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

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doctors <strong>of</strong> <strong>the</strong> <strong>Düsseldorf</strong> <strong>University</strong> <strong>Hospital</strong> and <strong>the</strong><br />

affiliated 7-day Day Care Unit on <strong>the</strong> grounds <strong>of</strong> <strong>the</strong><br />

<strong>University</strong> <strong>Hospital</strong>.<br />

Emergency admission unit<br />

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

Psychiatry and Psycho<strong>the</strong>rapy, Senior Consultant (since<br />

2009), G. Winterer, MD, Pr<strong>of</strong>essor <strong>of</strong> Psychiatry and<br />

Psycho<strong>the</strong>rapy (from 2005 until 2009),<br />

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

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

Divisional Director <strong>of</strong> Nursing: D. Kohl<br />

The emergency admission unit is <strong>the</strong> hospital’s first point <strong>of</strong><br />

contact for patients suffering from mental problems and/<br />

or known or suspected psychiatric, neurological or addictive<br />

disorders as well as for <strong>the</strong>ir family members in need <strong>of</strong> help.<br />

The services <strong>of</strong> <strong>the</strong> emergency admission unit feature – in<br />

addition to emergency assistance in <strong>the</strong> case <strong>of</strong> a sudden<br />

crisis – <strong>the</strong> provision <strong>of</strong> psychiatric-psycho<strong>the</strong>rapeutic advice<br />

about <strong>the</strong> facilities for inpatient, day clinic and outpatient<br />

treatment at <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong> <strong>Düsseldorf</strong>, including external<br />

assistance and counselling (for example, in self-help groups).<br />

Such counselling services may also be provided by phone.<br />

Individuals come voluntarily for inpatient treatment mainly<br />

<strong>of</strong> <strong>the</strong>ir own accord, because <strong>the</strong>ir doctor has referred <strong>the</strong>m<br />

or because <strong>the</strong>y have been referred to <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong><br />

by ano<strong>the</strong>r hospital. Some individuals require psychiatric<br />

diagnostics and <strong>the</strong>rapy because <strong>of</strong> legal regulations that<br />

regulate <strong>the</strong> hospitalisation and healthcare arrangements <strong>of</strong><br />

vulnerable people. The emergency admission unit is open 24<br />

hours a day, seven days a week, and has at least one medical<br />

doctor and one nurse ready to see patients at all times. The<br />

unit cooperates closely with <strong>the</strong> outpatient units for borderline<br />

personality disorder, for people who ei<strong>the</strong>r are migrants<br />

<strong>the</strong>mselves or come from migrant families, and for people<br />

with ADHS in adulthood.<br />

Psychiatric-psycho<strong>the</strong>rapeutic consultancy services<br />

Director: B. Janssen, MD, Senior Lecturer in Psychiatry and<br />

Psycho<strong>the</strong>rapy, Senior Consultant (since 2009), G. Winterer,<br />

MD, Pr<strong>of</strong>essor <strong>of</strong> Psychiatry and Psycho<strong>the</strong>rapy (from 2005<br />

until 2009), F. Schneider, MD, PhD, Pr<strong>of</strong>essor <strong>of</strong> Psychiatry<br />

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

The psychiatric consultancy service supports <strong>the</strong> <strong>Düsseldorf</strong><br />

<strong>University</strong> <strong>Hospital</strong> and, until 2009, also supported <strong>the</strong> Sana<br />

<strong>Hospital</strong> at Gerresheim (<strong>the</strong> former Gerresheim Municipal<br />

<strong>Hospital</strong>). All psychiatric conditions are treated, in close<br />

coordination with <strong>the</strong> medical doctors from <strong>the</strong> respective<br />

hospitals. Any psychiatric advice that may be required will be<br />

given on <strong>the</strong> same day. The outpatient unit and <strong>the</strong> Day Care<br />

HealtHcare<br />

Unit on <strong>the</strong> site <strong>of</strong> <strong>the</strong> <strong>Düsseldorf</strong> <strong>University</strong> <strong>Hospital</strong> ensure<br />

that patients <strong>of</strong> <strong>the</strong> <strong>University</strong> <strong>Hospital</strong> can receive in situ any<br />

concurrent psychiatric treatment <strong>the</strong>y may require.<br />

Centre for <strong>the</strong> early detection <strong>of</strong> mental<br />

disorders (FEZ) <strong>Düsseldorf</strong><br />

Director: B. Janssen, MD, Senior Lecturer in Psychiatry and<br />

Psycho<strong>the</strong>rapy (since 2009), G. Winterer, MD, Pr<strong>of</strong>essor <strong>of</strong><br />

Psychiatry and Psycho<strong>the</strong>rapy (from 2005 until 2009).<br />

The FEZ <strong>Düsseldorf</strong> evolved from <strong>the</strong> “Early Detection<br />

Centre for <strong>the</strong> Provision <strong>of</strong> Advice and Assistance to Patients<br />

with an Increased Risk <strong>of</strong> Mental Disorders”, operated by<br />

<strong>the</strong> Competence Network on Schizophrenia (see p. 58). On<br />

<strong>the</strong> basis <strong>of</strong> <strong>the</strong> results from studies that have explored<br />

possible ways <strong>of</strong> detecting <strong>the</strong> early signs <strong>of</strong> at-risk states<br />

for psychosis, <strong>the</strong> FEZ aims at early detection and early<br />

intervention in <strong>the</strong> prodromal stage <strong>of</strong> psychotic disorders. A<br />

team <strong>of</strong> medical doctors and psychologists provides advice<br />

and assistance to those suffering from <strong>the</strong>se symptoms<br />

and <strong>the</strong> members <strong>of</strong> <strong>the</strong>ir families. In addition to medical<br />

information, <strong>the</strong> team also provides counselling and support<br />

for social problems (at work, at school and with partners) and<br />

<strong>of</strong>fers individual and group psycho<strong>the</strong>rapy; drug treatment is<br />

<strong>of</strong>fered if <strong>the</strong> individual is already in <strong>the</strong> late-prodromal stage<br />

<strong>of</strong> developing psychosis. The FEZ teams are also involved<br />

in PR campaigns to increase <strong>the</strong> general awareness about<br />

possibilities for early detection and intervention, for example<br />

by giving lectures and distributing information material to <strong>the</strong><br />

public and organising seminars on <strong>the</strong> premises <strong>of</strong> <strong>the</strong> FEZ.<br />

The diagnostic methods <strong>the</strong>y use and <strong>the</strong> psycho<strong>the</strong>rapeutic<br />

and pharmacological interventions <strong>the</strong>y <strong>of</strong>fer are scientifically<br />

evaluated in <strong>the</strong> context <strong>of</strong> <strong>the</strong> Competence Network on<br />

Schizophrenia, in close cooperation with o<strong>the</strong>r <strong>University</strong><br />

<strong>Hospital</strong>s. As part <strong>of</strong> <strong>the</strong> PREVENT study, researchers at <strong>the</strong><br />

FEZ are evaluating cognitive behaviour <strong>the</strong>rapy approaches in<br />

comparison to special drug treatment strategies. Their effects<br />

on <strong>the</strong> development <strong>of</strong> psychotic illnesses, i.e. <strong>the</strong>ir potential<br />

to prevent such disorders or to alleviate symptoms, have<br />

never been studied in this way before.<br />

31

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