Versorgung von Menschen mit bipolar affektiven Störungen in Deutschland

Abstract

Bipolar affective disorders are frequent and have severe consequences. The German S3 guidelines outline the principles of evidence-based treatment of this condition. Based on a partnership with service users and their families accessibility to illness-specific therapy including psychotherapy/psychoeducation, self-help groups for family members and for users are important. Other significant service aspects include assertive outreach and specific rehabilitation (including work). Psychiatric services in Germany remain scattered; therefore there is a need for more coordination.

Effectiveness of Global Treatment Budgets for Patients With Mental Disorders—Claims Data Based Meta-Analysis of 13 Controlled Studies From Germany

“…Mental disorders are predominantly characterized by an early onset in patients' lives and by persisting over long periods of time (1,2). However, utilization of treatment in psychiatric patients is low with a long delay between the onset of illness and initial treatment (3)(4)(5). Efficient patient-centered treatment of these disorders demands for a continuous and close collaboration between different sectors and professions of care (3,6).…”

“…However, utilization of treatment in psychiatric patients is low with a long delay between the onset of illness and initial treatment (3)(4)(5). Efficient patient-centered treatment of these disorders demands for a continuous and close collaboration between different sectors and professions of care (3,6). As early as in the 1970s, the Study Commission of the German Bundestag urged for new approaches to health care particularly aiming at-whenever possible-a preference of outpatient over inpatient treatment and, in addition, a regionalized health care (7).…”

Effectiveness of cross-sectoral treatment models for patients with mental disorders - meta-analysis of 13 controlled studies from Germany

“…Moreover, utilization of treatment in psychiatric patients is low with a great amount of delay between onset of illness and first adequate treatment (Lambert et al, 2013). Efficient patient-centered treatment of these disorders demands for a continuous and close collaboration between different sectors and professions of care (Brieger, Bode, Urban, & Pfennig, 2012;Wilms, Becker, Lambert, & Deister, 2012).…”

The influence of cross-sectoral treatment models on patients with mental disorders in Germany: study protocol of a nationwide long-term evaluation study (EVA64)

“…The German Bundestag Study Commission on Psychiatry urged, already in the 1970ies, for new models of care aiming at, e.g., preference of outpatient over inpatient care (where possible), the equality of mentally and somatically ill patients and a regionalized health care [ 2 ]. A continuous, close and efficient collaboration between different professions and sectors of care is necessary to provide patient-centered care for patients with mental health problems [ 3 , 4 ]. Insufficient interfaces between different health care sectors are a fundamental problem in the current German healthcare system, but particularly of concern in psychiatric care [ 5 ].…”

“…Inadequate information about available treatment programs, inadequate collaboration between sectors and health care professions, misleading communication and long waiting periods lead to difficulties in care and, therefore, often to deterioration of the individual wellbeing of those affected [ 4 , 11 , 12 ]. 75% of most mental disorders manifest between age seven and 24 [ 1 ]; and those disorders often persist over many years [ 13 ].…”