I was in a closed ward after a suicide attempt, and I witnessed how pointless therapies (e.g., music therapy) and the administration of pills were practiced there, but no effective methods of healing were found. There was a patient base that apparently kept coming back to the psychiatric ward: "Hey! Are you back?" Why are German psychiatric hospitals so ineffective?
(19 votes)
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That’s a good subject and I’ll be happy to answer it.
The thing is that many patients with a high claim go to the psychiatry, which is often suggested. In fact, however, an acute psychiatry is a “lowest collecting station” for all people who have a mental problem and need a steady treatment quickly. The system is designed (also thanks to the PEPP) so that patients should be released as quickly as possible. As a rule, the longer a patient stays, in which overall show less money comes around for the hospital. Thus, this is in principle excluded from the treatment of the patient with the time he needed. In addition, the patient has to be released at the time when he feels stable to go home. In practice, of course, attempts are made to give the patient some extra time (just because someone is good for a few days a bit, doesn’t mean that he’s already stable), but it can happen to the hospital that one will be deleted after a treatment day when the MDK examines the case and (spided) was not documented on a day, how bad the patient is still doing.
In addition, it is also added that all people with totally different diagnoses are often on the go, some are e.g. difficult to depress and can not concentrate a minute, others have reluctantly heard problems with food and the room neighbour. The station must therefore consider offering therapies that collect as much as possible any. Mostly a very general therapy program comes out at a very low level, of course not everyone benefits – logically.
In the end, the psychiatry therefore serves only for the first stabilization and dismissal. Those who can’t go on seamlessly afterwards, e.g. with outpatient psychotherapy, rehab or specialist clinic, often have something “for the moment”. That is why it is important to look at the psychiatry only in an emergency, the actual therapy that can help a truly personal and long-term, usually at least, takes place elsewhere.
Based on the answer, I wonder what the psychiatry I know is doing. Some patients have been there for months. But I also wonder what they’re doing.
Give and manage pills and keep in mind that no patient is meuching himself.
It is often not easy to find something outside the psychiatry so that patients can remain stable in the long term. In addition, the waiting times are often very long, depending on what you are looking for. There are often sheltered homes for mentally ills, which only take up patients once one of the inhabitants has withdrawn. It can take years. Some patients do not reach the necessary stability to be released home.
Well and patiently explained.
Many people mistakenly believe that the psychiatry works like a psychic repair workshop, so with full production of health after some time.
Or like an operation: Cut away the calf just like a tumor with laser, scalpel or anything else and is good.
that is correct and everything is required either by obligation from the health insurance companies or for mutual exchange in order to have a basis at all.
In other words, it is discussed more than done.
I understand the view, but I must also say that it is definitely trying to work with the patient and what is being looked for individually, which helps you. What the patients do not get is the handovers, care meetings and curve visions that take place every week. Thus, each patient is discussed at least 3-5x a day with the team in any form. In the curve visions, together with the entire team, we consider what you can do good to the patient and every patient is discussed, really every one in a row. Unfortunately, the time with the patient himself is often very limited by our health system, and the staff are increasingly busy with organizational things and the “office collar” than spending time with the patient himself – this is neither intentional nor desired, but it does not help, unfortunately. Of course, your impression can arise, which you will describe, which is very bad. But I understand.
Yeah, that’s going in the direction.
Music therapy does not have to be pointless, but comes to the patient. You can communicate with the instruments.
I think it’s up to “care” after a stay in a clinic, whether stationary or semi-stationary The patient is thrown back into everyday life and often does not manage again. And go back to treatment. It is not enough to offer an outpatient session 1x a week. Something with structure and above all with meaning would be helpful.
See also, post-stationary treatment has at least as high a value as stationary treatment. In practice, however, one usually “hungs” at some point in planning, because there are either months-long waiting times or in the vicinity of the patient there are no suitable possibilities.
Right! A patient turned on after m 3⁄4 year n lawyer and therefore got accusations from the place that you should have helped.
Yeah, I know…
Most of the time, however, this is a fight against windmills and does not even reach the appropriate place that should see this, because it is “worked” by a legal department…
the very best has still proved to be the “friendly pressure” so call daily or several times a week and ask “what looks like”. Then the places also realize how serious and important this is one and the name always remains on the screen.
Hello PaulSmart,
First music therapy is not meaningless. Maybe this therapy form did not help DIr and you need something else.
So I was also voluntarily recharged and can understand which corner you come from. The psychiatry was really bad but beautiful.
The diagnosis was, in addition to severe depression, completely in addition and therefore also the drugs. There was hardly anything offered on rechargeable therapies, but there were drugs. For me, the rechargeable psychiatry was a piece of driftwood in a sea of suffering. It didn’t take me anywhere but kept me over water.
Reasons for turning door effect:
There are also good facilities! I have been treated in the psychosomatics of a university as it became physical and they gave me real knowledge. A psychosomatic rehabilitation facility that followed was also a good hit!
Why is the psychiatry so unefficient? There is no other area where as many false diagnoses are placed as in the psychiatry. How does the treatment look? Drugs that are then administered against something you don’t have! How is the patient with these drugs? He’s getting confused. When you say what’s going on a bad thing, it said: They are fixed or you need more! Uh, yeah! After a conversation, the senior physician, on my question, asked if I can drive: Yes, the new Jerusalem should be on the sea floor! As a hard depressant at that time, confusion became wide with me! But I came out of it through iron silence!:)
My fellow patients were always excited about what the individual gets so on diagnoses: what was laughed about diagnoses! Tip, ask what you have! This means that you get on with it. Doctors writing at bullying e.g. Diagnosis: Middle depression with adjustment disorder or paranoia! You need a diagnosis to write a disease. There is no diagnosis of bullying. But it also applies to people with Paranoia. See article in the leaflet! So some diagnostics are designed and do right diagnosis and some false. There are very good facilities with Engaged staff and I was lucky that a place was released. The reference nurse of the anger was what, the therapists and my psychotheraotherpeutin but also on the doctor’s side were very good. However, you have to do a lot of self only 40% help the therapies and 60% the patient has to afford. The drugs cure nothing but can be helpful to make a therapy.
If you need tips then write me or ask here! Don’t take the clinic so hard. One thing is sure we are all just people and make mistakes!
You are a valiant person and I wish good improvement,
Jürgen
Psychiatrics are not ineffective. The broken society in which they are released after the psychiatry residency quickly drives people back into the normality of the clinic.
Such a bullshit, what help do you get in the psychiatry? Pills and mal music therapy 🙄
Right, only pills and ergotherapy (basteln and paint) . No examination but make diagnosis….it’s just about the coal that have been closed for 6weeks with me over 17000Euro, inconceivable for this shameful accommodation….
There are such and such. In our county it is similar to you to describe it. In the next county, the treatment is adapted to the patient, almost every day ne correct therapy and the family is included.
You have a certain margin within the requirements. There are also differences from the general financial situation of the clinics. Each head physician or clinician’s management set its own accents and set the priorities a little different. The team constellation is different, for example, not every hospital has the opportunity to offer further and further education on the statutory minimum standard (“Pflichtfortbildungen”). Thus, the state of knowledge can also be very different. For example, I know colleagues from nursing who have not attended any further training for 20 years, apart from the mandatory training courses such as hygiene, reanimation training…usw, although it would have been possible for them, but there is no statutory obligation to do so, although many employers would usually take over the costs completely.
This is also likely to work according to this state of knowledge.
You should ask the clinics. LG
How does such serious differences occur?