Skip to main content
SpringerLink
Log in

Versorgung und Versorgungssystem

  • Chapter
  • First Online:
S3-Leitlinie zur Diagnostik und Therapie Bipolarer Störungen

  • 1741 Accesses

Zusammenfassung

Um die Versorgung von Menschen mit Bipolaren Störungen optimal zu gestalten, sollten folgende Grundsätze des Herangehens beachtet werden: Der Patient soll im Zentrum der Bemühungen um seine Versorgung stehen. Die Betreuung soll im Trialog (Patient – Angehörige – Behandler) gestaltet werden. Da dies essentiell, jedoch noch nicht in allen Bereichen ausreichend gut umgesetzt wird, wurde diesem Thema ein eigenständiges Kapitel der Leitlinie gewidmet (Kapitel Trialog, Wissensvermittlung und Selbsthilfe). Und: Die Versorgung soll patienten- statt institutionszentriert gestaltet werden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 74.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Albrecht D, Bramesfeld A (2004) Facilities offered by community-oriented professional rehabilitation centres for mentally challenged persons in the Federal Republic of Germany. Gesundheitswesen 66(8–9):492–498. https://doi.org/10.1055/s-2004-813413

    Article  CAS  PubMed  Google Scholar 

  • Appelbaum PS (2003) Response to the presidential address-the systematic defunding of psychiatric care: a crisis at our doorstep. Am J Psychiatry 160(10):1759–1767

    Google Scholar 

  • Ban L, Gibson JE, West J, Fiaschi L, Sokal R, Smeeth L, Doyle P, Hubbard RB, Tata LJ (2014) Maternal depression, antidepressant prescriptions, and congenital anomaly risk in offspring. A population-based cohort study. BJOG 121(12):1471–1481. https://doi.org/10.1111/1471-0528.12682

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bauer S, Kordy H (2008) E-Mental Health: Neue Medien in der psychosozialen Versorgung. Springer, Heidelberg

    Google Scholar 

  • Becker DR, Drake RE (1994) Individual placement and support: a community mental health center approach to vocational rehabilitation. Community Ment Health J 30(2):193–206

    CAS  PubMed  Google Scholar 

  • Becker T (2010) Psychiatrische Dienste – viel Evidenz, aber wo geht es hin? Psychiatrie 7:81–86

    Google Scholar 

  • Benazzi F (2001) Prevalence and clinical correlates of residual depressive symptoms in bipolar II disorder 1. Psychother Psychosom 70(5):232–238

    CAS  Google Scholar 

  • Berhe T, Puschner B, Kilian R, Becker T (2005) „Home treatment“ für psychische Erkrankungen. Begriffsklärung und Wirksamkeit („Home treatment“ for mental illness. Concept definition and effectiveness). Nervenarzt 76(7):822–828., 830–831. https://doi.org/10.1007/s00115-004-1865-6

    Article  CAS  PubMed  Google Scholar 

  • Brewster C (2008) Overview of the STAndards for BipoLar Excellence (STABLE) project. J Psychiatr Pract 14(Suppl. 2):5–7. https://doi.org/10.1097/01.pra.0000320121.46058.d0

    Article  PubMed  Google Scholar 

  • Brieger P, Watzke S, Galvao A, Hühne M, Gawlik B (2006) Wie wirkt berufliche Rehabilitation und Integration psychisch kranker Menschen? Ergebnisse einer kontrollierten Studie [What are the effects of vocational rehabiliation for subjects with a severe mental illness? Results from a controlled study. Psychiatrie Verlag, Bonn

    Google Scholar 

  • Burns T, Catty J, Becker T, Drake RE, Fioritti A, Knapp M, Lauber C, Rossler W, Tomov T, van BJ, White S, Wiersma D (2007) The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet 370(9593): 1146–1152. doi: https://doi.org/10.1016/S0140-6736(07)61516-5

  • Damkier P, Videbech P (2018) The safety of second-generation antipsychotics during pregnancy. A clinically focused review. CNS Drugs 32(4):351–366. https://doi.org/10.1007/s40263-018-0517-5

