Psychiatrische PraxisPub Date : 2024-07-01Epub Date: 2024-02-15DOI: 10.1055/a-2249-7537
Alexandra Krasselt, Holger Steinberg
{"title":"[Psychiatric Rehabilitation in the GDR against the Background of Soviet Influences].","authors":"Alexandra Krasselt, Holger Steinberg","doi":"10.1055/a-2249-7537","DOIUrl":"10.1055/a-2249-7537","url":null,"abstract":"<p><p>The study describes developments and local models of psychiatric rehabilitation in the GDR and the USSR. After the Second World War patient care was focused on hospitals. The Rodewisch Theses and the Brandenburg Theses as well as the \"Conception to improve the patient care for mentally ill people after 1980\" were important suggestions. The GDR primary literature review shows that soviet concepts were often received. The principles of stages, continuity and sectorization set the stage for success here and there. Transition units such as psychoneurological dispensaries, the occupational/protected workshops and assisted residences, therapeutic clubs, day and night hospitals were created. The occupational therapy was intended to facilitate the transition into the normal working. As a consequence, during the 1970s and 1980s in the GDR a high level of employment of mentally ill people in the economy could be achieved.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"277-282"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741831","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 : 2024-07-01Epub Date: 2024-01-24DOI: 10.1055/a-2229-7919
Christin Wills
{"title":"[The Standardised Recording of Psychosocial Help Needs within Psychiatric Acute Treatment in a Socio-Educational Counselling Context].","authors":"Christin Wills","doi":"10.1055/a-2229-7919","DOIUrl":"10.1055/a-2229-7919","url":null,"abstract":"<p><p>People with mental illness often have complex social problems. Up to now, there has been no systematised/standardised recording of social assistance needs in acute psychiatric care. One reason for this is the lack of adequate instruments and the increasing workload. The review analyses established needs assessment instruments with regard to their suitability for addressing the question. It becomes clear that these instruments are insufficiently suitable for a structured assessment of the need for psychosocial support. This results in the need for the development of a short and standardised instrument for the assessment of psychosocial support needs, which can be used as part of multiprofessional diagnostics within psychiatric care.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"238-244"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546909","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 : 2024-07-01Epub Date: 2024-03-29DOI: 10.1055/a-2265-8375
Niklaus Stulz, Benjamin Dubno, Ralf Gebhardt, Urs Hepp
{"title":"[Distance Decay Effects in a Swiss Mental Health Services System].","authors":"Niklaus Stulz, Benjamin Dubno, Ralf Gebhardt, Urs Hepp","doi":"10.1055/a-2265-8375","DOIUrl":"10.1055/a-2265-8375","url":null,"abstract":"<p><strong>Objective: </strong>To investigate psychiatric service use depending on distances (travel times) to inpatient and outpatient service sites.</p><p><strong>Methods: </strong>Retrospective cohort analysis of all patients aged 18-64 years who had been treated in a Swiss psychiatric services system in 2022.</p><p><strong>Results: </strong>Outpatient service utilization rates decreased statistically significantly with increasing distance (travel time by public transportation) between the place of residence and the responsible outpatient clinic. For inpatient utilization, the distance decay effects were much less strong and did not always reach a statistically significant level.</p><p><strong>Conclusion: </strong>In an easily accessible and economically reasonable psychiatric services system, inpatient and specialized services should be organized centrally, while general outpatient psychiatric services should be planned decentralized and close to the communities where people live.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"270-276"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327069","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 : 2024-07-01Epub Date: 2024-02-15DOI: 10.1055/a-2248-6280
Anne Lang, Luisa Klocke, Susanne Menzel, Eva Ketisch, Peter Brieger, Johannes Hamann
