Warstein LWL Clinic
The LWL-Klinik Warstein for psychiatry , psychotherapy and psychosomatics is a facility of the Landschaftsverband Westfalen-Lippe (LWL) and part of the LWL health facilities in the Soest district . With the departments of general psychiatry, depression treatment , geriatric psychiatry and addiction medicine, it provides the full range of psychiatric offers at the Warstein site . In addition, day-care and out-patient treatment options are offered in the Integrative Psychiatry and Psychotherapy Department.
Attached to the clinic are the LWL Rehabilitation Center in South Westphalia , in which people with addictions are treated, and the LWL Institute for Rehabilitation Warstein for the professional rehabilitation of mentally ill people. In 2001 the organization of the LWL clinics in Warstein and Lippstadt was merged.
On the 43 hectare park area of the clinic, there are 273 beds for the acute inpatient treatment of mental illnesses as well as 18 day clinic places. The addiction rehabilitation division has 120 beds. A large service area is responsible for the infrastructure and administration of all facilities in the regional network.
history
In 1903 the Westphalian Provincial Parliament decided to found the fifth “Provincial Insane Asylum” in Warstein. The construction of the various buildings dragged on from 1905 to 1911. Originally a capacity of 800 patients was planned. In the construction phase, however, this was increased to 1,450. The first patients were transferred from Lengerich to Warstein in 1905. In 1911 the number of patients was already 1,250. Especially during the " turnip winter " of 1916/17, numerous patients died of malnutrition , tuberculosis and typhus . Experience led to the Barons von Fürstenberg leasing the Suttrop estate in 1922 so that they could be self-sufficient.
Since 1919 the nursing order of the Vincentine Sisters was active in the institution . New healing methods were introduced during the Weimar Republic . This included the expansion of occupational therapy , physical methods , psychotherapeutic procedures and shock treatments with insulin and pentetrazole . Electroconvulsive therapy has also been used since 1937 .
According to the “ Law on the Prevention of Hereditary Offspring ” of July 14, 1933, 675 patients were sterilized . However, these were not carried out in Warstein itself, but externally. In 1934, the previous medical director Hegemann, who was not considered to be loyal to the line, was replaced by the doctor Petermann. In 1936 a special collection department for tuberculosis and mentally ill people from all Westphalian clinics was set up. After a reserve hospital with a capacity of 1,200 beds had been set up on the site of the institution in 1941, patients were “transferred” to killing centers like Hadamar on a massive scale . A total of 1,576 patients fell victim to the National Socialist euthanasia program .
After the end of the Second World War , 1,668 soldiers were accommodated in the reserve hospital. Later, around 500 Soviet citizens suffering from tuberculosis followed. Between 1946 and 1954, the Soest school for the blind was housed on the premises of the institution. In the following decades new wards were built, including a gerontological-psychiatric department in 1973. A dormitory for the nuns was also built. The psychiatry reform of the 1970s with its de-hospitalization and decentralization was a deep turning point.
The Treise - chapel , which is located on the grounds of fiber optic equipment in Warstein, was initiated by the nurse Karlo Klucken, the Head of Administration Andreas Mueller Andriessen and the hospital pastor Werner Comforter 1985 memorial to the Warsteiner victims of euthanasia. The memorial, in the form of two pictures, was inaugurated on November 17th (National Day of Mourning). Since 1985 there has been a public commemoration for the victims of the Nazi dictatorship every year on Sunday of the Dead. In 2012 the management of the LWL Clinic and the LWL homes in Warstein decided to remove the anonymity of the euthanasia victims and to save them from being forgotten by adding and designing the Treise Chapel memorial . The removable tablets with the names of the victims thus become 1575 individual small sculptures. They are distributed to employees of the clinic, to Warsteiner citizens, to public figures and to all interested parties. Thus, everyone can symbolically “sponsor” one of the deported patients and keep the memory alive.
The landscape assembly decided in February 2007 that the facilities of the regional association Westphalia-Lippe (LWL) should be renamed so that the sponsor stands out as the umbrella brand of the facilities: The Westphalian Clinic Warstein is renamed LWL-Klinik Warstein .
In the course of the last few years, a changed demand situation in the psychiatric care landscape has emerged: The proportion of depressed patients rose, with the proportion of elderly depressed people also growing. With this in mind, Department D was developed and launched on July 1, 2012.
In the in-house museum of the LWL-Klinik, which is open to the public on Tuesdays and Wednesdays and for groups by individual agreement, you can get an insight into over 100 years of psychiatric history. In spring 2015, the clinic's premises will be the location for the film adaptation of the novel Nebel im August , which describes the life of the Yenish Ernst Lossa .
Since the winter of 2015, the LWL-Klinik has made two currently unused buildings available to the city of Warstein to deal with the refugee crisis .