    Article  CAS  Google Scholar 

  • Deister A (1996) Soziotherapie und psychiatrische Rehabilitation. In: Müller HJ, Laux G, Deister A (Hrsg) Psychiatrie. Hippokrates Verlag, Stuttgart, S 519–532

    Google Scholar 

  • Eysenbach G, Powell J, Kuss O, Sa ER (2002) Empirical studies on the quality of health information for consumers of the world wide web. JAMA 287:2691–2700

    PubMed  Google Scholar 

  • Falkai P (2013) S3-Leitlinie Psychosoziale Therapien bei schweren psychischen Erkrankungen. Springer, Berlin/Heidelberg

    Google Scholar 

  • Foerster K, Fischer K (2011) Deutsche rentenversicherung (Hrsg) Sozialmedizinische Begutchtung für die Rentenversicherung, 7. Aufl. Springer, Berlin/Heidelberg

    Google Scholar 

  • Golkaramnay V, Bauer S, Haug S, Wolf M, Kordy H (2007) The exploration of the effectiveness of group therapy through an Internet chat as aftercare: a controlled naturalistic study. Psychother Psychosom 76(4):219–225. https://doi.org/10.1159/000101500

    Article  PubMed  Google Scholar 

  • Großimlinghaus I, Falkai P, Gaebel W, Janssen B, Reich-Erkelenz D, Wobrock T, Zielasek J (2013) Entwicklungsprozess der DGPPN-Qualitätsindikatoren (Developmental process of DGPPN quality indicators). Nervenarzt 84(3):350–365. https://doi.org/10.1007/s00115-012-3705-4

    Article  PubMed  Google Scholar 

  • Großimlinghaus I, Hauth I, Falkai P, Janssen B, Deister A, Meyer-Lindenberg A, Roth-Sackenheim C, Schneider F, Wobrock T, Zeidler R, Gaebel W (2017) Aktuelle Empfehlungen der DGPPN für Schizophrenie-Qualitätsindikatoren (DGPPN recommendations on quality indicators for schizophrenia). Nervenarzt 88(7):779–786. https://doi.org/10.1007/s00115-017-0347-6

    Article  PubMed  Google Scholar 

  • Haug S, Sedway J, Kordy H (2008) Group processes and process evaluations in a new treatment setting: inpatient group psychotherapy followed by internet-chat aftercare groups. Int J Group Psychother 58(1):35–53. https://doi.org/10.1521/ijgp.2008.58.1.35

    Article  PubMed  Google Scholar 

  • John J, von Peter S, Schwarz J, Timm J, Heinze M, Ignatyev Y (2018) Evaluation of new flexible and integrative psychiatric treatment models in Germany- assessment and preliminary validation of specific program components. BMC Psychiatry 18(1):278

    Google Scholar 

  • Kessing LV, Hansen HV, Hvenegaard A, Christensen EM, Dam H, Gluud C, Wetterslev J (2013) Treatment in a specialised out-patient mood disorder clinic v. standard out-patient treatment in the early course of bipolar disorder: randomised clinical trial. Br J Psychiatry 202(3):212–219. https://doi.org/10.1192/bjp.bp.112.113548

    Article  PubMed  Google Scholar 

  • Kessler RC, Akiskal HS, Ames M, Birnbaum H, Greenberg P, Hirschfeld RM, Jin R, Merikangas KR, Simon GE, Wang PS (2006) Prevalence and effects of mood disorders on work performance in a nationally representative sample of U.S. workers. Am J Psychiatry 163(9):1561–1568

    PubMed  PubMed Central  Google Scholar 

  • Kinzel U, Spengler A, Weig W (2006) Das klinische Leistungsprofil psychiatrischer Institutsambulanzen in Niedersachsen. Krankenhauspsychiatrie 17:79–83

    Google Scholar 

  • Kunze H (1999) Personenzentrierter Ansatz in der psychiatrischen Versorgung in Deutschland. Psycho 25:728–735

    Google Scholar 

  • Kunze H (2001) Der Entwicklungshorizont der Psychiatrie-Enquete: Ziele – Kompromisse – zukünftige Aufgaben? Psychiatrie-Verlag, Bonn, S 103–127

