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[德国精神病学、心理治疗与身心医学协会参与度指南II:精神疾病患者社会参与的实施]

[The German Association for Psychiatry, Psychotherapy and Psychosomatics participation compass II : Implementation of social participation for people with mental illnesses].

作者信息

Stengler K, Frank M, Riedel-Heller S G, Becker T, Steinhart I, Gerlinger G, Hauth I, Deister A

机构信息

Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Helios Park-Klinikum Leipzig, Morawitzstraße 2, 04289, Leipzig, Deutschland.

Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Medizinische Fakultät, Universität Leipzig, Leipzig, Deutschland.

出版信息

Nervenarzt. 2018 Nov;89(11):1237-1242. doi: 10.1007/s00115-018-0588-z.

Abstract

For most people living with mental illnesses, participating in society is of existential importance; however, psychosocial care often fails to recognize its significance and therefore rarely includes the patient's interaction with society in the course of treatment. The reasons for this are both substantial and organizational in nature. The endless opportunities for participating in society, current areas as well as ways of taking part in social life even beyond the terms of the social legislative definition are, in addition to institutional variety and regional differences, all too often barriers to providing the very urgently needed support. Further aspects are insufficient knowledge of therapists about established options of rehabilitative treatment and about responsibilities related to participation in specialized training and further education for professional caregivers. The presented compass of participation for social integration of persons with mental illnesses starts at this point: it provides guidelines for psychiatric and psychotherapeutic practitioners, general practitioners as well as for physicians working in residential or day care institutions with a psychiatric and psychotherapeutic background. Both this article and planned online versions should help professionals to timely and successfully assist people, particularly those with severe mental illnesses, to navigate the broad spectrum of services for social and vocational integration in Germany.

摘要

对于大多数患有精神疾病的人来说,参与社会具有至关重要的意义;然而,心理社会护理往往未能认识到其重要性,因此在治疗过程中很少将患者与社会的互动纳入其中。造成这种情况的原因既有实质性的,也有组织性的。除了机构多样性和地区差异外,参与社会的无尽机会、当前的领域以及参与社会生活的方式(甚至超出社会立法定义的范围)往往成为提供急需支持的障碍。其他方面还包括治疗师对既定康复治疗选项以及与专业护理人员参与专业培训和继续教育相关责任的了解不足。本文提出的精神疾病患者社会融合参与指南正是从这一点出发:它为精神科和心理治疗从业者、全科医生以及在有精神科和心理治疗背景的住院或日间护理机构工作的医生提供指导。本文及计划中的在线版本应有助于专业人员及时、成功地协助人们,特别是那些患有严重精神疾病的人,在德国广泛多样 的社会和职业融合服务中找到方向。

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