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

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lVr-KlINIKUM DÜSSelDOrF – HOSPItal OF tHe HeINrIcH-HeINe UNIVerSItY DÜSSelDOrF<br />

Healthcare for Outpatients and Day Care Patients<br />

Day Care Unit<br />

The Day Care Unit <strong>of</strong> <strong>the</strong> Department <strong>of</strong> Psychosomatic<br />

Medicine and Psycho<strong>the</strong>rapy <strong>of</strong> <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong> <strong>Düsseldorf</strong><br />

provides 19 places for treatment <strong>of</strong> people suffering from<br />

psychosomatic disorders, affective disorders, anxiety<br />

disorders, obsessive-compulsive disorders, adjustment<br />

disorders, dissociative disorders or eating disorders,<br />

many <strong>of</strong> whom are also afflicted by comorbid personality<br />

disorders. Day care treatment strategies have proved<br />

specifically effective in <strong>the</strong> treatment <strong>of</strong> people from <strong>the</strong>se<br />

groups whose requirements would not have been met by a<br />

conventional outpatient psycho<strong>the</strong>rapy and for whom full<br />

hospitalisation would have been ei<strong>the</strong>r unnecessary or,<br />

bearing in mind <strong>the</strong>ir emotional needs for interpersonal<br />

distance and autonomy, counterproductive. The methods<br />

and objectives <strong>of</strong> <strong>the</strong> Day Care Unit do not differ substantially<br />

from those <strong>of</strong> <strong>the</strong> inpatient ward. The patients still spend <strong>the</strong><br />

majority <strong>of</strong> <strong>the</strong>ir time in <strong>the</strong>ir customary and familiar social<br />

contexts, spending eight hours a day for five days a week in<br />

<strong>the</strong> Day Care Unit. This means that patients have to engage<br />

with both <strong>the</strong> situation at <strong>the</strong> Day Care Unit – <strong>the</strong> wide range<br />

<strong>of</strong> <strong>the</strong>rapeutic options, <strong>the</strong> interpersonal relationships and<br />

<strong>the</strong> standards – and <strong>the</strong> relationships and conditions <strong>of</strong> <strong>the</strong>ir<br />

external everyday lives that have been altered through <strong>the</strong>ir<br />

<strong>the</strong>rapies.<br />

Institutional Outpatient Unit<br />

The Institutional Outpatient Unit <strong>of</strong> <strong>the</strong> Department <strong>of</strong><br />

Psychosomatic Medicine and Psycho<strong>the</strong>rapy examines<br />

persons suffering from psychosomatic disorders, affective<br />

disorders, anxiety disorders, obsessive-compulsive<br />

disorders, adjustment disorders, dissociative disorders,<br />

eating disorders and decompensated personality disorders<br />

44<br />

and, if necessary, recommends outpatient treatment, day<br />

care or full hospitalisation. Subsequent to descriptivepsychopathological<br />

and psychodynamic diagnostics,<br />

and after acquiring some background information about<br />

<strong>the</strong> individual’s social conditions, <strong>the</strong> patient is referred<br />

for appropriate treatment according to <strong>the</strong> indication.<br />

If necessary, individuals are invited to participate in<br />

additional interviews to streng<strong>the</strong>n <strong>the</strong>ir motivation to<br />

undergo psycho<strong>the</strong>rapy and to assist in <strong>the</strong>ir search for a<br />

<strong>the</strong>rapy place. Offers for special treatment include a shortterm<br />

group psycho<strong>the</strong>rapy for patients with somat<strong>of</strong>orm<br />

disorders, a short-term psycho<strong>the</strong>rapy for patients with<br />

personality disorders and psychosomatic disorders and<br />

group <strong>the</strong>rapy sessions for gerontopsychosomatic patients.<br />

Culture-sensitive individual and group <strong>the</strong>rapy programmes<br />

are also provided for victims <strong>of</strong> torture, migrants and<br />

refugees.<br />

Special consultation hours are held for people suffering<br />

from attention-deficit/hyperactivity syndrome.<br />

Current Scientific staff<br />

Medical doctors<br />

C. Brinschwitz, S. Dechering, K. Eder, A. Gdawietz, M. Jente,<br />

L. Joksimovic, U. Nawarotzky, J. Rademacher, W. Tress,<br />

M. A. Wulf<br />

Psychologists and o<strong>the</strong>r (non-medical) staff<br />

V. Bergstein, H.-J. Bernard, J. Bierwirth, M. Cavka, J. Hardt,<br />

D. Hecke, M. Hoshino, D. Kunzke, S. Michalek, E. Neumann,<br />

N. Schmitz, M. Schröder, A. Stratkötter

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