing daily activities on the wards, promoting social interactions, fostering understanding and trust through shared experiences, as well as instilling hope and self-efficacy. Other staff members benefit from the exchange of patient information, task delegation, increased awareness of stigmatization, and promotion of a recovery-oriented mindset. While peers do not directly influence coercive measures, they contribute to de-escalation. Specific framework conditions are necessary.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Implementation of the guidelines on the prevention of violence and coercion: pre-post analysis of the randomized controlled PreVCo study].
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-12-02 DOI: 10.1055/a-2440-8795
Sophie Hirsch, Johanna Baumgardt, Andreas Bechdolf, Felix Bühling-Schindowski, Celline Cole, Erich Flammer, Susanne Jaeger, Julia Junghanss, Marie Kampmann, Dorothea Sauter, Rainer Muche, Angelika Vandamme, Tilman Steinert, Lieselotte Mahler
{"title":"[Implementation of the guidelines on the prevention of violence and coercion: pre-post analysis of the randomized controlled PreVCo study].","authors":"Sophie Hirsch, Johanna Baumgardt, Andreas Bechdolf, Felix Bühling-Schindowski, Celline Cole, Erich Flammer, Susanne Jaeger, Julia Junghanss, Marie Kampmann, Dorothea Sauter, Rainer Muche, Angelika Vandamme, Tilman Steinert, Lieselotte Mahler","doi":"10.1055/a-2440-8795","DOIUrl":"https://doi.org/10.1055/a-2440-8795","url":null,"abstract":"<p><strong>Aim of the study: </strong>This study examines the extent to which a structured implementation of guidelines for the prevention of coercion leads to an improvement in guideline-compliant work and the reduction of coercion in routine clinical practice.</p><p><strong>Methods: </strong>This is a secondary analysis of the shift of outcomes in the PreVCo study, which was conducted on 55 psychiatric wards throughout Germany.</p><p><strong>Results: </strong>The number of coercive measures decreased significantly during the observation period. The degree of implementation of the guidelines increased significantly. This was achieved without an increase in aggressive assaults.</p><p><strong>Conclusion: </strong>The structured implementation of guideline-compliant work is possible in routine operations on psychiatric wards.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Housing Situation of People with Severe Mental Illnesses]. [严重精神疾病患者的住房情况]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-08 DOI: 10.1055/a-2419-7254
Natalie Lamp, Johanna Breilmann, Thomas Becker, Andreas Allgöwer, Reinhold Kilian, Uta Gühne, Steffi G Riedel-Heller, Alkomiet Hasan, Peter Falkai, Klemens Ajayi, Peter Brieger, Karel Frasch, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Bertram Schneeweiß, Michael Schwarz, Markus Kösters
{"title":"[Housing Situation of People with Severe Mental Illnesses].","authors":"Natalie Lamp, Johanna Breilmann, Thomas Becker, Andreas Allgöwer, Reinhold Kilian, Uta Gühne, Steffi G Riedel-Heller, Alkomiet Hasan, Peter Falkai, Klemens Ajayi, Peter Brieger, Karel Frasch, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Bertram Schneeweiß, Michael Schwarz, Markus Kösters","doi":"10.1055/a-2419-7254","DOIUrl":"https://doi.org/10.1055/a-2419-7254","url":null,"abstract":"<p><strong>Objective: </strong>People with mental illness should live independently in the community. This study analyzed the housing situation and the use and need of psychiatric housing facilities of people with severe mental illness.</p><p><strong>Methods: </strong>Data from a cross-sectional study with 397 people with severe mental illness from two Bavarian districts were used and analyzed descriptively.</p><p><strong>Results: </strong>70% of the patients live independently. 6% use supported housing or residential care. 25% of the participants have housing needs, but 39% of them do not receive adequate help. Most of the patients are familiar with supported housing or residential care and find these helpful.</p><p><strong>Conclusion: </strong>Most patients live in a housing situation that meets the social norm. However, some patients have an unresolved housing problem. The use of supported housing or residential care is helpful, but is rarely used.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany]. [机构化学前儿童保育与虐待报告：东德调查]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-06 DOI: 10.1055/a-2416-0998
Claudia Helmert, Thomas McLaren, Toni Fleischer, Christine Ulke, Laura Altweck, Stefanie Hahm, Holger Muehlan, Lisa Kriechel, Manfred E Beutel, Silke Schmidt, Georg Schomerus, Elmar Brähler, Sven Speerforck
{"title":"[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany].","authors":"Claudia Helmert, Thomas McLaren, Toni Fleischer, Christine Ulke, Laura Altweck, Stefanie Hahm, Holger Muehlan, Lisa Kriechel, Manfred E Beutel, Silke Schmidt, Georg Schomerus, Elmar Brähler, Sven Speerforck","doi":"10.1055/a-2416-0998","DOIUrl":"https://doi.org/10.1055/a-2416-0998","url":null,"abstract":"<p><p>Child abuse increases the risk of adult mental health problems. Limited research explores the association of early institutional childhood care in the GDR with experienced childhood abuse and mediates anxiety and depression in adulthood. The sample includes N=1743 individuals born in the GDR (1949-1983). In multi-group path analyses (stratified men/women), we analysed the influence of pre-school care as a predictor and experienced child abuse (CTS) as a mediator variable for anxiety (GAD-7) and depression (PHQ-9) in adulthood. There are no direct effects of pre-school care on anxiety and depression. Childhood trauma significantly affected current mental health (women β=0.253-0.610; men β=0.092-0.439). Analyses suggest no link between early institutional care and childhood abuse. Considering other contextual factors in childcare is crucial for establishing population-wide prevention strategies for child safety.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[What does an Ideal Day Centre Look Like? The User Perspective on Day-Structuring Programmes for People with Mental Illness]. [理想的日间中心是什么样的？从用户角度看精神疾病患者的日间重组计划]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-05 DOI: 10.1055/a-2435-4601
