Psychiatrische PraxisPub Date : 2025-03-01Epub Date: 2025-01-07DOI: 10.1055/a-2495-8328
Marie-Luise Holzberger, Fabian Fußer, Kathrin Martin, Eileen Stasik, Simone Back, Rita Becker-Scharwatz, Dana Hesse, Stefan Frisch
{"title":"[Multi-professional Clearing in a Model Project based on § 64b SGB V by the Example of Geriatric Psychiatry].","authors":"Marie-Luise Holzberger, Fabian Fußer, Kathrin Martin, Eileen Stasik, Simone Back, Rita Becker-Scharwatz, Dana Hesse, Stefan Frisch","doi":"10.1055/a-2495-8328","DOIUrl":"10.1055/a-2495-8328","url":null,"abstract":"<p><p>As part of the largest model project in Germany in accordance with § 64b SGB V at the Pfalzklinikum, a clearing concept was developed in the Clinic for Geriatric Psychiatry to ensure rapid and adequate diagnosis and effective referral to the further treatment setting. Retrospective data of all clearing cases from the first year are presented. In addition to demographic data and treatment diagnoses, the distribution of patients across settings providing further treatment is presented.From a total of 1076 cases, more than half of the patients were able to be treated or discharged as outpatients after five working days at the latest.The results emphasize the central role of clearing for treatment management. With regard to demographic change, suggestions for standard care can be derived in order to provide patients with special diagnostic and treatment needs with more targeted and resource-efficient care.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"103-106"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953908","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}
Psychiatrische PraxisPub Date : 2025-03-01Epub Date: 2024-12-18DOI: 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":"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":"70-79"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903109/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychiatrische PraxisPub Date : 2025-03-01Epub Date: 2024-10-24DOI: 10.1055/a-2407-7941
Peter Theiss-Abendroth
{"title":"[Compensation for National Socialist Persecution as a Catalyst for a Paradigm Shift - A Contribution to the History of Psychiatry in the Early Federal Republic of Germany].","authors":"Peter Theiss-Abendroth","doi":"10.1055/a-2407-7941","DOIUrl":"10.1055/a-2407-7941","url":null,"abstract":"<p><strong>Objective: </strong>After WW II, Holocaust survivors often faced negative assessments by German psychiatrists when claiming compensation for psychological damage, a fact that was met with criticism. This study examines how as a result the prevailing doctrine on trauma sequelae underwent a transformation.</p><p><strong>Methods: </strong>Academic contributions in German language from 1946 to 1969 are analyzed for their para-digmatic views on the etiology of mental disorders after war and Nazi persecution.</p><p><strong>Results: </strong>Only a new generation of psychiatrists was able to develop more adequate psychotraumatological concepts by using anthropological and occasionally psychoanalytic theoretical elements. At the same time this also questioned the medically oriented concept of illness in psychiatry.</p><p><strong>Conclusion: </strong>Less the persistence of anti-Semitic sentiments but rather internal scientific reasons such as an unevidenced dogmatism obstructed the the advancement of science.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"107-116"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506604","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}
Jenny Ziegenhagen, Lena Göppert, Rosa Glück, Sebastian von Peter
{"title":"[Safety-relevant components of inpatient equivalent home treatment - An investigation from the perspective of users].","authors":"Jenny Ziegenhagen, Lena Göppert, Rosa Glück, Sebastian von Peter","doi":"10.1055/a-2506-7112","DOIUrl":"https://doi.org/10.1055/a-2506-7112","url":null,"abstract":"<p><p>Our article explores the issue of safety during psychiatric treatment from the service user's point of view. This manuscript is part of the AktiV study and was written by authors with lived experience of psychiatric treatment.55 interviews with users of inpatient equivalent home treatment (=IEHT) were evaluated with the thematic analysis. The guiding question was how the safety needs of users in IEHT can be met, including in comparison to inpatient treatment.The topic of safety is the basis for support in crises for users. The attitude of the staff and their relationship with the users play a significant role in this.IEHT offers more options for safe treatment compared to the inpatient treatment context. The absence of coercion and violence is necessary for users to be safe during psychiatric treatment.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010556","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}
Anna Hirschbeck, Hannah Schwegler, Ludmila Solujanova, David Kossmann, Alkomiet Hasan, Astrid Röh
