ArticleDer Nervenarzt2015
[Guideline-adherent psychiatric-psychotherapeutic hospital care: Normative definition of staff required using the example of depression].
Article in Der Nervenarzt, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 28 citations in OpenAlex.
- [Personnel assessment in psychiatry and psychotherapy : Results of a feasibility study on the platform model].Der Nervenarzt · 2021Article
- Schema therapy versus cognitive behavioral therapy versus individual supportive therapy for depression in an inpatient and day clinic setting: study protocol of the OPTIMA-RCT.BMC psychiatry · 2020Article
- [Disorder-related case groups for needs-based hospital care].Der Nervenarzt · 2020Article
- Challenges in the Transition from In-Patient to Out-Patient Treatment in Depression.Deutsches Arzteblatt international · 2020Article
- [Track treatment in psychiatry: the CIMH track model to overcome sector boundaries].Der Nervenarzt · 2020Review
- [Staffing of inpatient psychiatric facilities : A patient-oriented and guideline-oriented staffing concept].Der Nervenarzt · 2019Article
- [Which psychotherapy for whom?]Der Nervenarzt · 2018Article
- [Multiprofessional inpatient psychotherapy of depression in old age].Der Nervenarzt · 2017Review
- [Guideline-adherent psychiatric psychotherapeutic treatment of bipolar disorders : Which resources are needed?]Der Nervenarzt · 2017Review
- [Guideline-adherent inpatient psychiatric psychotherapeutic treatment of obsessive-compulsive disorder : Normative definition of personnel requirements].Der Nervenarzt · 2016Article
- [Do the areas of nursing and specialist therapy have sufficient personnel?].Der Nervenarzt · 2016Article
- [A detailed description of the method of comparison between normative personnel requirements and Psych-PV].Der Nervenarzt · 2016Article
- [Guideline-oriented inpatient psychiatric psychotherapeutic/psychosomatic treatment of anxiety disorders : How many personnel are need?].Der Nervenarzt · 2016Review
- [Manpower requirements for medical doctors in psychiatric departments of community hospitals--bottom-up calculation for the psychiatric department of Donauspital in Vienna].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2016Article
- [Where is convergence of psychiatry budgets leading to? A comparison of staffing regulations and actual personnel resources].Der Nervenarzt · 2015Article
- [Calculating personnel allocation at 100 % implementation of the Psychiatry Personnel Act. Can it be done on the basis of existing routine data?].Der Nervenarzt · 2015Article
- [Structural quality in psychiatric and psychotherapeutic hospitals].Der Nervenarzt · 2015Article
- [Resource use and financing of guideline-adherent psychotherapeutic inpatient care].Der Nervenarzt · 2015Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnipolar depression is of high relevance in German inpatient treatment. An effective psychiatric psychotherapeutic hospital treatment also requires sufficient staff for carrying out psychotherapeutic treatment. AIMS AND
objectivesThe aim of this study was to define the staff requirements for guideline-adherent psychiatric-psychotherapeutic inpatient treatment of depression on the basis of a weekly treatment schedule for a 5-week admission period. A further aim was to compare the staff required with the resources defined by the German psychiatric staffing regulations (Psych-PV). MATERIAL AND
methodsThe weekly schedule was normatively defined on the basis of the current evidence for treatment efficacy and effectiveness. The staff required was calculated on the basis of the weekly schedule. The time for psychotherapy defined by the Psych-PV was calculated using the treatment classification provided by a large nationwide database.
resultsRegarding psychotherapy, 280 min per week is regarded as necessary and usually sufficient according to the current evidence. The results showed clearly higher requirements of working time of psychiatrists and psychologists than those defined by the Psych-PV. In particular, the Psych-PV allows only 72 min for psychotherapy per patient and week and only a limited amount of direct patient contact with psychiatrists.
conclusionThe figures provided impressively show that the Psych-PV does not allow effective guideline-adherent hospital treatment within a reasonable length of hospital stay. Despite its evidential effectiveness, psychotherapeutic treatment cannot be sufficiently provided under the current financing circumstances.
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