Sonja Mötteli, Christine Adamus, Kim Sutor, Daniel Schärer, Dirk Richter
{"title":"[What does an Ideal Day Centre Look Like? The User Perspective on Day-Structuring Programmes for People with Mental Illness].","authors":"Sonja Mötteli, Christine Adamus, Kim Sutor, Daniel Schärer, Dirk Richter","doi":"10.1055/a-2435-4601","DOIUrl":"https://doi.org/10.1055/a-2435-4601","url":null,"abstract":"<p><strong>Objective: </strong>Day centres for people with mental disabilities are widespread. Nevertheless, there are only a few studies on their utilisation and effectiveness. This study examines what an ideal day centre should look like from the perspective of the users.</p><p><strong>Methods: </strong>Six guided focus groups were conducted with 4-8 users each. The discussions were transcribed verbatim and analysed using qualitative content analysis.</p><p><strong>Results: </strong>36 participants (67% women, aged 20-62 years). The day centres fulfilled 5 functions: Improving mental health, experiencing community, maintaining daily structure, meaningful occupation and building up workability. The results revealed important aspects of organisation, current and desired activities and support.</p><p><strong>Conclusion: </strong>Day centres are seen as an elementary component of intermediate mental health care. Users have clear ideas about how day centres can support their social and occupational rehabilitation.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Usage behavior related to the 9-Euro-ticket - impetus for psychiatric outpatients to increase activity and social contacts?] [与 9 欧元门票有关的使用行为--推动精神病门诊患者增加活动和社会接触？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1055/a-2364-9122
Juliane Mielau, Constantin Saeger, Martha Burger, Franziska Kroehn-Liedtke, Stefanie Schreiter, Stefan Gutwinski
{"title":"[Usage behavior related to the 9-Euro-ticket - impetus for psychiatric outpatients to increase activity and social contacts?]","authors":"Juliane Mielau, Constantin Saeger, Martha Burger, Franziska Kroehn-Liedtke, Stefanie Schreiter, Stefan Gutwinski","doi":"10.1055/a-2364-9122","DOIUrl":"10.1055/a-2364-9122","url":null,"abstract":"<p><p>This study presents first descriptive statistics on the usage behavior relating to discounted tickets for public transportation as part of an initiative of the German Federal Government in 2022. During a three-month period, 103 psychiatric outpatients of the University Clinic - Charité Berlin provided self-reported data by completing a survey. In general results suggested a high usage rate of the so-called \"9-Euro-ticket\" of 89,3%. Due to its purchase, 37,9% (N=39) of the participants felt motivated to explore unknown places. Furthermore, approximately one third of the sample (34,9%; n=36) reported an increase of social contacts as a result of their ticket usage. A higher influence of costs on participants' activity levels was associated with an increase in main symptoms. Higher age was correlated with a decrease of patients' core symptoms due to their activity. Results indicate a high usage of reduced-price tickets for subsidized public transport by the patients concerned.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"445-450"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Interventions for Escalating Crisis Situations in Inpatient Acute Psychiatric Treatment - Results of a Content Analysis of Joint Crisis Plans]. [急性精神病住院治疗中危机升级情况的干预措施--联合危机计划的内容分析结果]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1055/a-2388-8955
Jacqueline Rixe, Eva Neumann, Marnie Melissa Bosch, Michael Schulz, Georg Juckel, Martin Driessen
{"title":"[Interventions for Escalating Crisis Situations in Inpatient Acute Psychiatric Treatment - Results of a Content Analysis of Joint Crisis Plans].","authors":"Jacqueline Rixe, Eva Neumann, Marnie Melissa Bosch, Michael Schulz, Georg Juckel, Martin Driessen","doi":"10.1055/a-2388-8955","DOIUrl":"10.1055/a-2388-8955","url":null,"abstract":"<p><strong>Objective: </strong>Identification of interventions to prevent coercive measures in the event of escalating crisis situations in an inpatient acute psychiatric treatment context.</p><p><strong>Methods: </strong>Content analysis of 98 joint crisis plans (JCP) using frequency analysis (secondary data analysis).</p><p><strong>Results: </strong>In over half of the joint crisis plans, withdrawal to a low-stimulation environment (64.3%), a conversation (62.2%), and a walk (57.1%) were agreed upon as intervention for escalating crisis situations. A significant difference (p=0.020) was found in relation to the intake of (on-demand) medication, which was determined exclusively by males.</p><p><strong>Conclusions: </strong>The results provide potentially helpful suggestions for escalating crisis situations and gender-specific findings with regard to the agreed interventions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"441-444"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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