PSYCHIATRISCHE PRAXIS

[Implementation of the guidelines on the prevention of violence and coercion: pre-post analysis of the randomized controlled PreVCo study]
Hirsch S, Baumgardt J, Bechdolf A, Bühling-Schindowski F, Cole C, Flammer E, Jaeger S, Junghanss J, Kampmann M, Sauter D, Muche R, Vandamme A, Steinert T and Mahler L
This study examines the extent to which a structured implementation of guidelines for the prevention of coercion leads to an improvement in guideline-compliant work and the reduction of coercion in routine clinical practice.
[Everything can - nothing must? Peer support on acute psychiatric wards]
Stolz C, Oster A, Czernin K, Baumgartner J, Junghanss J and Mahler L
Peer support is recommended for improving acute psychiatric care, but research is lacking. This qualitative study examines the impact, particularly on coercive measures, through semi-structured interviews with four peers, four patients, and twelve (non-peer) staff members from two acute psychiatric wards. Analysis shows that peers experience unique opportunities and challenges in this context. Their effects include mediating between patients and the team, normalizing daily activities on the wards, promoting social interactions, fostering understanding and trust through shared experiences, as well as instilling hope and self-efficacy. Other staff members benefit from the exchange of patient information, task delegation, increased awareness of stigmatization, and promotion of a recovery-oriented mindset. While peers do not directly influence coercive measures, they contribute to de-escalation. Specific framework conditions are necessary.
[What does an Ideal Day Centre Look Like? The User Perspective on Day-Structuring Programmes for People with Mental Illness]
Mötteli S, Adamus C, Sutor K, Schärer D and Richter D
Day centres for people with mental disabilities are widespread. Nevertheless, there are only a few studies on their utilisation and effectiveness. This study examines what an ideal day centre should look like from the perspective of the users.
[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany]
Helmert C, McLaren T, Fleischer T, Ulke C, Altweck L, Hahm S, Muehlan H, Kriechel L, Beutel ME, Schmidt S, Schomerus G, Brähler E and Speerforck S
Child abuse increases the risk of adult mental health problems. Limited research explores the association of early institutional childhood care in the GDR with experienced childhood abuse and mediates anxiety and depression in adulthood. The sample includes N=1743 individuals born in the GDR (1949-1983). In multi-group path analyses (stratified men/women), we analysed the influence of pre-school care as a predictor and experienced child abuse (CTS) as a mediator variable for anxiety (GAD-7) and depression (PHQ-9) in adulthood. There are no direct effects of pre-school care on anxiety and depression. Childhood trauma significantly affected current mental health (women β=0.253-0.610; men β=0.092-0.439). Analyses suggest no link between early institutional care and childhood abuse. Considering other contextual factors in childcare is crucial for establishing population-wide prevention strategies for child safety.
[Housing Situation of People with Severe Mental Illnesses]
Lamp N, Breilmann J, Becker T, Allgöwer A, Kilian R, Gühne U, Riedel-Heller SG, Hasan A, Falkai P, Ajayi K, Brieger P, Frasch K, Heres S, Jäger M, Küthmann A, Putzhammer A, Schneeweiß B, Schwarz M and Kösters M
People with mental illness should live independently in the community. This study analyzed the housing situation and the use and need of psychiatric housing facilities of people with severe mental illness.
[Prevention of mental disorders - a future topic]
Koschig M and Riedel-Heller SG
["Change Agents" Or "Peer Washing": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]
von Peter S, Kuesel M, Ziegenhagen J, Fehler G, Schmidt D and Ruiz-Perez G
Peer support workers (=PSW) are expected to change the culture of a care facility. It is examined whether and how they can implement such a change mandate.
[Interventions for Escalating Crisis Situations in Inpatient Acute Psychiatric Treatment - Results of a Content Analysis of Joint Crisis Plans]
Rixe J, Neumann E, Bosch MM, Schulz M, Juckel G and Driessen M
Identification of interventions to prevent coercive measures in the event of escalating crisis situations in an inpatient acute psychiatric treatment context.
[Correction: "Change Agents" Or "Peer Washing": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]
von Peter S, Kuesel M, Ziegenhagen J, Fehler G, Schmidt D and Ruiz-Perez G
[Usage behavior related to the 9-Euro-ticket - impetus for psychiatric outpatients to increase activity and social contacts?]
