Schwarz Julian, Duve Annette, Hoffmann Sabine, Heiser Philip, Pérez Guillermo Ruiz, Heinze Martin, von Peter Sebastian
Medizinische Hochschule Brandenburg, Hochschulklinik für Psychiatrie und Psychotherapie, Immanuel Klinik, Rüdersdorf.
Vitos Klinik Hofheim für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Riedstadt.
Z Kinder Jugendpsychiatr Psychother. 2020 Sep;48(5):358-368. doi: 10.1024/1422-4917/a000716. Epub 2020 Mar 3.
Stakeholders' experiences with flexible and integrative treatment models in German child and adolescent psychiatry according to § 64b SGB V - A qualitative study 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. 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. 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. 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.
根据德国社会法典第五编第64b条，利益相关者在德国儿童和青少年精神病学中采用灵活综合治疗模式的经验——一项定性研究 自2013年以来，德国精神卫生保健系统中出现了灵活综合治疗形式（FIT）的新可能性。这些根据《社会法典第五编》第64b条创建的FIT模式，在过去几年中已在成人以及儿童和青少年精神病学中实施。本文调查了利益相关者对这些创新FIT模式的经验。在两个已根据第64b条实施FIT模式的医院科室进行了焦点小组讨论。总共纳入了36名参与者，包括员工、患者及其照顾者。我们还进行了主题分析。根据所有利益相关者的说法，这些急性门诊治疗形式是FIT模式的核心组成部分，可用于准备、替代或跟进住院治疗。此外，治疗的灵活性和护理连续性的提高被提及为根据第64b条的FIT模式的好处。第三，这些FIT模式使照顾者能够更好地融入其亲属的治疗中，这也给这个利益相关者群体带来了各种挑战。在德国儿童和青少年精神病学中引入FIT模式对治疗过程和所有利益相关者的体验具有复杂的影响。他们将其视为当前精神科支持形式的一种根据需求调整的扩展。
