[Perspectives and Opportunities for Psychotherapeutic Interventions in Inpatient Psychiatric Treatment Delivered by Nurses].

Abstract:

BACKGROUND:Psychotherapy is an essential part of treating people with mental illness. However, the implementation of psychotherapeutic interventions in the field of inpatient psychiatric treatment remains well behind demand. At the same time, the use of psychotherapeutic interventions by other professional groups - such as social workers and nursing - is not a common practice in Germany. OBJECTIVE:What can we learn from the international research with regard to nursing for Germany in view of the insufficient supply of psychotherapeutic care. METHOD:Based on a literature analysis, the German situation of care is related to international developments and a German training curriculum is presented. RESULT:A look at the international literature shows that in other countries especially trained nurses perform psychotherapeutic Interventions. In addition, there are effective training curricula whose transferability to Germany appears to be possible after appropriate adjustments.An 18 months lasting training program for nurses is presented. In addition to disorder-specific competences, this curriculum also provides psychotherapeutic interventions with a general approach. CONCLUSION:Collaborative care in the collaboration of different health professionals has been repeatedly and stably proven to be effective and helpful in treating people with various mental disorders. In order to better meet the growing need for psychotherapeutic interventions in the population in the sense of a stepped care model, trained nurses need to be more involved in the provision of psychotherapeutic services. HINTERGRUND:Psychotherapie ist ein essenzieller Bestandteil in der Behandlung psychisch kranker Menschen, bleibt allerdings im Bereich der stationären psychiatrischen Behandlung hinter dem Bedarf zurück. Im Rahmen des ärztlichen Gesamtbehandlungsplans ist die Anwendung psychotherapeutischer Interventionen durch andere Berufsgruppen in Deutschland nicht regelhaft üblich. FRAGESTELLUNG:Welche Implikationen für die psychiatrische Pflege lassen sich aus internationalen Forschungsdaten zur Verbesserung der psychotherapeutischen Behandlung ableiten? METHODE:Anhand einer Literaturrecherche werden internationale Entwicklungen analysiert und als Modell für ein deutsches Ausbildungscurriculum genutzt. ERGEBNIS:Ein 18 Monate dauerndes Ausbildungsprogramm für Pflegefachpersonen wird vorgestellt. Dieses Curriculum vermittelt neben störungsspezifischen Kompetenzen auch störungsübergreifende psychotherapeutische Interventionen. SCHLUSSFOLGERUNG:Die Zusammenarbeit unterschiedlicher Gesundheitsberufe hat sich als wirksam und hilfreich in der Behandlung psychisch kranker Menschen erwiesen. Um den wachsenden Bedarf an Psychotherapie in der stationären Behandlung besser abdecken zu können, sollten Pflegefachpersonen zukünftig stärker einbezogen werden.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Wabnitz P,Löhr M,Schulz M,Nienaber A,Oppermann G,Sauter D,Schreiber W,Gouzoulis-Mayfrank E,Claus S,Hohl-Radke F,Jordan W,Pollmächer T

doi

10.1055/a-0801-3847

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

156-161

issue

3

eissn

0303-4259

issn

1439-0876

journal_volume

46

pub_type

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