Indikationsentscheidungen zur stationären Aufnahme in kinder- und jugendpsychiatrische Kliniken

Robatzek, Monika; Höger, Christoph; Rothenberger, Aribert

doi:10.1024/1422-4917.33.3.191

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapi

2005

DOI: 10.1024/1422-4917.33.3.191

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Indikationsentscheidungen zur stationären Aufnahme in kinder- und jugendpsychiatrische Kliniken

Monika Robatzek

Christoph Höger

Aribert Rothenberger

Abstract: The results of this study provide a basis for further research and indicate the need for additional discussion of the indication criteria currently in use.

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Autonomie, Fürsorge und Gerechtigkeit 1Prof. Dr. A. Rothenberger zum 65. Geburtstag gewidmet.

Höger¹

2010

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapi

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What is the right and good action in dealing with young patients in child and adolescent psychiatry? To answer this question, we have to consider professional standards, legal rules, and ethical reflections. With reference to the latter, four bioethical principles were proposed by Beauchamp and Childress to identify and to deal with ethical problems and conflicts. On the basis of this scheme we reflect on the legal aspects and discuss the following topics: (1) self-determination of adolescents concerning their own psychiatric treatment, (2) conflicts between autonomy and care, which occur relatively often, whenever restrictions to personal liberty are indicated, and (3) admission of adolescents in adult psychiatric wards. The bioethical principles facilitate a reliable decision-making process in individual cases. The standards of right and good action have to be implemented in the field of distributive justice. We find evidence that prioritization decisions for inpatient admission are already established in German child and adolescent psychiatry.

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Autonomie, Fürsorge und Gerechtigkeit 1Prof. Dr. A. Rothenberger zum 65. Geburtstag gewidmet.

Höger¹

2010

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapi

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Hometreatment

Boege

Schepker

Herpertz‐Dahlmann

et al. 2015

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapi

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In many countries hometreatment (HT) offers a cost-effective alternative to hospitalization for children and adolescents with mental health problems requiring intensive mental healthcare. However, the database on HT varies as HT may refer to different models and settings of intensive outpatient treatment. In Germany HT is not used routinely in mental healthcare in child and adolescent psychiatry, therefore the data on HT in Germany, especially in child and adolescent psychiatry, are scarce although funding for studies investigating the effectiveness of HT is available. This review represents a comprehensive search in electronic databases (1980-2014) of literature on HT. It provides as well an overview of the underlying concepts of and the present evidence for HT. In addition, the evidence base on HT for specific child and adolescent mental health disorders is reviewed. Future prospects for the development of HT in Germany facing the upcoming change in health service commissioning (PEPP = «pauschalierendes Entgeltsystem in Psychiatric und Psychosomatik>>) are discussed, as HT in child and adolescent psychiatry, when accurately indicated, can be a valid alternative to inpatient treatment.

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Indikationsentscheidungen zur stationären Aufnahme in kinder- und jugendpsychiatrische Kliniken

Abstract: The results of this study provide a basis for further research and indicate the need for additional discussion of the indication criteria currently in use.

Cited by 2 publications

References 5 publications

Autonomie, Fürsorge und Gerechtigkeit 1Prof. Dr. A. Rothenberger zum 65. Geburtstag gewidmet.

Autonomie, Fürsorge und Gerechtigkeit 1Prof. Dr. A. Rothenberger zum 65. Geburtstag gewidmet.

Hometreatment

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