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

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<strong>LVR</strong>-KLINIKUM DÜsseLDORF – hOsPITaL OF The heINRIch-heINe UNIVeRsITY DÜsseLDORF<br />

Symptom<br />

60<br />

Project Network I<br />

Early Recognition<br />

and Early Intervention<br />

SN 1: Diagnostics and treatment <strong>of</strong> acute schizophrenia<br />

SN 2: Relapse prevention and long-term treatment<br />

SN 3: Prevention and rehabilitation <strong>of</strong> residual disease courses<br />

Project Network II<br />

Treatment and<br />

Rehabilitation<br />

1<br />

Subnetworks (SN)<br />

2 3<br />

Acute Long-term Rehabili -<br />

treatment treatment tation<br />

Manifestation threshold<br />

Figure 6: Research projects <strong>of</strong> <strong>the</strong> Competence Network on Schizophrenia (CNS) related to <strong>the</strong> course <strong>of</strong> schizophrenia<br />

s Transfer <strong>of</strong> <strong>the</strong> results <strong>of</strong> basic research into<br />

healthcare.<br />

s The cost/effectiveness analysis <strong>of</strong> innovative treatment<br />

procedures.<br />

s Improvement in educating and informing patients,<br />

relatives and (healthy) lay persons and experts through<br />

<strong>the</strong> targeted transfer <strong>of</strong> knowledge.<br />

The precondition for achieving <strong>the</strong>se goals is <strong>the</strong> creation,<br />

expansion and intensive and routine use <strong>of</strong> networked<br />

structures between research and care.<br />

The Structure and Themes <strong>of</strong> <strong>the</strong> Competence Network<br />

The Competence Network is organised, in accordance with<br />

<strong>the</strong> course <strong>of</strong> <strong>the</strong> disorder, into two essential project networks<br />

(PN), with several sub-networks (SN), focusing on treatment<br />

and care needs in <strong>the</strong> prodromal phase or initial episode (PN<br />

I) and after initial admission as an inpatient (PN II) (Figure<br />

5). Whereas PN I mainly deals with projects designed to<br />

improve and establish early diagnosis and early intervention,<br />

PN II is involved with projects for optimising acute and longterm<br />

treatment (SNs I+II), as well as for rehabilitation (SN<br />

III), in particular in residual schizophrenia. In addition, <strong>the</strong>re<br />

is a project network devoted to molecular genetics and<br />

several cross-discipline projects (such as health economics,<br />

educating <strong>the</strong> public, continuous medical education and<br />

post-graduate specialty training, etc.). In <strong>the</strong> third funding<br />

Disorder<br />

Course<br />

Time<br />

period, which has been running since 2005, in addition to four<br />

projects following up studies from <strong>the</strong> initial funding period<br />

specific so-called transfer projects were adopted relating<br />

to <strong>the</strong> core interests <strong>of</strong> <strong>the</strong> Competence Network, in which<br />

network results are prepared for transfer to <strong>the</strong> care sector.<br />

Partners involved in <strong>the</strong><br />

Competence Network across Germany<br />

Across Germany, <strong>the</strong> Competence Network on<br />

Schizophrenia involves a total <strong>of</strong> 19 university psychiatric<br />

departments, 14 state, district and specialist hospitals, and<br />

6 psychiatric and general medicine practice networks. The<br />

work <strong>of</strong> <strong>the</strong> Competence Network is supported by <strong>the</strong> World<br />

Psychiatric Association (WPA), German national specialist<br />

associations (such as <strong>the</strong> DGPPN representing psychiatrists<br />

and <strong>the</strong> DEGAM representing general practitioners) and<br />

pr<strong>of</strong>essional associations (such as <strong>the</strong> BVDN representing<br />

German <strong>of</strong>fice-based neurologists and psychiatrists), as well<br />

as <strong>the</strong> Central Association <strong>of</strong> Health Insurance Funds (GKV-<br />

Spitzenverband in German). In addition to <strong>the</strong> approximately<br />

16 million Euros <strong>of</strong> funding given by <strong>the</strong> FMER for <strong>the</strong> entire<br />

network and its over thirty projects since 1999, additional<br />

resources (around 5% <strong>of</strong> <strong>the</strong> budget) were made available by<br />

<strong>the</strong> pharmaceutical industry for research projects (Bristol-<br />

Meyers Squibb, Eli Lilly, Janssen-Cilag, Lundbeck, San<strong>of</strong>i-<br />

Syn<strong>the</strong>labo and Wyeth) or for educating <strong>the</strong> public (including

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