[Inpatient-Equivalent Treatment - How does it Work? Implementation Strategies from Eight Specialised Psychiatric Hospitals and Departments in Germany].

To get information about different ways inpatient equivalent treatment (IET) is implemented and organized eight specialized psychiatric hospitals and departments in Germany were asked to report on implementation details. OUTCOME: Organization and treatment processes depend on local conditions and existing structures. Legal barriers complicate the implementation process, however patients as well as team members report very positive experiences.

A Systematic Review of Dissociation in Female Sex Workers.

We analyze the empirical evidence for the association between the occurrence of dissociation and acting as a female sex worker (FSW). The ten screened databases included original research papers looking at the association between various abusive relationships and dissociation. From the initial 5942 records, we screened 554 full-text articles from which eleven studies met the inclusion criteria.

[Narrative Exposure Therapy in a Refugee with Severe PTSD within the Inpatient Standard Care].

Forms of Posttraumatic stress disorder (PTSD) with chronical course hamper the psychosocial integration of refugees. We here report the successful treatment according to the approach of Narrative Exposure Therapy (NET) of a severely affected 42-year-old refugee from Central Africa, facilitated by an inpatient care setting. The treatment course underlines the effectiveness and necessity of the intervention even in more complex cases.

[Importance of Psychiatric Outpatient Clinics in Primary Care of Somatic Disorders].

Objective Of The Study: General practitioners are mainly responsible for primary health care. Patients with mental disorders, in particular patients with complex or multiple needs, use these services infrequently in case of somatic complaints. Psychiatric outpatient clinics have to deal with these patients and have perhaps an additional role in diagnosing and treating somatic co-morbidities.

Participating in mobility: People with schizophrenia driving motorized vehicles.

Participation of people with schizophrenia in individual mobility is an important aspect of inclusion according to the UN convention of human rights of persons with disabilities. However, driving motorized vehicles can be dangerous due to positive, negative, and cognitive symptoms, side effects of antipsychotic drugs and concomitant substance abuse. The objective of this study was to explore the patterns of individual mobility in a representative patient population, to determine predictors for active use of motorized vehicles, and to compare the results with data of the general population in the respective region.

Skills-based medication training program for patients with schizophrenic disorders: a rater-blind randomized controlled trial.

Background: The long-term course of schizophrenia is often characterized by relapses, induced by poor medication adherence. Early nonadherence after discharge is frequent.

Objective: To evaluate a skills-based inpatient training program for medication intake.

[Effects of implementation of psychiatric out-patient clinics ("institutsambulanzen") on hospital admissions].

Objective: In the German federal state Baden-Wuerttemberg psychiatric out-patient clinics ("Institutsambulanzen") have been implemented since 2002, later than elsewhere. The effects of these new out-patient services on the use of in-patient services should be examined in a defined catchment area.

Method: Data on the use of in-patient services 2002 - 2011 was recorded from psychiatric hospitals and day hospitals in a catchment area of 862 000 inhabitants as well as data from the corresponding out-patient clinics.

[Implementing models of cross-sectoral mental health care (integrated health care, regional psychiatry budget) in Germany: systematic literature review].

Objective: Cross-sectoral integrated health-care and the regional psychiatry budget are two models of cross-sectoral health care (comprising in-patient and out-patient care) in Germany. Both models of financing were created in order to overcome the so-called fragmentation in German health care. The regional psychiatry budget is a specific solution for psychiatric services whereas integrated health care models can be developed for all areas of health care.

[PGI-I (patient's global impression) as an outcome and quality indicator of psychiatric in-patient treatment: results and concordance with doctor's assessments].

Objective: To examine the Patient Global Impression Scale of Improvement (PGI) as a quality indicator in routine psychiatric in-patient treatment and to determine its concordance with doctors' assessments.

Methods: Patients treated in 2007 in 5 hospitals and 4 day-clinics were included. A set of patient and treatment characteristics (German BADO) and CGI scales were recorded in all patients.

[Social-psychiatric research in Germany--a literature review].

Objective: This study aims at analysing content, authorship, type of journal and associated institution of scientific contributions on social psychiatry in 16 German-speaking journals. In order to detect development and change in respect to the aspects mentioned, two time periods are compared systematically (1997-1998/2007-2008).

Methods: The authors selected all original papers in 16 journals from German-speaking countries along common definitions of social psychiatry.

[Subjective patient experience of psychiatric admissions].

Objective: Assessment of patients' subjective experiences of an admission to a psychiatric hospital.

Methods: Subjective experiences of psychiatric admissions were recorded with a semi-structured interview in 72 fairly representative in-patients. Patients' satisfaction with treatment was recorded with the ZUF-8 questionnaire.

[Joint crisis plans in psychiatry].

Objective: To give an overview about definitions, practice and effects of joint crisis plans in psychiatry.

Method: Systematic literature review.

Results: Different types of joint crisis plans have been emerging within the last decade mostly in North America and Great Britain.