[Inpatient psychotherapy]

Nervenarzt. 2016 Jan;87(1):99-108; quiz 109-110. doi: 10.1007/s00115-015-0025-5.
[Article in German]

Abstract

In German-speaking countries inpatient psychotherapy plays a major role in the mental healthcare system. Due to its characteristic features, i. e. multiprofessionalism, multimodality and method integration, the inpatient approach represents a unique and independent type of psychotherapy. In order to be helpful, the manifold verbal and non-verbal methods need to be embedded into an overall treatment plan. Additionally, the therapeutic milieu of the hospital represents an important effective factor and its organization requires a more active construction. The indications for inpatient psychotherapy are not only based on the mental disorder but also on illness, setting and healthcare system-related criteria. In integrative concepts, the multiprofessional team is a key component with many functions. The effectiveness of psychotherapeutic hospital treatment has been proven by meta-analysis studies; however, 20-30% of patients do not benefit from inpatient psychotherapy and almost 13% drop-out prematurely.

Keywords: Effectiveness; Multimodality; Multiprofessional team; Side effects; Therapeutic milieu.

MeSH terms

  • Evidence-Based Medicine
  • Germany
  • Hospitalization*
  • Humans
  • Inpatients / psychology*
  • Mental Disorders / diagnosis*
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Psychiatric Department, Hospital / organization & administration*
  • Psychotherapy / methods*
  • Psychotherapy / organization & administration
  • Switzerland
  • Treatment Outcome