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In-patient and day-patient services

Psychiatric clinics and departments

There are specialist psychiatric clinics and there are general hospitals which have a psychiatric department. In both, patients receive a therapeutic offer which generally encompasses individual psychotherapy, group therapy, psycheducation, support and counselling in applying for further help measures, medication treatment as well as art, music or occupational therapy. The costs of the treatment are covered by the health insurer. An in-patient therapy is arranged either by the physician or in the short term through the emergency services.

Some wards, day clinics and out-patient departments are specialised in certain mental illnesses, while others are not. Both have advantages and disadvantages. What ultimately counts is that the patient and his family feel that they are in good hands from a professional and personal perspective.

A list of the psychiatric clinics and departments can be found in the Hospital directory of the Hamburg Department of Health and Consumer Protection and in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 126.

Clinic for psychosomatic medicine and psychotherapy

Specialist clinics for psychosomatic medicine and psychotherapy are specialised in associations and interactions between physical and mental illnesses.

The main treatment focuses of psychosomatic clinics include illnesses that are characterised by patients' suffering from strong physical complaints, but for which no sufficient physical cause can be found, so-called somatoform and functional disorders (e.g. irritable bowel syndrome, fibromyalgia). Patients with severe chronic physical illnesses who develop accompanying mental health problems, e.g. depression with diabetes or anxieties with heart diseases, are also usually treated in psychosomatic clinics. Further treatment focuses of psychosomatic clinics are depressive disorders, anxiety disorders, anorexia nervosa or bulimia nervosa.

The therapeutic offer is devoted to the mental and physical complaints alike. The main emphasis in psychosomatic treatment is on individual and group psychotherapy. Based on the patient's clinical picture, further specialist therapies such as music therapy, art therapy, movement therapy and physiotherapy can be a useful addition to the individual treatment plan. Moreover, a medication therapy might also be part of the psychosomatic treatment depending on the patient's condition.

In contrast to specialist clinics for psychiatry, in psychosomatic clinics, no life-threatening emergencies are treated. This means that people, for example, with an acute suicide risk, acute need for care or an acute psychotic episode cannot be treated there. Manias, dementias, alcohol or drug dependencies, delusional or schizoaffective disorders are also generally not treated in psychosomatic clinics but in psychiatric clinics.

Admission to a psychosomatic clinic generally ensues following an initial clinical interviewin the out-patient department of the clinic. If an in-patient psychosomatic treatment is necessary, out-patientthe in-patient admission is planned, mostly preceded by a waiting time.

A list of the psychosomatic care services in Hamburg and the surrounding area can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 139.

Day clinic

Day clinics are usually found in psychiatric or psychosomatic clinics or departments. Treatment in a day clinic is also financed by the health insurer. Precise information about the respective day clinic and its programme can generally be gained in a first consultationor an information group. If an admission is not possible immediately, the patient can be placed on a waiting list.

Admission can occur for various reasons, for example following a full in-patient treatment or as first help in a crisis. Similar to full in-patient treatment, the therapeutic offer encompasses, for example, a medication therapy, psychotherapy and vocational therapy.
The therapeutic offer at a day clinic is available to patients five days per week during the day. Accordingly, they must be sufficiently stable to be able to spend evenings and weekends in their own apartment or with their family. It is therefore recommendable to choose a day clinic which is close to where you live.

A list of the psychiatric day clinics in Hamburg can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 126. A list of the psychosomatic care services in Hamburg and the surrounding area can be found from page 139.

Sources:

www.psychose.de/hilfen-fuer-den-alltag-01.html

Freie und Hansestadt Hamburg, Behörde für Gesundheit und Verbraucherschutz (BGV) (Hrsg.) (2011). Therapieführer - Verzeichnis diagnostischer, therapeutischer und rehabilitativer Angebote in Hamburg (17. wiederholt überarbeitete Auflage). Hamburg: Behörde für Gesundheit und Verbraucherschutz (BGV).

Written by:

Nina Weymann (Psychological psychotherapist), Dr. Lisa Tlach (Psychologist), Dr. Jörg Dirmaier (Psychological psychotherapist), Prof. Dr. Dr. Martin Härter (Physician and psychological psychotherapist)

Date of creation: 10.08.2011
Date of last editing of content: 10.06.2015
Date of next editing of content: currently under revision