NEUROPSYCHIATRIEPub Date : 2022-12-01Epub Date: 2022-11-23DOI: 10.1007/s40211-022-00445-w
Roland Grassl, Elisabeth Marte
{"title":"[Undersupply of child and adolescent psychiatric outpatient clinics in Austria that can meet minimum requirements].","authors":"Roland Grassl, Elisabeth Marte","doi":"10.1007/s40211-022-00445-w","DOIUrl":"https://doi.org/10.1007/s40211-022-00445-w","url":null,"abstract":"<p><p>This article is intended to provide an overview of the supply situation with independent outpatient clinics and dislocated Hospital ambulances for Child and Adolescent Psychiatry, taking into account minimum professional standards. The level of care, the mandate to provide care, requirements, structural quality criteria and implementation recommendations are described. 13 outpatient clinics and dislocated Hospital ambulances are described in a data matrix.A comprehensive Austria-wide survey of the staffing and care offerings identified 13 outpatient clinics and outpatient clinics that meet minimum standards. This proves a difference between the current situation and the number of outpatient clinics required nationwide of 26 to 36 (depending on the assessment 1/350k or 1/250k)Thus, the findings provided here, lead us to the conclusion that the patient care in Austria's child and adolescent psychiatric outpatient clinics is not sufficiently guaranteed due to the largely tolerated but technically incorrect interpretation of the legally valid minimum standards.If the current deficiencies are retained, a central child and adolescent psychiatric care level remains with an effectiveness of less than 50% of the Austrian health structure plan (OSG).</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"165-172"},"PeriodicalIF":2.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40702843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-12-01Epub Date: 2022-11-08DOI: 10.1007/s40211-022-00443-y
Kathrin Sevecke, Anna Wenter, Isabel Böge
{"title":"[Inpatient care in child and adolescent psychiatry-Who gets treatment?]","authors":"Kathrin Sevecke, Anna Wenter, Isabel Böge","doi":"10.1007/s40211-022-00443-y","DOIUrl":"10.1007/s40211-022-00443-y","url":null,"abstract":"<p><strong>Background and research question: </strong>This article presents and analyses the landscape for inpatient child and adolescent psychiatric care in Austria and examines current data from June 2022.</p><p><strong>Method: </strong>In June 2022, the authors surveyed the current status of child and adolescent psychiatric primary care in Austria. Both systemised beds and day hospital beds as well as the number of specialists and assistant doctors were taken into account.</p><p><strong>Results: </strong>A bed index of 0.05 beds/1000 inhabitants (as of 6/2022) was calculated, which is below the guideline for beds needed and does not correspond with the need depicted for sufficient provision of care (\"Österreichischer Strukturplan Gesundheit\"). Moreover, in June 2022, 40 beds had to be closed due to staff shortages and 26.5 training positions were vacant across Austria.</p><p><strong>Discussion and conclusions: </strong>Even though the training ratio was raised to 1:2 as of 07.02.2022 within the framework of the \"Mangelfachverordnung\" for a limited period of time until 31.05.2027, it is hardly possible to guarantee sufficient mental health care according to the increased demand for child and adolescent psychiatry, especially in times of the pandemic. Measures need to be urgently taken to improve child and adolescent psychiatric treatment options. In order to ensure adequate care for the increasing number of mentally ill children and adolescents (a) the number of beds must be increased, (b) structural deficits have to improve, and (c) innovative treatment options in the sense of inpatient-equivalent treatment (home treatment) has to be considered.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"36 4","pages":"179-187"},"PeriodicalIF":2.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10657986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-12-01DOI: 10.1007/s40211-022-00440-1
Leonhard Thun-Hohenstein, Andreas Karwautz
{"title":"Versorgungssituation der Kinder- und Jugendpsychiatrie in Österreich – Stand 2022.","authors":"Leonhard Thun-Hohenstein, Andreas Karwautz","doi":"10.1007/s40211-022-00440-1","DOIUrl":"https://doi.org/10.1007/s40211-022-00440-1","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"36 4","pages":"149-150"},"PeriodicalIF":2.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-09-01DOI: 10.1007/s40211-022-00425-0