Mielau J, Saeger C, Burger M, Kroehn-Liedtke F, Schreiter S and Gutwinski S
This study presents first descriptive statistics on the usage behavior relating to discounted tickets for public transportation as part of an initiative of the German Federal Government in 2022. During a three-month period, 103 psychiatric outpatients of the University Clinic - Charité Berlin provided self-reported data by completing a survey. In general results suggested a high usage rate of the so-called "9-Euro-ticket" of 89,3%. Due to its purchase, 37,9% (N=39) of the participants felt motivated to explore unknown places. Furthermore, approximately one third of the sample (34,9%; n=36) reported an increase of social contacts as a result of their ticket usage. A higher influence of costs on participants' activity levels was associated with an increase in main symptoms. Higher age was correlated with a decrease of patients' core symptoms due to their activity. Results indicate a high usage of reduced-price tickets for subsidized public transport by the patients concerned.
[Regional Variance of Rates of Involuntary Admission in Switzerland]
Jäger M, Tuch A, Theodoridou A, Hepp U and Stulz N
Identification of predictors that contribute to explaining regional variance of involuntary admission (IA) in Switzerland.
[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective Of Service Users: Consensus Process With Participatory Features]
Schwarz J, Scheunemann K, Mundry H, Kula E, Randzio N, Salzmann M, Längle G, Raschmann S, Holzke M, Brieger P, Hamann J, Hardt O, Rout S, Hirschmeier C, Herwig U, Senner S, Richter J, Timm J, Kilian R, Nikolaidis K, Weinmann S, Bechdolf A and von Peter S
Inpatient-Equivalent Home Treatment (IEHT) for mental health is new in Germany and therefore requires quality development. A best practice model (BPM) for IEHT is being developed from a service user perspective.
[Alzheimer's Dementia and Anti-Dementia Medication Prescriptions 2010-2021 in 357 GP Practices and 71 Specialist Practices]
Bohlken J, Kostev K and Michalowsky B
The predicted prevalence of people with dementia (PWD) in Germany has risen to 1.8 million since 2010. In the near future, we will see the approval of antibody therapies. The study aims to demonstrate the recent anti-dementia medication prescriptions and diagnosis prevalence.
[Telemedical Interventions in Ambulant Psychotherapeutic Practices: Online Survey of Psychotherapists and Patients in Germany on the use of Digital Interventions in Psychotherapy]
Alt AK, Conzelmann A, Pascher A, Kühnhausen J and Renner TJ
Psychotherapy is going digital. The study investigated the usage behavior and acceptance of digital psychotherapy interventions among outpatient psychotherapists and patients.
[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]
Theiss-Abendroth P
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.
[Digital Health in Psychiatry - Potentials and Risks]
Schreiter S
[Occupational Stressors and Resources of Peer Workers in Social Psychiatry]
Hoghe J, Röseler L, Limmer R, Walther C and Schütz A
Peer Support Workers (PW) were asked about stressors and resources and how stressful or relieving they perceived them to be.
[IEHT vs. Regular Treatment - Are there Differences between the Two forms of Treatment in the Retrospective Course with regard to Individual Objective and Subjective Outcome Variables?]
Raschmann S, Eisele F, Flammer E and Längle G
This retrospective follow-up study over one year (after discharge from the index treatment), compares the effects of inpatient-equivalent home treatment (IEHT) and regular psychiatric treatment using subjective and objective quality indicators. Using a 1:1 matching of cohorts (diagnosis, age, gender, number of previous treatments and severity of illness), 732 IEHT patients were assigned to a comparison group. Outcome data was taken from the routine data of the clinic database and the in-house basic documentation. In the subjective quality measure, patients and practitioners in regular psychiatric treatment reported a significantly higher improvement in condition. In terms of the objective quality measure, the number of further inpatient treatment days in the observation period, the two groups did not differ significantly, which can be interpreted as encouragement for the use of this new, increasingly established form of treatment.
[Mental Health Awareness - a Development without Side Effects?]
Speerforck S and Schomerus G
[Not Available]
Brieger P and Menzel S
[Not Available]
Pollmächer T