Low-intensity cognitive behavioural therapy (LI-CBT) depicts interventions that aim at increasing access to evidence-based psychological therapies. This is achieved by (1) reducing the amount of time in which the practitioner is in contact with individual patients, (2) using practitioners that have been specifically trained to deliver low intensity interventions and without any prior formal health professional qualifications and (3) use of interventions with varying intensity. Stepped care and collaborative care constitute the organizational frame to deliver low-intensity interventions. Whereas large-scale research and health service projects abroad are focussing on LI-CBT, research in German is lagging far behind. Particularly in the light of the growing demands and utilization of mental health care as well as governmental claims to develop and evaluate new forms of providing mental health services, LI-CBT represents a promising approach.

The focus should be on therapeutic aspects of observation; particularly involvement and development of hope. Observation might restrict personal freedom and should be used as rarely as possible. Strengthening nurses in decision-making is associated with increased quality. More research is needed regarding the effectiveness, the frequency of utilization and opportunities for prevention. The importance of observation is in contrast to the lack of relevant data.

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Das Thema Trauma beschäftigt die Psychiatrie auf verschiedenen Ebenen. Zuerst fällt uns dabei meist die Behandlung von Patienten mit akuten oder posttraumatischen Belastungsstörungen ein. Die vorliegende Ausgabe der PSYCH. PFLEGE HEUTE beschäftigt sich jedoch mit zwei anderen Dimensionen dieses Themas: mit der Traumatisierung vonPatienten durch die Psychiatrie und mit der Traumatisierung von Mitarbeitern in der Psychiatrie. w e r n e r k rü pe r einleitung