C Uhlmann1, E Flammer2, C Pfiffner2, J Grempler2, G Längle3,4, G-W Eschweiler4, H Spießl5, T Steinert2. 1. ZfP Südwürttemberg, Versorgungsforschung Weissenau, Klinik Psychiatrie und Psychotherapie I, Universität Ulm, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland. carmen.uhlmann@zfp-zentrum.de. 2. ZfP Südwürttemberg, Versorgungsforschung Weissenau, Klinik Psychiatrie und Psychotherapie I, Universität Ulm, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland. 3. Zentrum für Psychiatrie Südwürttemberg, 88427, Bad Schussenried, Deutschland. 4. Universitätsklinik für Psychiatrie und Psychotherapie, Universität Tübingen, 72076, Tübingen, Deutschland. 5. Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Bezirkskrankenhaus Landshut, 84034, Landshut, Deutschland.
Abstract
BACKGROUND: Waiting periods for inpatient or outpatient psychotherapeutic treatment are generally considerable. For patients treated in a psychiatric day-clinic or hospital, implementation of a recommended subsequent psychotherapeutic treatment might be difficult. OBJECTIVES: In part II of the psychotherapy after hospital or day clinic (PAKT) study, we examined how the recommendation for psychotherapy can be implemented after psychiatric treatment. MATERIALS AND METHODS: Three months after discharge from one of four psychiatric hospitals in southern Germany, we interviewed 306 patients who received a recommendation for psychotherapeutic treatment after their hospital stays if the recommendation was implemented successfully. RESULTS: Only about 12 % of the patients in the follow-up group were unable to implement the general recommendation for psychotherapy after psychiatric stay despite motivation for psychotherapeutic treatment. In the case of recommendation for outpatient psychotherapy, 20 % were unsuccessful. Predictors for successful implementation were education and employment, whereas variables like age, gender, diagnosis, or severity of disorder did not play a significant role. CONCLUSIONS: The relatively small percentage of unimplemented psychotherapeutic treatment is surprising at a first glance. However, the proportion recommended for psychotherapy after psychiatric stay was less than 10 %, as shown in the first part of the study (see PAKT Study Part I, doi:s00115-016-0107-z).
BACKGROUND: Waiting periods for inpatient or outpatient psychotherapeutic treatment are generally considerable. For patients treated in a psychiatric day-clinic or hospital, implementation of a recommended subsequent psychotherapeutic treatment might be difficult. OBJECTIVES: In part II of the psychotherapy after hospital or day clinic (PAKT) study, we examined how the recommendation for psychotherapy can be implemented after psychiatric treatment. MATERIALS AND METHODS: Three months after discharge from one of four psychiatric hospitals in southern Germany, we interviewed 306 patients who received a recommendation for psychotherapeutic treatment after their hospital stays if the recommendation was implemented successfully. RESULTS: Only about 12 % of the patients in the follow-up group were unable to implement the general recommendation for psychotherapy after psychiatric stay despite motivation for psychotherapeutic treatment. In the case of recommendation for outpatient psychotherapy, 20 % were unsuccessful. Predictors for successful implementation were education and employment, whereas variables like age, gender, diagnosis, or severity of disorder did not play a significant role. CONCLUSIONS: The relatively small percentage of unimplemented psychotherapeutic treatment is surprising at a first glance. However, the proportion recommended for psychotherapy after psychiatric stay was less than 10 %, as shown in the first part of the study (see PAKT Study Part I, doi:s00115-016-0107-z).
Authors: Gerhard Rumpold; Nicola Janecke; Ulrike Smrekar; Gerhard Schüssler; Stephan Doering Journal: Z Psychosom Med Psychother Date: 2004 Impact factor: 0.791