{"title":"Das Gehirn ist nicht einsam – Resonanzen zwischen Gehirn, Leib und Umwelt.","authors":"","doi":"10.1007/s40211-022-00425-0","DOIUrl":"https://doi.org/10.1007/s40211-022-00425-0","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"36 3","pages":"136-140"},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9234769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-09-01Epub Date: 2021-08-12DOI: 10.1007/s40211-021-00397-7
Martin Böhm, Barbara Stiglbauer
{"title":"[Motives for the use of psychosocial aftercare services].","authors":"Martin Böhm, Barbara Stiglbauer","doi":"10.1007/s40211-021-00397-7","DOIUrl":"https://doi.org/10.1007/s40211-021-00397-7","url":null,"abstract":"<p><strong>Background: </strong>There are hardly any studies regarding the specific motives for the use of psychosocial aftercare services. The present study aims to fill this gap by investigating the motives for the use of certain psychosocial aftercare services for people with mental health problems. In particular, the services Ability-Oriented Activity, Mobile Care and Help, Psychosocial Counseling Center and Housing are considered.</p><p><strong>Methods: </strong>Data from a client satisfaction surveys which had been conducted on an annual basis over a period of 5 years (2013-2017) were analyzed. Clients were surveyed regarding the importance of 5 motives for service use (getting support with problems; being able to talk to someone about problems; feeling understood; having a space of safety; feeling like they are doing something for their health) using a 5-point response scale.</p><p><strong>Results and conclusions: </strong>The analyses of the data show that across all services, the motive \"feeling understood\" is of great importance for the use of psychosocial services. Apart from this motive, it is primarily safety that motivate the use of services of ability-oriented activity and housing. In the case of Mobile Care and Assistance and the Psychosocial Counseling Center, it is predominantly instrumental aspects, such as getting support with problems. In general, it can be seen that the motivational strength, i.e. how important these reasons are for using the service, is highest for the services provided by Mobile Care and Assistance and the Psychosocial Counseling Center.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"97-103"},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40211-021-00397-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39314427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-09-01DOI: 10.1007/s40211-022-00428-x
{"title":"kultur im kontext.","authors":"","doi":"10.1007/s40211-022-00428-x","DOIUrl":"https://doi.org/10.1007/s40211-022-00428-x","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"36 3","pages":"145-147"},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9249747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-09-01DOI: 10.1007/s40211-022-00427-y
A Karwautz
{"title":"bericht aus dem ögkjp-vorstand.","authors":"A Karwautz","doi":"10.1007/s40211-022-00427-y","DOIUrl":"https://doi.org/10.1007/s40211-022-00427-y","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"36 3","pages":"143-144"},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9234767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-09-01DOI: 10.1007/s40211-022-00429-w
{"title":"bericht aus dem ögpp-vorstand.","authors":"","doi":"10.1007/s40211-022-00429-w","DOIUrl":"https://doi.org/10.1007/s40211-022-00429-w","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"36 3","pages":"141-142"},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9234765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-06-15DOI: 10.1007/s40211-022-00420-5
Charlotte Rhind, Mishka Mahdi, M. Simic, J. Espie, K. Tchanturia
{"title":"Group cognitive remediation therapy for children and adolescents in intensive day-patient treatment for anorexia nervosa: a feasibility study","authors":"Charlotte Rhind, Mishka Mahdi, M. Simic, J. Espie, K. Tchanturia","doi":"10.1007/s40211-022-00420-5","DOIUrl":"https://doi.org/10.1007/s40211-022-00420-5","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"66 1","pages":"125 - 135"},"PeriodicalIF":2.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81100298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2022-06-08DOI: 10.1007/s40211-022-00421-4
M. Alfuth, Lisanne Kremer, K. König, B. Breil
{"title":"Wahrnehmungs- und achtsamkeitsbasierte Ergotherapie bei Menschen mit psychischen Störungen – Eine retrospektive Beobachtungsstudie zur Anwendung der SELWA-Behandlung","authors":"M. Alfuth, Lisanne Kremer, K. König, B. Breil","doi":"10.1007/s40211-022-00421-4","DOIUrl":"https://doi.org/10.1007/s40211-022-00421-4","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"7 1","pages":"116 - 124"},"PeriodicalIF":2.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79088363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}