[Modular acute psychotherapy-Background, concept and implications for psychiatric and psychotherapeutic training : A consensus paper of the German Society for Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN)].

backgroundThe application of disorder-specific psychotherapy often requires a minimum level of joint treatment, clarification of goals and a therapeutic alliance. In acute psychiatric treatment these prerequisites are not always initially present: admissions can be unplanned or involuntary, diagnostic classification can be uncertain and shared goals and a viable therapeutic alliance first need to be established.

objectiveThe modular acute psychotherapy (MAPT) is presented as an integrative psychotherapeutic concept for the specific requirements of acute psychiatric treatment and its implications for psychiatric and psychotherapeutic training are discussed. MATERIAL AND

methodsThe MAPT integrates concepts from different psychotherapeutic approaches and psychiatric care models into a transdiagnostic interprofessional and modular framework for therapeutic decision-making and interventions.

resultsThe MAPT distinguishes three dynamic treatment foci: risk of self-harm, risk of harm to others and threats to the therapeutic process. The selection of defined interventions is supported by four modules: risk reduction, access to subjective experience, motivation enhancement and the development of a shared understanding of the problem. Therapeutic relationship building provides the overarching foundation. Clinicians continuously evaluate and adapt the treatment focus and interventions.

conclusionThe MAPT provides a framework for decision and treatment concepts for psychotherapy in acute psychiatric treatment. In this respect psychotherapy is not understood as a downstream component but as a therapeutic perspective on admission. As a shared framework for therapeutic thinking and action it can also support psychotherapeutic learning, interprofessional collaboration and clinical supervision.