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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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The Division <strong>of</strong> General Psychiatry and Psycho<strong>the</strong>rapy II (GP II) has 162<br />

beds and provides healthcare for <strong>the</strong> citizens in two sectors <strong>of</strong> <strong>the</strong> city <strong>of</strong><br />

<strong>Düsseldorf</strong>. There is one secure ward and one milieu <strong>the</strong>rapy unit for each<br />

<strong>of</strong> <strong>the</strong> sectors. The division also operates two Day Care Units, one (with 18<br />

places) on <strong>the</strong> site <strong>of</strong> <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong> <strong>Düsseldorf</strong> and one (7-day) Day Care<br />

Unit (with 18 places) on <strong>the</strong> grounds <strong>of</strong> <strong>the</strong> <strong>Düsseldorf</strong> <strong>University</strong> <strong>Hospital</strong>.<br />

Sector wards<br />

Treatment is provided to all people living in sectors 1 and 2 who are suffering<br />

from a mental disorder that requires <strong>the</strong>m to be hospitalised in a secure<br />

ward. A multipr<strong>of</strong>essional team treats schizophrenia, affective disorders<br />

such as bipolar or manic-depressive disorders, dependence disorders<br />

and personality disorders. People are admitted to a secure ward if <strong>the</strong>y<br />

appear – as a consequence <strong>of</strong> <strong>the</strong>ir disorder – to represent an acute risk to<br />

<strong>the</strong>mselves or o<strong>the</strong>rs. The wards have rooms for intensive care. Individuals<br />

are admitted ei<strong>the</strong>r voluntarily or on <strong>the</strong> basis <strong>of</strong> <strong>the</strong> German Act for <strong>the</strong><br />

Protection <strong>of</strong> <strong>the</strong> Mentally Ill. The range <strong>of</strong> <strong>the</strong>rapeutic options includes<br />

psychiatric <strong>the</strong>rapy (psychopharmacology and psycho<strong>the</strong>rapy), nursing<br />

and socio<strong>the</strong>rapy, unit-based ergo<strong>the</strong>rapy, occupational <strong>the</strong>rapy, exercise<br />

<strong>the</strong>rapy, support from social workers, psychoeducation and meetings with<br />

family members. If necessary, acute treatment can be given for somatic<br />

illnesses. All treatments primarily aim to ward <strong>of</strong>f any acute and immediate<br />

risks for <strong>the</strong> patient and his environment. As soon as possible, treatment<br />

is continued in an open unit. There is a close cooperation with <strong>the</strong> milieu<br />

<strong>the</strong>rapy unit <strong>of</strong> <strong>the</strong> sector, allowing <strong>the</strong> individual to enter an already familiar<br />

<strong>the</strong>rapeutic setting if recurrent inpatient treatment is necessary.<br />

Specialized units<br />

The Division <strong>of</strong> General Psychiatry and Psycho<strong>the</strong>rapy II comprises five<br />

specialised units.<br />

Crisis intervention unit<br />

This unit mainly admits people with acute psychiatric emergencies or acute<br />

mental crises who are deemed at admission to require only a short period<br />

<strong>of</strong> inpatient treatment or hospitalisation for one to two weeks in a secured<br />

environment. Treatment is provided for acute and post-traumatic stress<br />

disorders, adjustment disorders, neurotic and somat<strong>of</strong>orm disorders, eating<br />

disorders and postpartum disorders, personality and behaviour disorders<br />

and a sub-category <strong>of</strong> first-episode acute psychoses. The ward is open to<br />

patients from all sectors <strong>of</strong> <strong>the</strong> catchment area apart from those – in general<br />

– for whom alternative forms <strong>of</strong> treatment are primarily indicated, such as<br />

people suffering from primary dependence disorders or chronic psychoses<br />

or who require intensive care or forensic hospitalisation.<br />

The <strong>the</strong>rapies are mainly designed to address situations <strong>of</strong> acute crises,<br />

achieve a focused reduction <strong>of</strong> symptoms and quickly restore <strong>the</strong> individual’s<br />

ability to undergo treatment as an outpatient, in day care or on an open ward.<br />

Therapies are provided by a multipr<strong>of</strong>essional team, if possible following<br />

<strong>the</strong> “primary carer” principles where a human bond is created between<br />

patient and <strong>the</strong>rapist. The <strong>the</strong>rapies integrate elements and approaches<br />

HealtHcare<br />

Division Head<br />

W, Gaebel, MD, Pr<strong>of</strong>essor <strong>of</strong> Psychiatry and<br />

Psycho<strong>the</strong>rapy<br />

Senior Consultants<br />

B. Janssen, MD, Senior Lecturer in<br />

Psychiatry and Psycho<strong>the</strong>rapy (since 2005),<br />

A. Klimke, MD, Pr<strong>of</strong>essor in Psychiatry and<br />

Psycho<strong>the</strong>rapy (until 2004)<br />

F. Schneider, MD, PhD, Pr<strong>of</strong>essor in<br />

Psychiatry and Psycho<strong>the</strong>rapy (until 2004)<br />

G. Winterer, MD, Pr<strong>of</strong>essor in Psychiatry<br />

and Psycho<strong>the</strong>rapy (until 2009)<br />

Consultants<br />

J. Cordes, MD<br />

C. Luckhaus, MD<br />

J. Malevani, MD<br />

U. Sprick, MD, Pr<strong>of</strong>essor in Psychiatry and<br />

Psycho<strong>the</strong>rapy (until 2002)<br />

M. Streit, MD (until 2003)<br />

M. von Wilmsdorff, MD<br />

J. Zielasek, MD, Senior Lecturer in<br />

Neurology<br />

Divisional Director <strong>of</strong> Nursing<br />

(interim) J. Vermiert, P. Remmel<br />

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