Psychosocial support
The Psychosocial Support (PSU) is an offer that attempts of psychotherapy forestall. The term is not used uniformly and is not defined in the German-speaking area.
PSU is by no means therapy, but rather prevention or “ helping people to help themselves ”. In Germany, psychotherapy is only permitted by law to doctors, psychological psychotherapists, child and adolescent psychotherapists (PsychThG) and alternative practitioners (HeilprG), albeit only to a limited extent. Doctors and psychologists decide when psychotherapy is necessary.
Acute help
Rapid psychosocial support responds to acute events as emergency psychosocial care . It is offered to people who have to deal with an acute event (employees of banks and shops after robberies , employees of aid organizations ).
The special service responsible for employees of aid organizations is referred to as stress management after stressful events (SbE), for other affected persons one speaks of crisis intervention in the rescue service . See also emergency counseling . The peers play an important role at the PSU . These are people in emergency services who are trained to help their colleagues or comrades to cope with psychologically stressful missions and the stress associated with them.
Psychosocial care in hospitals
Liaison service is the specialist medical care during a hospital stay on behalf of the treating doctor. This falls under the so-called psychosocial care and is therefore particularly important in the case of psychosomatic illnesses.
Psychosocial network of the Bundeswehr
In the so-called Psychosocial Network of the Bundeswehr (PSN), doctors, psychologists, military chaplains and social workers have been organized regionally since 2004 in order to be able to offer affected soldiers and their relatives psychosocial support if necessary . In particular, the prevention and timely detection of PTSD in the context of foreign missions led to the creation of this structure. This facility is not to be equated with the crisis intervention teams (KIT) that are deployed in the event of acute trauma, for example in the event of a mass damage event.
Disease management
In disease management , psychosocial support acts as an aid to optimal quality of life .
Psychosocial care for addicts
Outside of substitution programs, psychosocial care is sometimes the only way for addicts to come into contact with support organizations. It is also an essential part of substitution programs for those who are dependent on opioids. A prescription of methadone alone may only be sufficiently effective in a minority of the patients in question, while the additional psychosocial care significantly increases the efficiency of the substitution therapy. Conversely, there is no reliable evidence that psychosocial support alone is efficient - not even in long-term withdrawal. It is therefore not recommended to redirect the available resources from long-term methadone therapy to long-term psychosocial withdrawal, however attractive the idea of temporary therapy may be. In contrast to intensive psychosocial care alone, the combination of buprenorphine and intensive psychosocial care is safe and highly effective.
See also
Single receipts
- ^ AT McLellan, IO Arndt, DS Metzger, GE Woody, CP O'Brien: The effects of psychosocial services in substance abuse treatment. In: JAMA. Volume 269, Number 15, April 1993, pp. 1953-1959, PMID 8385230 .
- ↑ Sees KL, Delucchi KL, Masson C, Rosen A, Clark HW, Robillard H, Banys P, Hall SM .: "Methadone maintenance vs 180-day psychosocially enriched detoxification for treatment of opioid dependence: a randomized controlled trial." JAMA. 2000 Mar 8; 283 (10): 1303-10. (Full text)
- ↑ Johan Kakko, KD Svanborg, MJ Kreek, M Heilig: 1-year retention and social function after buprenorphine-assisted relapse prevention treatment for heroin dependence in Sweden: a randomized, placebo-controlled trial - Lancet. 2003 Feb 22; 361 (9358): 662-8. ( Memento of the original from December 20, 2012 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. (PDF; 234 kB)
