Julian Schwarz1, Annette Duve2, Sabine Hoffmann2, Philip Heiser3, Martin Heinze1, Sebastian von Peter1. 1. Medizinische Hochschule Brandenburg, Hochschulklinik für Psychiatrie und Psychotherapie, Immanuel Klinik, Rüdersdorf. 2. Vitos Klinik Hofheim für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Riedstadt. 3. Südharz Klinikum Nordhausen, Klinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters, Nordhausen.
Abstract
Stakeholders' experiences with flexible and integrative treatment models in German child and adolescent psychiatry according to § 64b SGB V - A qualitative study Abstract. Background and Aims: Since 2013, new possibilities for flexible and integrative forms of treatment (FIT) exist within the German mental healthcare system. These FIT models, created according to § 64b of the Social Security Code V, have been implemented in adult as well as child and adolescent psychiatry over the past years. This paper investigates stakeholders' experiences with these innovative FIT models. Methods: Focus groups were conducted in two hospital departments that had implemented a FIT model according to § 64b. In total, 36 participants were included, comprising employees, patients, and their caretakers. We also conducted a thematic analysis. Results: According to all stakeholders, these forms of acute outpatient treatment form a core component of FIT models that may serve to prepare, replace, or follow-up on inpatient treatment. In addition, the flexibility of treatment and increased continuity of care were mentioned as benefits of FIT models according to § 64b. Third, these FIT models allow for a better integration of caretakers in the treatment of their kin, which also produces various challenges for this stakeholder group. Conclusions: The introduction of FIT models in German child and adolescent psychiatry has complex implications for the treatment process and the experiences of all stakeholders. They perceive it as a needs-adapted extension of current forms of psychiatric support.
Stakeholders' experiences with flexible and integrative treatment models in German child and adolescent psychiatry according to § 64b SGB V - A qualitative study Abstract. Background and Aims: Since 2013, new possibilities for flexible and integrative forms of treatment (FIT) exist within the German mental healthcare system. These FIT models, created according to § 64b of the Social Security Code V, have been implemented in adult as well as child and adolescent psychiatry over the past years. This paper investigates stakeholders' experiences with these innovative FIT models. Methods: Focus groups were conducted in two hospital departments that had implemented a FIT model according to § 64b. In total, 36 participants were included, comprising employees, patients, and their caretakers. We also conducted a thematic analysis. Results: According to all stakeholders, these forms of acute outpatient treatment form a core component of FIT models that may serve to prepare, replace, or follow-up on inpatient treatment. In addition, the flexibility of treatment and increased continuity of care were mentioned as benefits of FIT models according to § 64b. Third, these FIT models allow for a better integration of caretakers in the treatment of their kin, which also produces various challenges for this stakeholder group. Conclusions: The introduction of FIT models in German child and adolescent psychiatry has complex implications for the treatment process and the experiences of all stakeholders. They perceive it as a needs-adapted extension of current forms of psychiatric support.
Entities:
Keywords:
Behandlungskontinuität; Modellvorhaben; Versorgungsforschung; continuity of care; flexible and integrative care; health service research; qualitative Gesundheitsforschung; qualitative health research; settingübergreifend; treatment models
Authors: Julian Schwarz; Laura Galbusera; Andreas Bechdolf; Thomas Birker; Arno Deister; Annette Duve; Philip Heiser; Kerit Hojes; Sonja Indefrey; Jakob Johne; Burkhard Rehr; Sandeep Rout; Harald Scherk; Anna Schulz-Du Bois; Bettina Wilms; Dyrk Zedlick; Manfred Zeipert; Martin Heinze; Sebastian von Peter Journal: Front Psychiatry Date: 2020-05-25 Impact factor: 4.157
Authors: Julian Schwarz; Yuriy Ignatyev; Fabian Baum; Anne Neumann; Bettina Soltmann; Andrea Pfennig; Jürgen Timm; Martin Heinze; Sebastian von Peter Journal: Nervenarzt Date: 2021-12-07 Impact factor: 1.297
Authors: Julian Schwarz; Andrzej Cechnicki; Jan Godyń; Laura Galbusera; Daria Biechowska; Beata Galińska-Skok; Izabela Ciunczyk; Yuriy Ignatyev; Felix Muehlensiepen; Bettina Soltmann; Jürgen Timm; Sebastian von Peter; Marek Balicki; Jacek Wciórka; Martin Heinze Journal: Front Psychiatry Date: 2022-01-07 Impact factor: 4.157