Charlotte Jaite1, Falk Hoffmann2, Anja Seidel3, Fritz Mattejat4, Christian Bachmann5. 1. Charité - Universitätsmedizin Berlin, Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters. 2. Carl von Ossietzky Universität Oldenburg, Abteilung Ambulante Versorgung und Pharmakoepidemiologie. 3. Zentralinstitut für die kassenärztliche Versorgung in der Bundesrepublik Deutschland, Fachbereich Versorgungsforschung, Systemanalyse und Data Science. 4. Philipps-Universität Marburg, IVV Marburg. 5. Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm.
Abstract
OBJECTIVE: To determine the prevalence of outpatient psychological therapies (PT) in youths with statutory health insurance in Germany. METHODS: Based on statutory health insurance funds data for 2009-2018, the prevalence of outpatient PT was assessed, stratified by sex, age, and federal state. Psychotherapeutic specialty, coded psychiatric diagnoses, and type of PT were also analysed. RESULTS: In 2018, 7.3 % received any form of PT (2009: 7.1 %). Of these, 18.4 % (2009: 12.8 %) received therapy according to the directives for psychotherapy (dPT), with CBT (since 2012) being most frequently used. PT prevalence was highest in 15- to 19-year olds, and only marginally differed by sex. Child psychiatrists delivered the majority of PTs. Main diagnoses were anxiety/emotional disorders, ADHD, and adjustment disorders. CONCLUSION: During the studied period, PT prevalence has not changed markedly. Yet, the share of dPT has increased, with CBT ranking top. Thieme. All rights reserved.
OBJECTIVE: To determine the prevalence of outpatient psychological therapies (PT) in youths with statutory health insurance in Germany. METHODS: Based on statutory health insurance funds data for 2009-2018, the prevalence of outpatient PT was assessed, stratified by sex, age, and federal state. Psychotherapeutic specialty, coded psychiatric diagnoses, and type of PT were also analysed. RESULTS: In 2018, 7.3 % received any form of PT (2009: 7.1 %). Of these, 18.4 % (2009: 12.8 %) received therapy according to the directives for psychotherapy (dPT), with CBT (since 2012) being most frequently used. PT prevalence was highest in 15- to 19-year olds, and only marginally differed by sex. Child psychiatrists delivered the majority of PTs. Main diagnoses were anxiety/emotional disorders, ADHD, and adjustment disorders. CONCLUSION: During the studied period, PT prevalence has not changed markedly. Yet, the share of dPT has increased, with CBT ranking top. Thieme. All rights reserved.
Authors: Christian Bachmann; Oliver Riedel; Simon Klau; Ingo Langner; Oliver Scholle Journal: Child Adolesc Psychiatry Ment Health Date: 2021-12-18 Impact factor: 3.033