    Google Scholar 

  • Lambert M, Meigel-Schleiff C, Bock T, Naber D, Ohm G (2010a) Integrierte Versorgung von Patienten mit psychotischen Erkrankungen: das Hamburger Modell. In: Innovative Konzepte im Versorgungsmanagement von ZNS-Patienten, Bd 1. Medizinisch Wissenschaftliche Verlagsgesellschaft, Berlin, S 113–137

    Google Scholar 

  • Lambert M, Bock T, Schottle D, Golks D, Meister K, Rietschel L, Bussopulos A, Frieling M, Schodlbauer M, Burlon M, Huber CG, Ohm G, Pakrasi M, Chirazi-Stark MS, Naber D, Schimmelmann BG (2010b) Assertive community treatment as part of integrated care versus standard care: a 12-month trial in patients with first- and multiple-episode schizophrenia spectrum disorders treated with quetiapine immediate release (ACCESS trial). J Clin Psychiatry 71(10):1313–1323. https://doi.org/10.4088/JCP.09m05113yel

    Article  PubMed  Google Scholar 

  • Lauterbach KW (2000) Disease-Management in Deutschland: Die Umsetzung von DMPs in Deutschland ist nicht unumstritten

    Google Scholar 

  • Lobban F, Taylor L, Chandler C, Tyler E, Kinderman P, Kolamunnage-Dona R, Gamble C, Peters S, Pontin E, Sellwood W, Morriss RK (2010) Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial. Br J Psychiatry 196(1):59–63. https://doi.org/10.1192/bjp.bp.109.065524

    Article  CAS  PubMed  Google Scholar 

  • Melchinger H, Rossler W, Machleidt W (2006) Expenditures in psychiatric treatment. Is the distribution of funds according to need? Nervenarzt 77(1):73–80. https://doi.org/10.1007/s00115-005-1886-9

    Article  CAS  PubMed  Google Scholar 

  • Morel V, Chatton A, Cochand S, Zullino D, Khazaal Y (2008) Quality of web-based information on bipolar disorder. J Affect Disord 110(3):265–269. https://doi.org/10.1016/j.jad.2008.01.007

    Article  PubMed  Google Scholar 

  • Müller-Stierlin AS, Helmbrecht MJ, Herder K (2017) Does one size really fit all? The effectiveness of a non-diagnosis-specific integrated mental health care program in Germany in a prospective, parallel-group controlled multi-centre trial. BMC Psychiatry 17(1):283

    Google Scholar 

  • Neumann A, Swart E, Häckl D, Kliemt R, March S, Küster D, Arnold K, Petzold T, Baum F, Seifert M, Weiß J, Pfennig A, Schmitt J (2018) The influence of cross-sectoral treatment models on patients with mental disorders in Germany: study protocol of a nationwide long-term evaluation study (EVA64). BMC Psychiatry 18(1):139

    PubMed  PubMed Central  Google Scholar 

  • Ovretveit J (2001) The multi-disciplinary team. In: Thornicroft G, Szmukler G (Hrsg) Textbook of community psychiatry. Oxford University Press, Oxford/New York, S 207–214

    Google Scholar 

  • Pfennig A, Connell J, Ritter P, Ritter D, Severus E, Meyer TD, Hautzinger M, Wolff J, Godemann F, Reif A, Bauer M (2017) Leitliniengerechte psychiatrisch-psychotherapeutische Behandlung bei bipolaren Störungen : Welche Ressourcen werden dafür benötigt? Nervenarzt 88(3):222–233

    CAS  PubMed  Google Scholar 

  • Powell J, Clarke A (2006) Internet information-seeking in mental health: population survey. Br J Psychiatry 189(3):273–277. https://doi.org/10.1192/bjp.bp.105.017319

    Article  PubMed  Google Scholar 

  • Psychiatrie-Personalverordnung (1990) Psychiatrie-Personalverordnung vom 18.12.1990 (BGBl. I S. 2930), die zuletzt durch Artikel 16c des Gesetzes vom 21.07.2014 (BGBl. I S. 1133) geändert worden ist

