Psychiatrische Praxis最新文献

Objectives: Our study investigates how psychotherapists implement and assess the newly introduced elements of the structural reform of the psychotherapy guideline in Germany.

Methods: We asked psychotherapists about their experiences with the structural reform in semi-structured interviews. The data was analysed using qualitative content analysis.

Results: A total of 37 h of audio material from 41 psychotherapists were available. The interviews showed that acute treatment and relapse prevention are welcomed by psychotherapists. However, due to lack of appointment capacity as well as conceptual barriers, these are rarely used. Concerning psychotherapeutic assessment consultations, the opinions were heterogeneous.

Conclusion: Individual aspects of the new care elements are assessed positively. However, these can only be implemented to a limited extent and are not sufficient to significantly improve the strained supply situation.

Objective: The study examines conditions to promote employment and workplace integration of people with psychosocial disabilities.

Method: 26 guided interviews were conducted with Austrian companies. 15 of these companies employed people with mental disabilities at the time of the interview. The remaining 11 companies did not employ anyone who had a declared mental illness.

Results: Companies that employ people with mental disabilities refer to an idealistic, social or socio-political motive for employment and have manifold supportive measures in place. Companies that do not employ people with mental disabilities express insecurities and ambivalent expectations regarding employment of people with mental disabilities.

Conclusion: Results show that it is imperative to inform companies of the possibilities and conditions of workplace integration of people with psychosocial disabilities.

Objective: In this study we explored the subjective experiences and needs of people with severe mental illness regarding dietary and weight-related support within routine care.

Methods: For this purpose, a total of 16 interviews with adults living with mental illness were conducted in Ulm (Germany) and Graz (Austria) using a semi-structured topic guide and were analysed in a qualitative approach.

Results: Several participants criticized the limited support by professionals regarding diet- and weight-related problems and wished for greater awareness of these issues in mental health care.

Conclusion:   The implementation of health-promoting services in mental health care is important to ensure needs-oriented care from the patients' point of view. Interdisciplinary care concepts could be used to share responsibilities among several professional groups.

From the perspective of the forensic clinics, the judiciary is increasingly ordering temporary placements according to Sec. 126a of the Code of Criminal Procedure. Three hypotheses are proposed that could (partly) explain this increase: 1) Courts' tendency to hand down this decision even in cases involving minor offences. 2) Courts' tendency to hand down this decision despite positive prognoses. 3) Changes in the reporting practices of psychiatric clinics. Overly simple explanations for the increase in temporary placements, therefore, fall short. This makes it more urgent to strengthen the primary-prevention approach. It is imperative that the small percentage of people with mental illness and an increased propensity to violence be identified and treated to prevent violence in the general psychiatric care stage. For this forensic psychiatry and general psychiatric care must be interlinked more closely.

Family support in Germany is provided by a conglomerate of different support systems. In order to optimize the networking and cooperation of these inter-institutional support systems, it is important to gain a deeper understanding of the existing cooperation structures. Against this background, different qualitative and quantitative aspects were surveyed and analyzed by means of a questionnaire among participants from different help systems. The results point in particular to the currently existing special role of adult psychiatry.

Objective:   The knowledge about the consequences of state doping in the GDR is limited. It is assumed that the precarious training conditions had a great influence on the mental health of the former competitive athletes. The aim of this study was to assess the psychological symptoms of former GDR competitive athletes.

Method:   A case-control study was conducted using questionnaires on psychological symptoms and possible risk or protective factors.

Results:   Significant differences were found on scales. The major part of the affected athletes showed a clinically relevant psychological stress. Exemplary for this is a pronounced depressive symptomatology in 65,19% of the probands.

Conclusion:   Presumably, the negative experiences in competitive sports led to an increase in psychological symptoms and vulnerability.