{"title":"[When does StäB (not) Work? A Qualitative, Multi-Perspective Survey on Factors that can Affect the Outcome of Inpatient-Equivalent Home Treatment (IEHT)].","authors":"Anne Lang, Luisa Klocke, Susanne Menzel, Eva Ketisch, Peter Brieger, Johannes Hamann","doi":"10.1055/a-2248-6280","DOIUrl":"10.1055/a-2248-6280","url":null,"abstract":"<p><strong>Objective: </strong>There are always cases in which an already started inpatient equivalent home treatment is terminated. Aim of our study was to reach a better understanding of the circumstances leading to a termination of IEHT that has already begun.</p><p><strong>Methods: </strong>17 qualitative interviews were conducted with patients, relatives as well as practitioners and therapists. Data analysis was performed by means of qualitative content analysis.</p><p><strong>Results: </strong>Our data shows, that there are further factors, besides the formal exclusion criteria for IEHT, that can complicate or prevent an inpatient equivalent home treatment or lead to its termination.</p><p><strong>Conclusion: </strong>IEHT offers many patients the possibility of an intensive treatment in their own home. However, there our various constellations that can lead to a complication or termination of an inpatient equivalent home treatment.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"263-269"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741832","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":"[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":"https://doi.org/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":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-15","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}
Psychiatrische PraxisPub Date : 2024-05-01Epub Date: 2024-02-15DOI: 10.1055/a-2230-3163
Sarah Koens, Jens Klein, Martin Härter, Annette Strauß, Martin Scherer, Ingo Schäfer, Olaf von dem Knesebeck
{"title":"[Intended utilization of health care services in cases of mental illnesses with varying urgency].","authors":"Sarah Koens, Jens Klein, Martin Härter, Annette Strauß, Martin Scherer, Ingo Schäfer, Olaf von dem Knesebeck","doi":"10.1055/a-2230-3163","DOIUrl":"10.1055/a-2230-3163","url":null,"abstract":"<p><strong>Objective: </strong>To investigate variations in intended utilization in cases of an acute psychotic episode, an alcohol related or depressive disorder depending on different case characteristics.</p><p><strong>Methods: </strong>A telephone survey with case vignettes was conducted (N=1,200). Vignettes varied in terms of urgency of symptoms, daytime, sex of the afflicted person and age/mental disorder. The respondents were asked to indicate whom they would contact first in the described case.</p><p><strong>Results: </strong>Outpatient physicians were named most frequently as the first point of contact (61.1%) while only 6.5% of the respondents named emergency medicine including the medical on call service (8.1% in high urgency cases, i. e. emergencies that did not tolerate any delay). Intended utilization varied by urgency and age/mental illness.</p><p><strong>Conclusion: </strong>More Information about the need to seek medical help immediately in cases of mental illnesses with high urgency should be provided.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"209-215"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741830","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 : 2024-05-01Epub Date: 2024-03-29DOI: 10.1055/a-2241-4148
Sophie Christine Eicher, Julia Wilhelm, Elvira Mauz, Stephan Junker, Heike Hölling, Lorenz Schmid, Julia Thom
{"title":"[A Continuous Literature Review for Mental Health Surveillance during the Covid-19 Pandemic in Germany - Method, Selected Results and Lessons Learned].","authors":"Sophie Christine Eicher, Julia Wilhelm, Elvira Mauz, Stephan Junker, Heike Hölling, Lorenz Schmid, Julia Thom","doi":"10.1055/a-2241-4148","DOIUrl":"10.1055/a-2241-4148","url":null,"abstract":"<p><p>In order to provide an up-to-date overview on changes in population's mental health during the COVID-19 pandemic, a continuous literature review was conducted. Building on a rapid review, systematic and hand searches were conducted monthly until December 31, 2022. Studies were assessed for observation periods, risk of bias and outcomes. Trends in depressive symptoms in adults were summarized by vote counting. 102 publications were included from 62 studies in the adult population. Studies declined over the course of the pandemic. Overall, 37% of the studies and 56% of the publications can assess trends in the population reliably. Among evidence for changes in depressive symptoms deteriorations predominated at last. The heterogeneity of results published by the end of 2022 limits evidence syntheses. Evidence of deterioration requires further surveillance. A continuous review can indicate evidence gaps at an early stage.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"178-188"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327068","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 : 2024-05-01Epub Date: 2024-05-08DOI: 10.1055/a-2266-6881