    Google Scholar 

  • Reker T (1998) Arbeitsrehabilitation in der Psychiatrie. Prospektive Untersuchungen zu Indikation, Verläufen und zur Effizienz arbeitsrehabilitativer Maßnahmen. Steinkopf, Darmstadt

    Google Scholar 

  • Rosen A, Mueser KT, Teesson M (2007) Assertive community treatment – issues from scientific and clinical literature with implications for practice. J Rehabil Res Dev 44(6):813–825

    PubMed  Google Scholar 

  • Runge C, Grunze H (2004) Jährliche Krankheitskosten bipolarer Störungen in Deutschland (Annual costs of bipolar disorders in Germany). Nervenarzt 75(9):896–903

    CAS  Google Scholar 

  • Salize HJ, Jacke C, Gallas C, Stamm K (2014) Optimized quality of care for affective disorders by health insurance-based case-management: a controlled cost-study (Krankenkassengestutztes Case-Management verbessert kostenneutral die Behandlungsqualitat bei affektiven Storungen). Psychiatr Prax 41(8):432–438. https://doi.org/10.1055/s-0033-1349557

    Article  PubMed  Google Scholar 

  • Schielein T, Schmid R, Dobmeier M, Spiessl H (2008) Self-help from the cyberspace? – an analysis of self-help forums for patients with bipolar affective disorders. Psychiatr Prax 35(1):28–32. https://doi.org/10.1055/s-2006-952041

    Article  PubMed  Google Scholar 

  • Schneider F, Bergmann F, Falkai P (2010) Stellungnahme der Deutschen Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (DGPPN) – „Integrierte Versorgung für Psychiatrie und Psychotherapie flächendeckend umsetzen – Kommerzielle Interessen abwehren“

    Google Scholar 

  • Schoettle D, Schimmelmann BG, Karow A, Ruppelt F, Sauerbier AL, Bussopulos A, Frieling M, Golks D, Kerstan A, Nika E, Schodlbauer M, Daubmann A, Wegscheider K, Lange M, Ohm G, Lange B, Meigel-Schleiff C, Naber D, Wiedemann K, Bock T, Lambert M (2014) Effectiveness of integrated care including therapeutic assertive community treatment in severe schizophrenia spectrum and bipolar I disorders: the 24-month follow-up ACCESS II study. J Clin Psychiatry 75(12):1371–1379. https://doi.org/10.4088/JCP.13m08817

    Article  Google Scholar 

  • Schöttle D, Schimmelmann BG, Ruppelt F et al (2018) Effectiveness of integrated care including therapeutic assertive community treatment in severe schizophrenia-spectrum and bipolar I disorders: four-year follow-up of the ACCESS II study. PLoS One 13(2):e0192929

    PubMed  PubMed Central  Google Scholar 

  • Simon GE, Ludman EJ, Bauer MS, Unutzer J, Operskalski B (2006) Long-term effectiveness and cost of a systematic care program for bipolar disorder. Arch Gen Psychiatry 63(5):500–508

    PubMed  Google Scholar 

  • Statistisches Bundesamt (2018) Gesundheit: Todesursachen (2015). https://www.destatis.de/DE/ZahlenFakten/GesellschaftStaat/Gesundheit/Todesursachen/Tabellen/EckdatenTU.html

  • Strech D, Synofzik M, Marckmann G (2008) How physicians allocate scarce resources at the bedside. J Med Philos 33(1):80–99

    PubMed  Google Scholar 

  • Strech D, Persad G, Marckmann G, Danis M (2009) Are physicians willing to ration health care? Health Policy 90(2–3):113–124

    PubMed  Google Scholar 

  • Taylor TL, Killaspy H, Wright C, Turton P, White S, Kallert TW, Schuster M, Cervilla JA, Brangier P, Raboch J, Kalisova L, Onchev G, Dimitrov H, Mezzina R, Wolf K, Wiersma D, Visser E, Kiejna A, Piotrowski P, Ploumpidis D, Gonidakis F, Caldas-de-Almeida J, Cardoso G, King MB (2009) A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems. BMC Psychiatry 9:55. https://doi.org/10.1186/1471-244X-9-55