Treatment concepts
All essential psychiatric treatment methods, i.e. medical, nursing, psychological, socio-, ergo-, physio- and creative therapeutic procedures are used in the clinic. The concepts range from short-term, intensive therapy (e.g. crisis intervention ) to medium-term, multi-dimensional treatment and rehabilitation lasting several weeks or months. In the LWL-Klinik Warstein, people of all ages from the age of 18 with different clinical pictures are treated. The clinic sees itself as a technically modern service company for mentally ill people who experience individual therapy here according to today's standards of science.
Departments
General psychiatry
The general psychiatry department works according to the principle of internal differentiation. The wards, five of which are open and one closed, differ in their therapeutic focus. These lie in the treatment of psychotic disorders , personality disorders and adjustment disorders / borderline (even if additional help is required), mental illnesses and addiction, as well as the treatment of psychiatric emergencies and crisis intervention . The therapy program is geared towards the focus. The treatment is divided into admission, treatment and discharge phases. In the admission phase, the focus is on diagnostics, relieving the patient and planning the treatment. In the therapy phase, the patients are integrated into the complete program in order to be prepared for the time after their stay in the discharge phase. The cooperation of relatives in the treatment is an important part of the therapy concept and thus promotes self-help. The aim of treatment is not only to overcome the disease, but also to ensure active disease management and adequate and satisfactory social integration.
Depression treatment
In terms of content, people of all ages who are depressed are treated. Of the two wards, one specializes in the therapy of younger depressed people (approx. Up to 50 years of age), while the other focuses on the treatment of depressed people over the age of 50. Older, depressed patients show that they often also suffer from psychosomatic illnesses, in particular chronic pain disorders, so that the ward developed an additional specialization and from this a close cooperation with the pain therapists of the KlinikumStadtSoest was established. In the foreground of the treatment is primarily the solution orientation, using the individual skills. Patients develop coping strategies and actively use them. During the treatment, based on a basic therapy program, the topics and stress areas are defined in relation to the patient, solution strategies are developed and, finally, the discharge is planned sufficiently long-term in order to achieve a sustainable improvement and stabilization of the state of health. In the end, the patients should be able to implement what they have achieved in therapy at home in order to stay healthy in the long term.
Integrative Psychiatry and Psychotherapy (IPP)
The department's focus is on outpatient and day-care offers. For this purpose, a psychotherapeutic day clinic and an institute outpatient clinic in the areas of general psychiatry, geriatric psychiatry and addiction medicine are provided at the Warstein site . The treatment aims to restore psychological stability and to promote practical, social and cognitive skills. Day clinic treatment is always considered when outpatient therapy is not sufficient but full inpatient treatment is not necessary. From Monday to Friday from 8 a.m. to 4 p.m., patients are treated in the LWL day clinic in Warstein. In the remaining time they live as usual in their normal environment. In this way, they maintain their social connections and can directly try out what they have learned in practice. It mainly treats depression and anxiety disorders, but also obsessive-compulsive disorder , personality disorders and psychoses.
Gerontopsychiatry
In the Geriatric Psychiatry Department, with the exception of depression, all mental illnesses of older age (from 60 years of age) are treated with specialized therapies. This applies in particular to the various dementias and the associated disorders of behavior and experience, but also to affective disorders such as v. a. Psychosis and addiction disorders when they occur in connection with mood disorders. The primary goal of treatment is a regression of the symptoms of the disease. But acceptance of and dealing with chronic illnesses also play a role. Overall, the aim is to integrate modern, neuroscientific, psychotherapeutic and socio-psychiatric approaches with the involvement of the social environment.
Addiction medicine
The focus of the treatment offer is the qualified withdrawal from alcohol, medication and illegal drugs (cannabis, heroin, cocaine, ecstasy, LSD, amphetamines etc.). The four stations at the Warstein site each have their own treatment focuses for different subgroups of addiction, for example for initial and relapse treatment, and the treatment of double diagnoses (addiction and anxiety, addiction and depression). In all stations, women and men are treated together. Three stations are open and one station has exit controls. In addition to (drug) treatment, the aim is to encourage motivation for long-term abstinence and to present and organize appropriate support options. Individual and group discussions, social counseling, information transfer, sports and exercise therapy, occupational therapy and other treatment modules are available. Registration in the addiction medicine department has also been possible online since 2013.
Addiction Rehabilitation
The range of therapies offered by the department is aimed at adults with an addiction disorder (alcohol, medication, illegal drugs), even if they also suffer from other psychological disorders such as fears, depression, psychoses, emotionally unstable personality disorders or after-effects of traumatic experiences. The focus is on inpatient weaning therapy, but there is also the option of outpatient and full day outpatient (partial inpatient) therapy. The goals are to achieve permanent and satisfied abstinence as well as social and professional (re) integration. After the initial diagnosis, an individual therapy plan is drawn up together with those affected, which includes numerous therapy modules. These include medical, psychiatric, psychological, psychotherapeutic, social, exercise and occupational therapy support measures, which are intended to help overcome the addiction and thus also to improve or stabilize the mental state.