Martin Driessen
{"title":"[Outpatientization of Hospital Psychiatry - The Time has Come].","authors":"Martin Driessen","doi":"10.1055/a-2266-6881","DOIUrl":"https://doi.org/10.1055/a-2266-6881","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 4","pages":"175-177"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892233","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 : 2024-05-01Epub Date: 2023-11-21DOI: 10.1055/a-2179-6983
Gerhard Längle, Svenja Raschmann, Anna Heinsch, Tamara Großmann, Lasse Fischer, Jürgen Timm, Andreas Bechdolf, Sebastian von Peter, Stefan Weinmann, Konstantinos Nikolaidis, Peter Brieger, Johannes Hamann, Tamara Waldmann, Julian Schwarz, Sandeep Rout, Uwe Herwig, Janina Richter, Constance Hirschmeier, Johanna Baumgardt, Martin Holzke
{"title":"[Does Inpatient Equivalent Home Treatment lead to higher satisfaction? Results on satisfaction of persons involved in treatment within the Multi-center AKtiV Study].","authors":"Gerhard Längle, Svenja Raschmann, Anna Heinsch, Tamara Großmann, Lasse Fischer, Jürgen Timm, Andreas Bechdolf, Sebastian von Peter, Stefan Weinmann, Konstantinos Nikolaidis, Peter Brieger, Johannes Hamann, Tamara Waldmann, Julian Schwarz, Sandeep Rout, Uwe Herwig, Janina Richter, Constance Hirschmeier, Johanna Baumgardt, Martin Holzke","doi":"10.1055/a-2179-6983","DOIUrl":"10.1055/a-2179-6983","url":null,"abstract":"<p><p>This part of the AKtiV Study focuses on treatment satisfaction of patients and their relatives within Inpatient Equivalent Home Treatment (IEHT) and regular treatment. Stress of relatives and job satisfaction and workload of employees in IEHT is also considered. Relevant Parameters were collected via established as well as newly adapted questionnaires at the end of treatment. Patients and relatives in IEHT are significantly more satisfied. The stress experienced by relatives is reduced in both forms of treatment. Employees in IEHT are generally very satisfied, although there is no correlation with the satisfaction of relatives and patients. Known limitations of satisfaction surveys must be taken into account. In general these results encourage the expansion and continuous development of this new form of treatment in Germany.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"202-208"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291672","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 : 2024-05-01Epub Date: 2023-11-21DOI: 10.1055/a-2196-2218
Lorenz B Dehn, Julia Suer, Rüdiger Klein, Martin Driessen
{"title":"[Work and Employment Situation of People with Mental Illness Receiving Independent Supported Housing: An Analysis of Routine Data from a Community Psychiatry Service].","authors":"Lorenz B Dehn, Julia Suer, Rüdiger Klein, Martin Driessen","doi":"10.1055/a-2196-2218","DOIUrl":"10.1055/a-2196-2218","url":null,"abstract":"<p><strong>Objectives: </strong>Due to insufficient empirical data on the occupational participation of people affected by severe mental illness receiving integration assistance, routine data from a community psychiatry service were evaluated.</p><p><strong>Methods: </strong>Reference workers filled out a short questionnaire on different occupational and employment aspects of their clients from supported housing/floating outreach. In addition to descriptive and exploratory analyses, overall results from previous survey rounds were also evaluated.</p><p><strong>Results: </strong>N=1418 individuals (M=47.6 years) could be included, of whom approximately 45% had no job, sheltered employment, or daytime service. This percentage has remained almost unchanged over the last decades.</p><p><strong>Conclusion: </strong>Overall, there is an urgent need for action to improve occupational participation opportunities for people with mental illness and substance addiction.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"216-220"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291674","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}