{"title":"[Sports Programs for Mental Illness: How Mental Health Professionales Can Provide Effective Support].","authors":"Anna Hirschbeck, Hannah Schwegler, Ludmila Solujanova, David Kossmann, Alkomiet Hasan, Astrid Röh","doi":"10.1055/a-2506-9431","DOIUrl":"https://doi.org/10.1055/a-2506-9431","url":null,"abstract":"<p><p>Despite the positive effects of physical activity, people with mental illness often remain inactive. Exercise recommendations are inconsistent and challenging to follow.This study assessed exercise behavior and the need for programs during and after inpatient treatment to develop clinical recommendations.Patients from the psychiatric clinic at the University of Augsburg were recruited via flyer/QR-Code.A total of 47 patients participated in this survey. Over 70% exercise regularly, and over 70% are interested in peer-sports-groups with low-threshold conditions (e.g. no prior registration required). Strength training and moderate intensity training were favored over endurance sports.Our findings complement the World Health Organization's exercise recommendations. Strength training programs and accessible options may promote physical activity in this population.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010557","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}
Felix G Wittmann, Melanie Luppa, Anna Höhn, Natalia Wege, Leonie Ascone, Luzie Lohse, René Hurlemann, Eva Meisenzahl, Martin Lambert, Malek Bajbouj, Marie von Lilienfeld-Toal, Steffi G Riedel-Heller
{"title":"[Rapid Assessment of Future Pandemic Effects in Individuals with Severe Mental Illness: Can Ongoing Population-Representative Cohorts Contribute?]","authors":"Felix G Wittmann, Melanie Luppa, Anna Höhn, Natalia Wege, Leonie Ascone, Luzie Lohse, René Hurlemann, Eva Meisenzahl, Martin Lambert, Malek Bajbouj, Marie von Lilienfeld-Toal, Steffi G Riedel-Heller","doi":"10.1055/a-2500-2379","DOIUrl":"https://doi.org/10.1055/a-2500-2379","url":null,"abstract":"<p><p>To provide an overview of ongoing cohorts including severely mentally ill patients to study collateral effects of pandemics.Systematic literature search.None of the ongoing German health cohorts includes people with severe mental illness (SMI). Four cohorts include individuals with severe depressive and anxiety symptoms.German population-representative cohorts do not make a significant contribution to the rapid detection of future pandemic effects in individuals with SMI. Care-based patient cohorts seem better suitable for generating insights into the protection of this vulnerable group under pandemic conditions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953909","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}
{"title":"[The development and testing of a screening instrument for psychosocial needs assessment within acute psychiatric care].","authors":"Christin Wills","doi":"10.1055/a-2499-1943","DOIUrl":"https://doi.org/10.1055/a-2499-1943","url":null,"abstract":"<p><p>A new instrument (PSH-7) was developed and tested in practice for the standardised assessment of psychosocial support needs in acute psychiatric care.Based on a mixed-methods approach, this instrument was tested in a cross-sectional study (N=84) using quantitative (descriptive evaluation and univariate analysis of variance) and qualitative methods (qualitative content analysis) for its suitability for practical use.The PSH-7 proved to be a suitable instrument for recording the need for help. Loneliness, lack of daily structure and unemployment are the most frequently mentioned needs for help in the context of acute psychiatric care.The study supplements the international findings on the connection between psychosocial stress factors and the maintenance of mental illness. There should be an early focus on perspective planning and the organisation of a sustainable outpatient support network.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953910","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}
{"title":"[Mental illness in old age - why we need a new perspective].","authors":"Meinolf Peters, Lisa Peters","doi":"10.1055/a-2497-4574","DOIUrl":"https://doi.org/10.1055/a-2497-4574","url":null,"abstract":"<p><p>The clinical pictures of older patients with mental illnesses are often very complex, individual disorders appear less distinct, which is also confirmed in epidemiological studies. The article develops the hypothesis of a dedifferentiation of clinical pictures in old age. Deficits in executive functions in old age are discussed as a possible cause.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953907","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}
Psychiatrische PraxisPub Date : 2025-01-01Epub Date: 2024-05-15DOI: 10.1055/a-2288-6856
Stefan Scheydt
{"title":"[Psychosocial Care Demands and Possible Implications for the Role of Mental Health Nursing - Development of an Exemplary Future Scenario].","authors":"Stefan Scheydt","doi":"10.1055/a-2288-6856","DOIUrl":"10.1055/a-2288-6856","url":null,"abstract":"<p><p>This study focuses on the development of a possible future scenario for mental health nursing in Germany. Based on the identified trends in mental health care, important implications for the design of future-oriented mental health nursing were identified and discussed. The developed model describes a type of mental health nursing that takes place on an \"extended\" or \"advanced\" level, close to the community and in a multi-professional setting in the living environment of the affected persons and their relatives. It integrates digital elements of mental health care, while practicing person-centered, diversity- and trauma-informed approaches. Although this describes an approach to mental health nursing that could meet the expected trends and developments in mental health care, critical discussion and reflected consensus on these ideas is needed in an interdisciplinary body.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"48-55"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945742","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}