Education, job and further education
The LWL-Klinik Warstein cooperates as a teaching facility for clinical psychology / psychotherapy with the Institute for Psychology at the University of Bochum as part of the training to become a psychological psychotherapist. The LWL-Klinik is also recognized by the Medical Association of Westphalia-Lippe as a training center for specialist training in " Psychiatry and Psychotherapy " and " Forensic Psychiatry ". In 2014, the DGPPN certified the clinic as a training center for psychiatry and psychotherapy in accordance with the guidelines of the European Medical Association (UEMS).
At the Lippstadt location, the clinic maintains the LWL Academy for Health and Nursing Professions Lippstadt with more than 120 training positions in health and nursing. Together with the LWL Clinic Lippstadt , the Warstein Clinic maintains the advanced training center of the LWL Clinics in the Soest district . This is also available to external participants.
The LWL offers at the Warstein location for school classes - e. B. for secondary schools - visitor days with a clinic tour. Here the pupils are brought closer to the work with the patients as well as the historical background of the facilities.
See also
Web links
- Facility's website
- Information on clinic tours / visitor groups
- Graphic overview of the history of the clinic (PDF file; 58 kB)
Individual evidence
- ↑ derwesten.de: Important help on the way back to work , May 29, 2013
- ↑ a b http://www.derwesten.de/staedte/warstein/damit-auch-dunkle-kapitel-nicht-verblassen-id7795543.html DerWesten.de of April 3, 2013
- ↑ https://www.lwl.org/bi-lwl/vo020.asp?VOLFDNR=3224&options=4 Template 12/0673/2 for the landscape assembly
- ↑ http://www.lwl.org/klinik_warstein_bilder/global/pressemitteilungen/2012/2012-07-01_neue-abteilung-d-depressionsverarbeitung.pdf press release
- ↑ Eckart Roloff and Karin Henke-Wendt: A modern beginning - and then the many downsides. (Psychiatry Museum of the LWL Clinic in Warstein) In: Visit your doctor or pharmacist. A tour through Germany's museums for medicine and pharmacy. Volume 1, Northern Germany, S. Hirzel Verlag, Stuttgart 2015, pp. 163–165, ISBN 978-3-7776-2510-2 .
- ↑ http://lwl-klinik-warstein.de/museum Short link to the bottom of the facility homepage
- ↑ Mülheim Monastery is a stroke of luck Der Westen, May 9, 2015
- ↑ http://www.soester-anzeiger.de/lokales/warstein/ehemaliges-haus-silberstreif-nnahm-fluechtlinge-5873237.html Soester Anzeiger: Former house Silberstreif accepts refugees
- ↑ https://www.lwl.org/LWL/Gesundheit/psychiatrieverbund/K/lwl_klinik_warstein/ueber_uns/Medizinische_Abteilungen_Stationen/SW/anmeldung Registration online form of the addiction medicine department
- ↑ http://www.kliniken.de/qualitaetsberichte/download/59581-Warstein-LWL-Klinik-fuer-Psychiatrie-260591414-00-2010.pdf see page 7f
- ↑ Archived copy ( memento of the original from April 26, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. Stationary section
- ↑ http://www.aekwl.de/index.php?id=2786 see search results for the term "LWL-Klinik Warstein" in the field "Ort / Weiterbildungsstätte"
- ↑ https://www.lwl.org/LWL/Gesundheit/psychiatrieverbund/lwl-gesundheiteinrichtung-kreis-soest/job-und-karriere/Facharzt
- ↑ http://www.derwesten.de/staedte/warstein/lwl-klinik-ausgezeich-als-zentrum-der-weiterbildung-aimp-id9263619.html report on DerWesten.de
- ↑ Archived copy ( memento of the original from April 26, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. List of certified clinics at the bottom of the page (drop-down menu)
- ↑ http://www.fsg-arnsberg.de/paedagogikkurse-des-fsg-besuchen-die-lwl-klinik-in-warstein/ Report of the Franz-Stock-Gymnasium in Arnsberg-Neheim
- ↑ http://lwl-gesundheitseinrichtungen-kreis-soest-blog.de/tag/besuchergruppen Various reports on the visitor groups
- ↑ http://www.lwl.org/LWL/Gesundheit/psychiatrieverbund/lwl-gesundheiteinrichtung-kreis-soest/job-und-karriere/besuchergruppen Information page on the visitor days / groups
Coordinates: 51 ° 27 '24.7 " N , 8 ° 21' 26.2" E