PSYCHIATRISCHE PRAXIS

[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.
[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.
[Prevention of mental disorders - a future topic]
Koschig M and Riedel-Heller SG
[Health Literacy, Contact Points, Unmet Subjective Needs and Treatment Satisfaction of those Affected by Long Covid with Long-Lasting Neuropsychiatric Symptoms]
Jung F, Zülke A, Wirkner K, Reusche M, Engel C, Sander C, Witte V, Zeynalova S, Loeffler M, Villringer A, Saur D, Schomerus G, Luppa M and Riedel-Heller SG
The bejective was to determine health literacy (HL) and care aspects of those affected by Long-COVID.
["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.
[Metacognitive Training for Depression (D-MCT) for Arabic Speaking Patients with Refugee Experience: Cultural Adaptation and Piloting]
Alkailani H, Metzner F, Uhr C, Jelinek L, Dietrichkeit M and Pawils S
Despite high demand, culturally adapted therapies for Arabic speaking refugee patients with depression are rare. Aim of the study was to culturally adapt and evaluate the group treatment Metacognitive Training for Depression (D-MCT) for them.
[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.
[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
[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.
[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.
[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.
[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.
[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.
[Attitudes and Expectations of Psychological and Medical Psychotherapists Towards Open Notes: Analysis of Qualitative Survey Responses]
Meier-Diedrich E, Neumann K, Heinze M and Schwarz J
This study explores attitudes and expectations of psychotherapists (PT) towards the introduction of digital patient access to clinical notes ("Open Notes"; ON)), including the advantages and disadvantages in psychotherapeutic practice.
[Rescue Missions with Patients with Psychiatric and Psychosocial Symptoms: An Analysis from Eastern Lower Saxony]
Noack EM, Bramesfeld A, Schmid S, Schröder D and Müller F
Characterization of medical emergencies of patients with psychiatric symptoms or in psychosocial crisis.
[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.
[Profiles and Characteristics of Mental Health Nurses in Community-Based Health Care for People with Mental Illness - Integrative Review and Thematic Framework Analysis]
Scheydt S and Hegedüs A
To examine the specific scope of practice of community mental health nurses (CMHNs) across CMHN roles and care contexts.
[Discharged, but where to? The Current Situation of Long Stay Patients in German Psychiatric Clinics]
Jenderny S, Claus S, Falkai P, Heinz A, Meyer-Lindenberg A, Pogarell O, Wilms B and Steinhart I
The study analyses the number, characteristics and reasons for a length of stay of patients in German psychiatric clinics in excess of 6 months.
["Is there a Link Between Heat Waves and Mental Health Emergencies in the Emergency Department?"]
Kirchner H, Ullrich H, Hulsmans N, Brzoska P and Pajonk FB
There is evidence suggesting that climate change, coupled with an increase in the frequency and severity of heatwaves, affects mental health. The aim of this study was to investigate potential associations between high temperature and the utilization of an emergency department (ED) by individuals with psychiatric disorders.
[Inpatient Equivalent Home Treatment of Gerontopsychiatric Patients (ieht-g) in a Major German City - An Observational Study]
Couturier SP, Spielmann-Benson G, Frölich L and Hausner L
Patient characterization and evaluation of gerontopsychiatric inpatient equivalent treatment (IEHT-G) in a large German city.
[Cannabinoid Drugs in the Treatment of Psychiatric Disorders - Data from the German Federal Institute for Drugs and Medical Devices]
Wülfing F, Schmidt-Wolf G, Cremer-Schaeffer P, Priebe K and Schoofs N
Since 2017 physicians in Germany can prescribe cannabis based medicines or medical cannabis with subsequent funding by the statutory health insurance system.
[Not Available]
Pollmächer T
[Mental Health Awareness - a Development without Side Effects?]
Speerforck S and Schomerus G
[Not Available]
Brieger P and Menzel S
[Dietary Interventions In Psychiatry - A Neglected Opportunity to Promote Healthy Lifestyles]
Moetteli S and Mueller-Stierlin AS
[Psychosocial Care Demands and Possible Implications for the Role of Mental Health Nursing - Development of an Exemplary Future Scenario]
Scheydt S
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.