NEUROPSYCHIATRIE最新文献

The status of care in child and adoelscent psychiatry in Austria is still incomplete but increasing since the foundation of this medical specialty. Corona pandemia increases the pressure on the caring structures.In this paper the current state of publically paid outpatient care is reviewed and summarized. Differences between current state and the desired/planned state of care will document existing deficits and needed developments.The 9 federal states of Austria have made variable progress in developing the general child psychiatric care. We conclude with recommendations for further implementations.

Background and research question: This article presents and analyses the landscape for inpatient child and adolescent psychiatric care in Austria and examines current data from June 2022.

Method: 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.

Results: 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.

Discussion and conclusions: 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.

Background: 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.

Methods: 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.

Results and conclusions: 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.