K Radenbach1, J Retzlik2, S H Meyer-Rötz3, C Wolff-Menzler4, J Wolff5,6, H Esselmann3, F Godemann7, M Riemenschneider8, J Wiltfang3,9, F Jessen10,11. 1. Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Von-Siebold-Str. 5, 37075, Göttingen, Deutschland. katrin.radenbach@med.uni-goettingen.de. 2. Klinik für Psychiatrie und Psychotherapie, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland. jens.retzlik@uk-koeln.de. 3. Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Von-Siebold-Str. 5, 37075, Göttingen, Deutschland. 4. Alexianer Fachkrankenhaus Aachen, Alexianergraben 33, 52062, Aachen, Deutschland. 5. Abteilung für Betriebswirtschaft und Controlling, Universitätsklinikum Freiburg, Hugstetter Str. 49, 79106, Freiburg, Deutschland. 6. Institute of Psychiatry, Psychology & Neuroscience, Centre for the Economics of Mental and Physical Health, King's College London, De Crespigny Park, SE5 8AF, London, UK. 7. Alexianer St. Joseph-Krankenhaus Berlin-Weißensee GmbH, Gartenstr. 1, 13088, Berlin, Deutschland. 8. Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum des Saarlandes, 66421, Homburg, Deutschland. 9. Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Standort Göttingen, Grisebachstraße 5, 37077, Göttingen, Deutschland. 10. Klinik für Psychiatrie und Psychotherapie, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland. 11. Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Standort Bonn, Ludwig-Erhard-Allee 2, 53175, Bonn, Deutschland.
Abstract
BACKGROUND: Dementia is of increasing medical and societal relevance. Hospitalization of dementia patients is mostly due to behavioral and psychological symptoms of dementia (BPSD). There is a need for sufficient qualified personnel in hospitals in order to be able to effectively treat these symptoms. OBJECTIVES: This study aims at identifying the personnel requirements for guideline-conform, evidence-based inpatient treatment concepts for patients with BPSD and to compare these with the resources defined by the German psychiatric personnel regulations (Psych-PV). Furthermore, it was the aim to identify how often patients with dementia received non-pharmacological therapy during inpatient treatment. METHODS: Based on the current scientific evidence for treatment of BPSD, a schedule for a multimodal non-pharmacological treatment was defined and based on this the corresponding personnel requirements were calculated. Using the treatment indicators in psychiatry and psychosomatics (VIPP) database as a reference, it was calculated on what proportion of treatment days patients were classified into G1 according to the German Psych-PV and at least once received more than two treatment units per week. RESULTS: For the implementation of a guideline-oriented and evidence-based treatment plan, a higher need for personnel resources than that provided by the Psych-PV was detected in all areas. Currently patients with dementia who received at least more than two treatment units per week during inpatient hospitalization, were classified into G1 according to German Psych-PV on 17.9 % of treatment days. CONCLUSION: Despite evidence for the efficacy of non-pharmacological treatment measures on BPSD, these forms of treatment cannot be sufficiently provided under the current conditions. The realization of a new quality controlled therapeutic concept is necessary to enable optimized treatment of patients with BPSD.
BACKGROUND:Dementia is of increasing medical and societal relevance. Hospitalization of dementiapatients is mostly due to behavioral and psychological symptoms of dementia (BPSD). There is a need for sufficient qualified personnel in hospitals in order to be able to effectively treat these symptoms. OBJECTIVES: This study aims at identifying the personnel requirements for guideline-conform, evidence-based inpatient treatment concepts for patients with BPSD and to compare these with the resources defined by the German psychiatric personnel regulations (Psych-PV). Furthermore, it was the aim to identify how often patients with dementia received non-pharmacological therapy during inpatient treatment. METHODS: Based on the current scientific evidence for treatment of BPSD, a schedule for a multimodal non-pharmacological treatment was defined and based on this the corresponding personnel requirements were calculated. Using the treatment indicators in psychiatry and psychosomatics (VIPP) database as a reference, it was calculated on what proportion of treatment days patients were classified into G1 according to the German Psych-PV and at least once received more than two treatment units per week. RESULTS: For the implementation of a guideline-oriented and evidence-based treatment plan, a higher need for personnel resources than that provided by the Psych-PV was detected in all areas. Currently patients with dementia who received at least more than two treatment units per week during inpatient hospitalization, were classified into G1 according to German Psych-PV on 17.9 % of treatment days. CONCLUSION: Despite evidence for the efficacy of non-pharmacological treatment measures on BPSD, these forms of treatment cannot be sufficiently provided under the current conditions. The realization of a new quality controlled therapeutic concept is necessary to enable optimized treatment of patients with BPSD.
Entities:
Keywords:
Behavioral and psychological symptoms of dementia; Dementia; German psychiatric staffing regulations; Hospital treatment; Multimodal treatment
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