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

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No. Project Participating research units<br />

or co-workers<br />

1 Cognitive behavioural <strong>the</strong>rapy (CBT) for <strong>the</strong> treatment <strong>of</strong> positive<br />

symptoms in psychotic disorders<br />

2 Effect factors <strong>of</strong> CBT and <strong>the</strong>ir influence on positive symptoms in<br />

psychotic disorders<br />

3 Economic evaluation <strong>of</strong> cognitive behavioural <strong>the</strong>rapy (CBT) in <strong>the</strong><br />

treatment <strong>of</strong> positive symptoms in psychotic disorders<br />

4 Neuronal correlates <strong>of</strong> <strong>the</strong> effects <strong>of</strong> cognitive behavioural <strong>the</strong>rapy in<br />

<strong>the</strong> treatment <strong>of</strong> positive symptoms in psychotic disorders<br />

3.1.1.7 Associated Satellite Centre (ASC) within <strong>the</strong><br />

Brain-Net Project Network (FMER)<br />

Centre director: M. von Wilmsdorff<br />

As an Associated Satellite Centre, <strong>the</strong> Brain Morphology<br />

laboratory was part <strong>of</strong> <strong>the</strong> Brain-Net Project Network.<br />

Brain-Net was set up in <strong>the</strong> neuropsychiatric sector on<br />

<strong>the</strong> Competence Network’s initiative as a cross-section<br />

project and service institution with <strong>the</strong> main goal <strong>of</strong> creating<br />

a countrywide German brain and tissue bank. The Brain-<br />

Net is <strong>the</strong> German centre <strong>of</strong> reference for disorders <strong>of</strong> <strong>the</strong><br />

central nervous system, which is coordinated by a central<br />

network secretariat located at <strong>the</strong> Institute <strong>of</strong> Neuropathology<br />

in Munich. In addition to creating <strong>the</strong> tissue bank, <strong>the</strong>re is<br />

<strong>the</strong> additional task <strong>of</strong> informing and educating people about<br />

<strong>the</strong> reason and need for a brain-tissue bank. The network<br />

operates in close collaboration with <strong>the</strong> Competence Network<br />

on Schizophrenia, as well as <strong>the</strong> Institute for Neuropathology,<br />

<strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong> <strong>Düsseldorf</strong>.<br />

3.1.1.8 Benchmarking in Acute Psychiatric<br />

Treatment (BMG)<br />

Centre director: B.Janssen<br />

In association with nine specialist psychiatric hospitals<br />

<strong>of</strong> <strong>the</strong> Rhineland Regional Council (Landschaftsverband<br />

Rheinland, <strong>LVR</strong>), an internal benchmarking process (prepost<br />

design; three years) was started, which was closely<br />

linked to <strong>the</strong> existing quality management structures<br />

(EFQM, KTQ©) <strong>of</strong> <strong>the</strong> hospitals. The goal was to improve<br />

acute inpatient treatment in three selected patient groups<br />

(alcohol dependence, older persons with depression as well<br />

as persons with schizophrenia and a high rehospitalisation<br />

rate). At <strong>the</strong> start, in order to ensure a valid data base,<br />

IT-supported, quality-oriented treatment documentation<br />

was implemented in <strong>the</strong> participating hospitals (1,856<br />

ReseaRch<br />

Table 6: Research network on <strong>the</strong> “Psycho<strong>the</strong>rapy <strong>of</strong> <strong>the</strong> psychotic syndrome” with participation <strong>of</strong> <strong>the</strong> research units <strong>of</strong> <strong>the</strong> Department <strong>of</strong> Psychiatry and<br />

Psycho<strong>the</strong>rapy <strong>of</strong> <strong>the</strong> <strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong> <strong>Düsseldorf</strong><br />

Participation<br />

status<br />

RL Experimental Psychopathology CP<br />

RL Experimental Psychopathology CP<br />

RL Experimental Psychopathology CP<br />

Neuropsychiatric Research Laboratory<br />

Research Laboratory; RL Experimental<br />

Psychopathology<br />

5 Cognitive disorders, delusional symptoms and treatment success RL Experimental Psychopathology CP<br />

CP=Cooperation partner<br />

treatment documents [pre-census] for <strong>the</strong> identification and<br />

reporting <strong>of</strong> hospital-specific and network-wide optimisation<br />

potential).<br />

During <strong>the</strong> course <strong>of</strong> <strong>the</strong> project, <strong>the</strong> essential elements <strong>of</strong><br />

a benchmarking process could be implemented (creation <strong>of</strong><br />

project structures with accompanying advisory board and<br />

census instruments; definition <strong>of</strong> <strong>the</strong> individual improvement<br />

<strong>the</strong>mes, milestones and defined implementation paths).<br />

In addition to <strong>the</strong> individual processing <strong>of</strong> <strong>the</strong> topics,<br />

three inter-hospital, diagnosis-specific “benchmark<br />

working circles” produced consented, guideline-oriented<br />

recommendations for treatment optimisation. The<br />

progress <strong>of</strong> <strong>the</strong> implementation was checked in a follow-up<br />

assessment (n=1,696).<br />

For <strong>the</strong> main target parameters (a 10% reduction in<br />

<strong>the</strong> drop-out rate <strong>of</strong> persons with alcohol dependence;<br />

improvement <strong>of</strong> <strong>the</strong> BDI score at discharge <strong>of</strong> elderly<br />

persons with depression; a 10% reduction in <strong>the</strong><br />

rehospitalisation rate <strong>of</strong> persons with schizophrenia) an<br />

improvement was achieved by most hospitals, although <strong>the</strong><br />

10% margin was not always achieved by all. An additional<br />

significant improvement could also be achieved in <strong>the</strong><br />

completeness <strong>of</strong> patient self-report documents, which had<br />

been selected later on as a fur<strong>the</strong>r inter-hospital topic. The<br />

majority <strong>of</strong> <strong>the</strong> participating hospitals could also improve<br />

<strong>the</strong>ir individually selected, hospital-specific optimisation<br />

areas. In order to ensure <strong>the</strong>se achievements, measures to<br />

implement <strong>the</strong>se quality management procedures in routine<br />

operation have been coordinated.<br />

CP<br />

65

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