  • van der Voort TYG, van Meijel B, Hoogendoorn AW, Goossens PJJ, Beekman ATF, Kupka RW (2015) Collaborative care for patients with bipolar disorder: effects on functioning and quality of life. J Affect Disord 179:14–22. https://doi.org/10.1016/j.jad.2015.03.005

    Article  Google Scholar 

  • van der Voort TY, van Meijel B, Goossens PJ, Hoogendoorn AW, Draisma S, Beekman A, Kupka RW (2015a) Collaborative care for patients with bipolar disorder: randomised controlled trial. In: The British journal of psychiatry: the journal of mental science 206(5), S393–400. DOI: 10.1192/bjp.bp.114.152520

    Google Scholar 

  • van der Voort TYG, van Meijel B, Hoogendoorn AW, Goossens Peter JJ, Beekman Aartjan TF, Kupka Ralph W (2015b) Collaborative care for patients with bipolar disorder: Effects on functioning and quality of life. In: Journal of affective disorders 179, S14–22. DOI: 10.1016/j.jad.2015.03.005.

    Google Scholar 

  • Waxmonsky J, Kilbourne A, Goodrich DE, Nord KM, Lai Z, Laird C, Clogston J, Kim HM, Miller C, Bauer MS (2014) Enhanced fidelity to treatment for bipolar disorder: results from a randomized controlled implementation trial. Psychiatr Serv (Washington, DC) 65(1):81–90. https://doi.org/10.1176/appi.ps.201300039

    Article  Google Scholar 

  • Weig W, Bräuning-Edelmann M, Brieger P, Stengler K (2009) Psychiatrische rehabilitation. In: Möller H-J, Laux G, Kapfhammer H-P (eds) Psychiatrie, Psychosomatik, Psychotherapie, vol 1. Springer, 1129–1149

    Google Scholar 

  • Wobrock T, Reich-Erkelenz D, Janssen B, Sommerlad K, Gaebel W, Falkai P, Zielasek J (2010) Qualitätsindikatoren in der Psychiatrie. Psychiatrie 7(3):179–189

    Google Scholar 

  • WHO (2011) International Classification of Functioning, Disability and Health (ICF). Hg. v. World Health Organization. Online verfügbar unter http://www.who.int/classifications/icf/en/. Zugegriffen am 22.09.2017

  • Arbeitsgruppe Psychiatrie der Obersten Landesgesundheitsbehörde (2007) Psychiatrie in Deutschland – Strukturen, Leistungen und Perspektiven. Gesundheitsministerkonferenz der Länder

    Google Scholar 

Download references

Author information

Authors and Affiliations

    Consortia

    DGBS

    DGPPN

    Editor information

    Editors and Affiliations

    1. Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany

      Michael Bauer

    2. Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany

      Andrea Pfennig

    3. Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

      Martin Schäfer

    4. Ludwig-Maximilians-Universität, Klinik für Psychiatrie + Psychother, München, Bayern, Germany

      Peter Falkai

    Rights and permissions

    Reprints and permissions

    Copyright information

    © 2020 Deutsche Gesellschaft für Bipolare Störungen (DGBS) und Deutsche Gesellschaft für Psychiatrie, Psychotherapie- und Nervenheilkunde (DGPPN)

    About this chapter

    Check for updates. Verify currency and authenticity via CrossMark

    Cite this chapter

    DGBS., DGPPN. (2020). Versorgung und Versorgungssystem. In: Bauer, M., Pfennig, A., Schäfer, M., Falkai, P. (eds) S3-Leitlinie zur Diagnostik und Therapie Bipolarer Störungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61153-1_7

    Download citation

    • DOI: https://doi.org/10.1007/978-3-662-61153-1_7

    • Published:

    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-662-61152-4

    • Online ISBN: 978-3-662-61153-1

    • eBook Packages: Medicine (German Language)

    Publish with us

    Policies and ethics

    Search

    Navigation