[Health Care Situation and Barriers for Working with Children of Mentally Ill Parents from the Perspective of Adult Psychiatry in Germany - A Nationwide Survey].

Abstract:

:Objective The aim of the present study was to assess the health care situation and barriers to support minor children of mentally ill parents from the perspective of adult psychiatry in Germany. Methods Based on the German Hospital Register mental health practitioners of all psychiatric clinics in Germany were asked to answer a 37-item questionnaire. Overall, 441 practitioners of 239 psychiatric clinics participated in the cross sectional study. Results Most important barriers were high workload, scarce resources, patient-focused treatment, missing expertise as well as insufficient awareness. Conclusions More resources, training, clear declaration of competence and coordination of services are necessary to implement family sensitive services in psychiatric clinics. :Ziel der Studie Versorgungssituation und -hindernisse bei der Unterstützung von Kindern psychisch erkrankter Eltern aus Sicht der Erwachsenenpsychiatrie. Methode Deutschlandweite Querschnittsbefragung von 441 Ärzten und Psychologen aus 239 Fachkrankenhäusern. Ergebnisse Hindernisse waren hohe Arbeitsbelastung, knappe Ressourcen, patientenfokussierte Behandlung, fehlende Fachkenntnisse, unzureichendes Problembewusstsein. Schlussfolgerung Mehr Ressourcen, Weiterbildungen, klare Zuständigkeitserklärungen und Koordination sind Voraussetzungen für die Implementierung familienfokussierter Angebote.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Wlodarczyk O,Metzner F,Pawils S

doi

10.1055/s-0042-115824

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

393-399

issue

7

eissn

0303-4259

issn

1439-0876

journal_volume

44

pub_type

杂志文章
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    doi:

    authors: Küchenhoff J

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  • [2 class psychiatry].

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    doi:

    authors: Häfner H,Rössler W,Häfner-Ranabauer W

    更新日期:1996-03-01 00:00:00

  • [Family therapy--encounters with a therapeutic fashion (author's transl)].

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    doi:

    authors: Finzen A

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  • [Dimensions of Luck and Happiness in Psychiatric Nursing].

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    doi:10.1055/s-2005-866986

    authors: Spiessl H,Rothbauer J,Cording C

    更新日期:2006-09-01 00:00:00

  • [Incidence of coercive measures as an indicator of quality in psychiatric hospitals. Problems of data recording and processing, preliminary results of a benchmarking study].

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    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2005-866920

    authors: Martin V,Kuster W,Baur M,Bohnet U,Hermelink G,Knopp M,Kronstorfer R,Martinez-Funk B,Roser M,Voigtländer W,Brandecker R,Steinert T

    更新日期:2007-01-01 00:00:00

  • [Working alliance in internet-based therapy for binge eating disorder].

    abstract:OBJECTIVE:Findings about the association between working alliance and therapy outcome in Internet-based treatments are contradictory. Evidence for the working alliance in Internet-based treatment for Binge Eating Disorder is still missing and can help to elucidate this question. METHODS AND RESULTS:In an Internet-base...

    journal_title:Psychiatrische Praxis

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    authors: Dölemeyer R,Klinitzke G,Steinig J,Wagner B,Kersting A

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  • [Friedrich Nietzsche: history of his illness. On the 100th anniversary of the death of the poet-philosopher].

    abstract::The philosopher Friedrich Nietzsche was one of the most famous patients in the psychiatric hospital Jena. Between 1889 and 1890, Otto Binswanger und Theodor Ziehen treated the progressive paralysis of Friedrich Nietzsche whose 100th anniversary of death is on 25th August 2000. After Nietzsche's death, an animated disc...

    journal_title:Psychiatrische Praxis

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Wilkes J

    更新日期:2000-04-01 00:00:00

  • [Quality of life for schizophrenic patients--that is.... Results of a survey of psychiatrists].

    abstract::605 German psychiatrists were asked what they consider important ingredients of the quality of life of schizophrenic patients. Most frequently, quality of life was associated with social integration. Work, social contacts and acceptance on the part of their environment were considered particularly important in this re...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Holzinger A,Angermeyer MC,Matschinger H

    更新日期:1997-03-01 00:00:00

  • [Early termination of vocational rehabilitation for the severe mentally ill].

