Die Versorgung von Patienten mit psychischen Störungen

Schulz, Holger; Barghaan, Dina; Harfst, Timo; Koch, Uwe

doi:10.1007/978-3-540-28511-3_15

Cited by 13 publications

(15 citation statements)

References 12 publications

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“…Ein weiterer Mangel besteht in der langen Wartezeit auf eine Behandlung: diese beträgt im Schnitt mehr als zweieinhalb Monate [15], bei einem Drittel der Patienten ist sogar mit mehr als 3 Monaten Wartezeit zu rechnen [16]. Darüber hinaus gibt es zwar eine Vielzahl differenzierter Versorgungsangebote [17]; diese sind jedoch häufig nur unzureichend vernetzt. Zudem besteht in Deutschland ein Fachärztemangel.…”

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Interdisziplinäre Versorgung von Arbeitnehmern mit psychischen Störungen: Ein Faktencheck am Beispiel des Salzgitter-Modells

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Wunsch

Finger

et al. 2016

Psychother Psych Med

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Interdisziplinäre Versorgung von Arbeitnehmern mit psychischen Störungen: Ein Faktencheck am Beispiel des Salzgitter-Modells

Bode

Wunsch

Finger

et al. 2016

Psychother Psych Med

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“…The consequent treatment gap is estimated between 10 and 50% (15,16). Two prominent reasons for this are the fear of stigmatization (17) and the difficulty to access appropriate treatment options (18,19). Fear of stigmatization withholds people to start seeing a psychotherapist at all or leads to a prolonged decision process to do so.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Brief Psychotherapeutic Intervention for Employees With Psychosomatic and Psychosocial Complaints—Pilot Study of a Consultation Off the Workplace

et al. 2020

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Employees' mental health impairments are a leading reason for sickness-leave and early retirement. This is why a large number of different intervention programmes have evolved in recent years with the aim of counteracting this development. Our study evaluates a short-term cognitive-behavioral psychotherapeutic intervention off the workplace. We investigated improvement of mental and physical health in psychologically strained employees of a white collar company. Depressive symptoms (PHQ-9), anxiety symptoms (GAD-7), somatic symptoms (PHQ-15), and perceived stress (PSQ-20) were assessed at the beginning and after the intervention. Patient satisfaction (recommendationlikeliness) was also measured after the intervention. In a second step, we have looked at potential determinants of therapy outcome. Changes in the symptom measures were assessed using t-tests, MANOVA, and Chi²-tests. Cohen's d was computed as effect size measure. One-hundred twenty-seven participants completed the assessment before, and 66 participants post intervention. Mean age of the participants was 44.6 (SD = 9.8) years, 54% were men. 89.7% of the patients attended one to five sessions. Depressive, anxiety, somatic symptoms, and perceived stress significantly declined from baseline to end of intervention. Effect sizes ranged from d = 0.49 (perceived stress) to d = 0.72 (depressive symptoms). Moreover, 93% of the patients stated that they were satisfied with the intervention and would recommend it to a friend. Previous uptake of psychiatric/ psychotherapeutic treatment moderated the effect of the intervention on depressive symptoms, i.e., patients without previous experience showed a stronger reduction in symptoms of depression. The results tentatively suggest that the intervention is effective in reducing a broad range of psychological symptoms. Future research could investigate preferences and different outcomes of on-site and off-site work place interventions.

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“…primary care, specialist care, and inpatient care) [ 12 ]. This fragmented mental health care system is a major weakness in Germany [ 14 ]. Consequently, overcoming those intersectoral barriers by developing innovative care networks may optimize care of patients with mental and neurological disorders.…”

Section: Introductionmentioning

confidence: 99%

Collaborative mental health care program versus a general practitioner program and usual care for treatment of patients with mental or neurological disorders in Germany: protocol of a multiperspective evaluation study

et al. 2018

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BackgroundGerman statutory health insurances are pursuing the goal of improving treatment of chronically ill people by promoting networks of health care providers and supporting treatments that reflect the current medical knowledge. The so-called PNP program is a collaborative care program developed by a German statutory health insurance, which defines specific rules on psychiatric, neurological, psychosomatic, and psychotherapeutic treatment. It aims to strengthen provision of guideline-based outpatient treatment and collaboration between different health care providers. It includes the general practitioners’ program, which aims to strengthen the coordinating role of GPs. This study aims to evaluate the PNP program.MethodsTo evaluate the effectiveness of the PNP program, we will conduct a prospective non-randomized controlled trial with primary data comparing patients enrolled in the PNP program and in the general practitioner program (intervention group) to patients enrolled only in the general practitioner program and patients who receive usual care (control groups). To evaluate costs and level of detail of diagnoses in care of patients with PNP program, we will use routinely collected secondary administrative health data in a retrospective quasi-experimental design. Patients who are at least 18 years old, insured by the statutory health insurance AOK, and on sick leave due to one of the mental or neurological diagnoses (affective, anxiety, somatoform or adjustment disorders, alcohol use disorders, schizophrenia, multiple sclerosis) will be included. We will collect data at baseline and at 12-months follow-up. Health-related quality of life (primary data) and direct costs (secondary data) caused by outpatient and inpatient service utilization and medication will be the primary outcomes. We will analyze data using (generalized) linear mixed models and exploratory analyses. We will use entropy balancing to control for possible differences between the groups. We will use an exploratory sequential design including qualitative and descriptive statistical analyses to assess the structure and process quality of the PNP program among health care providers.DiscussionThe results will help to develop a comprehensive picture of collaborative care programs for mental and neurological health care from the perspective of patients, health care providers, and health insurance companies.Trial registrationGerman Clinical Trial Register DRKS00013114Electronic supplementary materialThe online version of this article (10.1186/s12888-018-1914-5) contains supplementary material, which is available to authorized users.

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Die Versorgung von Patienten mit psychischen Störungen

Cited by 13 publications

References 12 publications

Interdisziplinäre Versorgung von Arbeitnehmern mit psychischen Störungen: Ein Faktencheck am Beispiel des Salzgitter-Modells

Interdisziplinäre Versorgung von Arbeitnehmern mit psychischen Störungen: Ein Faktencheck am Beispiel des Salzgitter-Modells

Effectiveness of a Brief Psychotherapeutic Intervention for Employees With Psychosomatic and Psychosocial Complaints—Pilot Study of a Consultation Off the Workplace

Collaborative mental health care program versus a general practitioner program and usual care for treatment of patients with mental or neurological disorders in Germany: protocol of a multiperspective evaluation study

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