Banaschewski Tobias, Fegert Jörg M, Freyberger Harald, Karow Anne, Reif Andreas, Schaff Christa, Voderholzer Ulrich, Driessen Martin
Abteilung für Psychiatrie und Psychotherapie des Kindes und Jugendalters, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg.
Klinik für Kinder- und Jugendpsychiatrie / Psychotherapie, Universitatsklinikum Ulm.
Fortschr Neurol Psychiatr. 2019 Nov;87(11):608-615. doi: 10.1055/a-1016-3288. Epub 2019 Nov 22.
Disruptions in psychiatric care delivery during the transition from adolescence to adulthood frequently lead - particularly in the case of severe mental illness - to a considerable treatment delay and an especially high rate of treatment dropout with a high risk of early chronification. The joint Task Force Transition, of the German Society of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (DGKJP) and the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN), therefore analyzed general, sector-specific and disorder-specific gaps in the German psychiatric care system which obstruct a successful transition to the adult psychiatric care system. The article summarizes the results of the Task Force, outlines the aims and challenges of transition-psychiatric treatment models, and addresses their structural and professional prerequisites. The requirements and recommendations derived from this are transferred to psychiatric planning, health and research policy as well as education, training and professional development in order to optimally shape the transition from adolescent-centered to adult-oriented psychiatric care in the future.
从青春期到成年期过渡期间，精神科护理服务的中断常常导致——尤其是在严重精神疾病的情况下——相当长的治疗延迟以及特别高的治疗中断率，且早期慢性化风险很高。因此，德国儿童和青少年精神病学、身心医学与心理治疗学会（DGKJP）和德国精神病学、心理治疗与身心医学协会（DGPPN）联合成立的过渡问题特别工作组，分析了德国精神科护理系统中阻碍向成人精神科护理系统成功过渡的一般性、特定部门和特定疾病方面的差距。本文总结了特别工作组的结果，概述了过渡性精神科治疗模式的目标和挑战，并阐述了其结构和专业前提条件。由此得出的要求和建议被应用于精神科规划、卫生与研究政策以及教育、培训和专业发展，以便在未来优化从以青少年为中心到以成人为导向的精神科护理的过渡。