    abstract:OBJECTIVE:To determine the conditional factors underlying a premature termination of vocational rehabilitation programs. METHODS:123 rehabilitation participants were assessed prospectively regarding sociodemographic and psychopathological variables, level of functioning, subjective health, intellectual and work capaci...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2005-915245

    authors: Watzke S,Galvao A,Gawlik B,Hühne M,Brieger P

    更新日期:2006-04-01 00:00:00

  • [Treatment of delirium tremens--a comparison between clomethiazole and clorazepate with reference to effectiveness and rate of side effects].

    abstract::In an open clinical trial patients with full-developed delirium tremens were treated either by controlled infusion of clomethiazol (n = 21) or by intravenous injections of clorazepate (n = 20). Acute symptomatic quickly decreased after a few days and medication could be reduced. By adding haloperidol a further stabili...

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    pub_type: 临床试验,杂志文章

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    authors: Caspari D,Wappler M,Bellaire W

    更新日期:1992-01-01 00:00:00

  • [Stealing as an Impulse Control Disorder Associated with Pramipexole - A Case Report from Forensic Psychiatric Practice].

    abstract::We report the case of a 48-year-old female whom we examined for legal culpability. The proband was taking the dopamine agonist pramipexole as a treatment for Parkinson's disease. In temporal association, she had committed numerous shoplifting offences.While pathological gambling, excessive shopping and hypersexuality ...

    journal_title:Psychiatrische Praxis

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    doi:10.1055/s-0043-100024

    authors: Clemm von Hohenberg C,Dreßing H

    更新日期:2017-04-01 00:00:00

  • [What do psychiatric patients expect of inpatient psychiatric hospital treatment?].

    abstract::Patients are mostly passive utilizer of the health-care-system. They are confronted with a supply of medical service and they are allowed to show their satisfaction with it retrospectively. Our medical system has in future to develop itself from an effective perspective to an utilizer orientated medicine. Orientation ...

    journal_title:Psychiatrische Praxis

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    authors: Fleischmann H

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  • [A communications theory approach to the mechanisms of development of psychiatric disorders exemplified by foreign workers].

    abstract::This article is intended as a contribution towards interpreting the development of psychiatric symptoms as a final result of disturbed processes of communication. We should like to point out that the importance of communication for normal and abnormal behaviour has been established both from the viewpoints of sociopsy...

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    pub_type: 杂志文章

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    authors: Koukkou M,Zimmer-Höfler D

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  • [The residential structure as a therapeutic instrument].

    abstract::The frequency of residential placements in homes and households contrasts with the scarcity of its evaluation with respect to therapeutical effects. In order to facilitate evaluative studies, relevant structural elements and suggestions for a typology are discussed as well as methodological problems. Examples of empir...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Uchtenhagen A

    更新日期:1984-09-01 00:00:00

  • [Psychosocial problems in Huntington chorea. 1: Overview, project description. social and illness-related data].

    abstract::Huntington's Disease, a neuropsychiatric disorder with dominant inheritance and late manifestation is related to multiple psychosocial problems of the affected person, his life partner as well as their children (so-called individuals at risk). During a five years project the authors contacted 131 persons, directly and...

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    pub_type: 杂志文章

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    authors: Jarka M,Brosig B,Richter HE

    更新日期:1996-05-01 00:00:00

  • [Criterion Validity of the German Version of the CES-D in the General Population].

    abstract:OBJECTIVE:The "Center of Epidemiologic Studies - Depression scale" (CES-D) is a well-known screening tool for depression. Until now the criterion validity of the German version of the CES-D was not investigated in a sample of the adult general population. METHODS:508 study participants of the Austrian general populati...

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  • [The German adaptation of the Verona Service Satisfaction Scale: an instrument for patients' satisfaction with mental health care].

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  • [The inpatient group in a psychiatric clinic--structure, interaction regulations, patient judgments].

    abstract::Structure and functioning of a group therapy comprising all patients of a psychiatric ward is described in terms of psychoanalytic and group dynamics, behaviour therapy and cognitive psychology. 34 acutely-ill patients with heterogenic diagnoses reported their experiences with this group technique at day of discharge....

