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

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Conversations with family members play a significant role in psychiatric/psychotherapeutic treatment Day Care Units The Day Care Units of GP II treat all mental illnesses, in particular psychoses, depression, adjustment disorders, personality disorders and anxiety. Patients are usually treated after referral from the office-based medical doctor who has been treating them as outpatients, so that admission as an inpatient can often be avoided. However, admission to the Day Care Unit can also follow inpatient treatment. The Day Care Unit, which is located on the grounds of the Düsseldorf University Hospital, can treat patients 7 days a week, allowing even acutely mentally ill people to receive close-meshed care without having to leave their home environment. The Day Care Units develop individual therapeutic plans in close cooperation with the patients. Therapy can include various approaches from ergotherapy, creativity therapy and cognitive behaviour therapy, different training programmes and discussion groups. Outpatient healthcare Outpatient healthcare at the LVR-Klinikum Düsseldorf is provided by psychiatric-psychotherapeutic Institutional Outpatient Units, allocated to the individual departments, and by the polyclinic of the university. VerSOrgUNgSeINrIcHtUNgeN Institutional Outpatient Units in the Division of General Psychiatry and Psychotherapy II Coordination: (interim) B. Janssen. MD, Senior Lecturer and Senior Consultant The Institutional Outpatient Units and specialised outpatient units of the Division of General Psychiatry II treat more than 2,000 patients a year. Referrals to the Institutional Outpatient Unit of the GP II come partly – in compliance with § 118 SGB V – from the network of in-house inpatient units and the after-care system. This means that people who need particularly intensive care and recurrent treatment because of the nature of their disorder can receive continued treatment as outpatients in the respective Institutional Outpatient Units. This ensures a high level of therapeutic continuity. Other referrals come from office-based medical specialists such as psychiatrists, neurologists and general practitioners, from other divisions of the Düsseldorf University Hospital (including the psychiatric counselling service) and from other hospitals in the region. Some people also come for treatment on the suggestion of outpatient support services (such as the Samaritans and the public health authority). The multidisciplinary teams at the Institutional Outpatient Units of the Division of General Psychiatry provide a range of general and specialised treatments, mainly for people with chronic mental disorders such as schizophrenic and affective disorders, personality 29
lVr-KlINIKUM DÜSSelDOrF – HOSPItal OF tHe HeINrIcH-HeINe UNIVerSItY DÜSSelDOrF disorders and behaviour disorders. A comprehensive system of psychiatric and psychological diagnostic facilities and therapies is provided to support each person individually (including special consultations). Here are some of the therapeutic interventions that are always on offer: s Group therapy sessions s Counselling and information for family members (also in the form of group sessions) s Psychoeducation s Relaxation therapy Therapies in the Institutional Outpatient Units are mainly designed for people who – due to the nature, the severity and the length of their disorders – require elaborate diagnostics and close-meshed treatment and care. The outpatient facility also has the tasks of avoiding unnecessary hospitalisation and preventing relapses. It has mainly been designed to address the following disorders: s First-episode schizophrenia s Chronic psychoses s Attention deficit and hyperactivity syndrome (ADHS) in adults s Personality disorders s Depressive syndromes, particularly in case of treatment resistance s Anxiety disorders s Obsessive compulsive disorders s Chronic pain syndromes that are treatment resistant 30 s Post-traumatic stress disorders s Somatoform disorders s Sleep disorders s It also provides the following services: s Integration of family members and staff of complementary services s Biopsychosocial concept of therapy with a multiprofessional approach combining s pharmacotherapy, somatic therapy (light therapy, TMS), psychotherapy (behaviour therapy, dialectic behaviour therapy, psychodynamic therapies, client-centred psychotherapy) and sociotherapy s Outpatient psychotherapy for groups of patients and family members Special services include an outpatient unit for people who do not speak German as a native language (with consultation services in Russian, Turkish, Romanian, Croatian, Spanish, French and Italian) and a special outpatient unit for people with borderline personality disorder, including an outpatient skills group that follows concepts of the dialectic behaviour therapy after Linehan (DBT) and cognitive behaviour therapy. In addition, the unit operates a special outpatient facility for people suffering from depression, a special outpatient unit for adults with attention deficit disorder/hyperkinetic syndrome and the Special Comorbidity Outpatient Unit on the site of the Düsseldorf University Hospital (Moorenstr. 5). This special outpatient unit focuses on the treatment of people with mental disorders and comorbid somatic illnesses and works in close coordination with the medical Light therapy can be used to treat depression
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Cognitive behaviour therapy for the
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specific anxiety behaviour and asso
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Effectiveness of rTMS in persons wi
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Repetitive transcranial magnetic st
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Leweke M, Mangholz A, Massing W, Me
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Kratz S, Härter M, Bermejo I, Berg
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2005 Baumann AE, Richter K, Belevsk
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115-121 Wölwer W, Gaebel W (2006):
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Winterer G, Carver FW, Musso F, Mat
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from a naturalistic study on a larg
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PRECONDIS-study: Parent training fo
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Klinikum Düsseldorf works closely
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