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