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Schmidt LG

    更新日期:1982-09-01 00:00:00

  • [What Determines Treatment Recommendations of Relatives: The Role of Expectations, Negative Consequences and Control Attributions for the Treatment of Patients with Psychosis].

    abstract::Objective Therapy recommendations of relatives of individuals with psychotic disorders. Method A total of n = 52 inpatient relatives were interviewed about their attitude towards psychotherapy and antipsychotics. Results Over 80 % of the relatives recommended psycho- and pharmacotherapy. Concerns reduced recommendatio...

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  • [High utilisers with affective and schizophrenic disorders in the psychiatric health care system: a comparison between Eastern and Western Germany].

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    pub_type: 杂志文章

    doi:10.1055/s-0034-1369867

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  • [Acute water intoxication as a complication of therapy refractory schizophrenia].

    abstract::A patient with chronic paranoid schizophrenia with delusions of infestation and of grandeur type, developed polydipsia in the course of his illness which ended up in acute life-threatening water intoxication. Apart from somatic causes like SIADH, which are discussed in literature, water-intoxication could psychodynami...

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    pub_type: 杂志文章

    doi:

    authors: Frei A,Kolb C

    更新日期:1998-01-01 00:00:00

  • [Financial burden on caregivers of schizophrenic patients: a comparison between parents and spouses].

    abstract:OBJECTIVE:Part II of this study will explore more accurately, how caregivers of schizophrenic patients perceive the financial burdens of the disease. METHOD:42 In-depth-interviews with parents and spouses of schizophrenic patients were analysed using a qualitative-interpretative technique. RESULTS:When talking about ...

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    doi:10.1055/s-2002-30682

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    更新日期:2002-05-01 00:00:00

  • [Neuroleptic treatment by the established psychiatrist. A report of experiences].

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    doi:

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    更新日期:1998-11-01 00:00:00

  • [Differential diagnosis of psychotic disorders in immigrants].

    abstract::Several studies [5,6] on the prevalence of psychiatric disorders among migrants describe a higher rate of schizophrenic disorders. Other studies [2,3] as well as DSM-IV [1] point out that affective disorders with psychotic symptoms can be misdiagnosed as schizophrenic or schizoaffective disorders. We report on a patie...

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    pub_type: 杂志文章

    doi:

    authors: Lambert M,Haasen C,Halilovic H

    更新日期:1998-07-01 00:00:00

  • [Encountering the person in his environment--approaches to psychosocial management].

    abstract:INTRODUCTION:Is it necessary to understand your vis a vis or is it enough to meet, to get in touch? Awareness of the different perception of reality is important. INTERINDIVIDUELL: Defined as basic requirements for getting in touch, mutual modelling and interchange were "Knowing your own world", "Being curious about th...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-38550

    authors: Klug G

    更新日期:2003-04-01 00:00:00

  • [Geriatric morbidity patterns and need for long-term care in patients with dementia].

    abstract:OBJECTIVE:To provide information about occurrence and patterns of geriatric morbidity and need for long-term care in patients newly diagnosed with dementia compared to controls without dementia. METHODS:An analysis of administrative data was conducted to compare the geriatric outpatient diagnoses and the patterns of c...

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    pub_type: 杂志文章

    doi:10.1055/s-0032-1305010

    authors: Beekmann M,van den Bussche H,Glaeske G,Hoffmann F

    更新日期:2012-07-01 00:00:00

  • [Influence of personality factors on the success of psychopharmacotherapy].

    abstract::The influence exercised by personality factors on the course and success of drug therapy aimed at the treatment of mental diseases, as well as the therapeutic consequences resulting therefrom, are discussed in the case of patients with schizophrenic psychoses and endogenous depressions. Over and above this, special at...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Rüger U

    更新日期:1985-01-01 00:00:00

  • [Epilepsy and personality disorder--a now 9-year inpatient-ambulatory treatment continuity].

    abstract::We present the development of an 9-year therapeutic relationship with a patient suffering from epilepsy and a severe personality disorder. Despite serious doubts in the beginning the patient gained an unexpected degree of independence. The development of the case indicates that it was decisive to prevent discontinuati...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Schlicht F

    更新日期:1997-01-01 00:00:00

  • [Criteria for assessing the ability of psychiatric patients to give informed consent].

    abstract::In this paper criteria for the assessment of the ability of psychiatric patients to give an informed consent are presented. Legal and medical aspects including jurisdiction are discussed. Some elements for a judgement of an informed consent are proposed. ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Neubauer H

    更新日期:1993-09-01 00:00:00