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[Parent-Child Treatment in Child and Adolescent Psychiatry: Models and Clinical Implementation Using the Example of a Modular Parent-Child Ward].

作者信息

Krause Stefanie, Röttger Ulrike, Goeck Anne, Krauel Kerstin, Flechtner Hans-Henning

机构信息

Universitätsklinik für Psychiatrie, Psychotherapie und psychosomatische Medizin des Kindes- und Jugendalters Otto-von-Guericke Universität Magdeburg Leipziger Straße 44 - Haus 36 39120 Magdeburg Deutschland.

Klinik für Anästhesiologie, Schmerz- und Palliativmedizin Bodestraße 11 39418 Staßfurt Deutschland.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2021 Nov;70(7):588-603. doi: 10.13109/prkk.2021.70.7.588.

Abstract

The joint treatment of mentally ill children and their parents represents a special treatment concept in child and adolescent psychiatry. A study conducted by the Working Group (BAG) "Early Childhood" shows the current situation of care and possible models of child and adolescent psychiatric parent-child treatment in Germany. Using the parent-child ward of the Child and Adolescent Psychiatry Department in Magdeburg as an example, the combined treatment of mentally ill children and their parents is presented. The treatment approach consists of a three-week diagnostic phase, after which families are discharged again to their home environment followed by a five-week therapy block, for which the families have to be readmitted to the ward. With a focus on the parent-child relationship, the treatment concept - in contrast to regular child psychiatric treatments - is dynamically adapted to the quality of the parent-child interaction and not primarily related to the disorder of the children. First studies indicate the effectiveness of the special treatment setting and illustrate the efficiency of a joint treatment of parents and child, which, however, is associated with increased economic costs. Based on these results, the chances and limitations of parent-child wards are discussed and conclusions for parent-child treatment are drawn.

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