de
en
tr

Out-patient offers (CA)

For children and adolescents, the parents or guardians are often important participants in the therapy as they are usually the people who are best able to support their children in everyday life. Depending on the problem and the age of the patient, the participation of the parents can have differing degrees.

Also important to know: Doctors' and therapists' obligation of confidentiality also applies towards parents. Therefore, what the children, adolescents, and young adults say in the therapy cannot be passed on to their parents without the patients' agreement. Only if the child or adolescent poses a threat to himself or others do the guardians have to be informed.

Specialist physicians for child and adolescent psychiatry

Specialist physicians for child and adolescent psychiatry have qualified for this specialist discipline following their medical degree through several years of clinical experience in a specialist hospital for child and adolescent psychiatry. In addition, they have spent a year working either in adult psychiatry or in paediatric medicine. Child and adolescent psychiatrists can treat their patients with medication and with psychotherapy.

Under Finding therapy, you can find information and links on searching for a physicians or therapists. A list of specialist physicians for child and adolescent psychiatry in Hamburg can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 172.

Child and adolescent psychotherapists

Child and adolescent psychotherapists, following their master degree in psychology, medicine, educational science, music therapy or social educational science, have completed theoretical and practical training lasting for several years. During this training, they worked in a clinic or department for child and adolescent psychiatry, carried out out-patient psychotherapy with children, adolescents and young adults, and attended extensive theoretical advanced training. Their training concludes with a licence to practice (state approval) as a child and adolescent psychotherapist. Child and adolescent psychotherapists are not permitted to treat adults.

Psychological psychotherapists

Psychological psychotherapists have studied psychology and subsequently completed several years of training in psychotherapy. The training encompasses activity in psychiatric and psychosomatic clinics, carrying out out-patient psychotherapies as well as extensive theoretical advanced training. Their training is completed with the licence to practice (state approval) as a psychological psychotherapist. In contrast to child and adolescent psychotherapists, psychological psychotherapists are predominantly trained in the psychotherapy of adults. However, they are also able to treat children and adolescents.

Some psychological psychotherapists havecompleted a so-called "professional qualification in child and adolescent psychotherapy". This means that they are trained not only in adult psychotherapy but also in child and adolescent psychotherapy and are able to invoice the health insurers for psychotherapy with children and adolescents. Their training in child and adolescent psychotherapy is less extensive than that of the child and adolescent psychotherapists.

Under Finding therapy, you can find information and links to searching for physicians and therapists.

A list of the child and adolescent psychotherapists and psychological psychotherapists who treat children and adolescents in Hamburg can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 175.

Child and adolescent psychiatric out-patient departments

The out-patient departments of the child and adolescent psychiatric or psychosomatic clinics provide a thorough diagnosis of children and adolescents who are suffering from psychological burdens or mental disorders. Based on the results of the diagnosis, a suitable treatment is offered. Where necessary, more far-reaching therapeutic or other measures are prepared.

In the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg, you can find a list of clinics for child and adolescent psychiatry, psychotherapy and psychosomatic medicine including their out-patient departments from page 193.

Child, adolescent, and family counselling centres

Regional counselling and support centres (ReBBZ)

Each of the 11 regional counselling and support centres (ReBBZ) is responsible for a particular region of Hamburg. ReBBZ offers teachers, parents and students counselling and support in terms of problems relating to school – for example fear of school, bullying, truancy, conflicts in school, learning and performance difficulties, psychological problems that impact on everyday school life, or if there are a lot of arguments surrounding the theme of school at home.

Here you can find a list of schools in Hamburg and the respective ReBBZ office responsible. The precise contact details of the ReBBZ service centres can be found in the Therapy guide for Psychiatry and Psychotherapy of the City of Hamburg from page 186.

Advice centre"Seeing|Hearing|Moving|Speaking"

The advice centre Seeing | Hearing | Moving | Speaking is a facility of the district authority of Hamburg-North and is responsible across districts in the whole of Hamburg. The offer is targeted at parents of disabled children, at adolescents and adults, at people at risk of disability as well as their family members and friends. Parents who observe developmental problems in their baby or toddler in terms of seeing, hearing, moving or speaking are offered extensive counselling and a department-specific diagnosis.

Child, adolescent, and family counselling centres:

Furthermore, in Hamburg, there are specialised counselling centres, some of which also offer places in a linked in-patient facility.

Examples of these special offers are:
Counselling and treatment of under-21-year-olds who

•  Live in a childrens' home, in another form of assisted living or in an 
    adoptiveor foster family.
•  Are in an acute crisis or emergency situation.
•  Have disabilities, developmental delays and / or behavioural problems.
•  Have experienced sexual abuse.
•  Have a migration background.

In part, these counselling centres are addressed at the children, adolescents and young adults directly, and in part also at the parents or other attachment persons.

A list of the child, adolescent and family counselling centres in Hamburg can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 186.

District educational counselling centres

The educational counselling centres of the district authorities offer information, counselling and treatment for children, adolescents, their parents and other attachment persons. They help with problems in the family and advise parents in terms of behavioural problems of children and with regard to parenting issues. They also offer support in acute crises.

A list of the district educational counselling centres in Hamburg can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 192.

Special offers for people at risk of and suffering from addiction and for people with eating disorders

Drop-in centres which are specialised in dependency on alcohol, medication or drugs can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 144.
Offers for people with eating disorders can be found from page 170.

Online counselling

Counselling can also be found on the internet. The federal association of educational and family counselling (bke) offers online advice from employees of counselling centres in the whole of Germany. The offer is financed by the German Federal states, local authority areas, foundations, and associations.

Parent counselling offers parents and other guardians help with issues of parenting and family living. Youth counselling is targeted at adolescents who have conflicts at home, at school or with friends, or who have psychological problems.

Youth psychiatric services (JpD)

The youth psychiatric services (JpD) of the local health authorities are not only responsible for adolescents, but equally for babies, toddlers and schoolchildren, their parents and other attachment persons.

In Hamburg, there are seven district authorities and therefore seven youth psychiatric services, each of which are responsible for their respective authority. Through this, the employees are often very well informed about the local therapeutic establishments, clinics, physicians, and further mental health services. The offers of the youth psychiatric service are free of charge and available to all those with mental health problems and their family members. Among other things, this includes:

  • Help in crisis situations and with danger of suicide
  • Prevention of psychological and developmental problems
  • Diagnosis, counselling, and treatment for mental health problems, developmental problems, psychological disabilities, or multiple disabilities
  • Parent counselling
  • Expert assessments for other authorities

You can find the responsible district authority in the Authority finder of the City of Hamburg.

Addresses and opening times of the youth psychiatric services can be found in the Therapy Guide for Psychiatry and Psychotherapy of the City of Hamburg from page 191.

Help us stay up-to-date

We would be grateful if you could let us know about new or changed help offers:

webteam@psychenet.de

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