Central Institute for Mental Health

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Central Institute for Mental Health
logo
Sponsorship State of Baden-Württemberg
place Mannheim
Coordinates 49 ° 29 '32 "  N , 8 ° 27' 56"  E Coordinates: 49 ° 29 '32 "  N , 8 ° 27' 56"  E
Board Andreas Meyer-Lindenberg (Director, CEO), Matthias Janta (Commercial Director)
beds 349 (including 78 semi-stationary places)
Employee approx. 1,300 (as of 2020)
areas of expertise Psychiatry and psychotherapy (including geriatric psychiatry), child and adolescent psychiatry, psychosomatic medicine, addiction medicine
founding April 8, 1975
Website www.zi-mannheim.de
Template: Infobox_Hospital / Doctors_missing
Site plan of the ZI with its branch offices in Mannheim city center
Side view of the ZI therapy building with the garden of child and adolescent psychiatry

The Central Institute for Mental Health ( ZI ) is a psychiatric and psychotherapeutic research institute and university medical clinic in Mannheim . As an internationally renowned center for research in psychiatry , psychotherapy and neuroscience , the ZI helps to better understand mental illnesses, to develop new treatments and to improve the social situation of mentally ill people. In the clinics, outpatient clinics and adolescent centers of the ZI, people with mental disorders of all kinds are treated. Andreas Meyer-Lindenberg has been the director and CEO of the ZI since 2007, and Matthias Janta has been the commercial director since 2020.

concept

At the Central Institute for Mental Health, research and patient care are closely linked. The aim of research is to better understand the causes and mechanisms of mental illnesses (mechanism research), to develop and improve effective, individualized therapeutic approaches (therapeutic research) and to strengthen prevention (public health and prevention research). The ZI's clinics, outpatient clinics and adolescent centers care for the Mannheim population as well as nationwide patients. The ZI is linked by a cooperation agreement with the Ruprecht-Karls-Universität Heidelberg and the Medical Faculty Mannheim of the University of Heidelberg .

Health care and clinics

The addiction clinic with the historic facade
Exterior view of the extension in K 3
Green inner courtyard of the extension building in K 3

At the Central Institute for Mental Health, more than 2,700 patients are treated annually in four clinics and two adolescent centers or in one of the day clinics. In the outpatient area, more than 100,000 consultation hours are offered annually for mentally ill people of all ages.

Clinic for Psychiatry and Psychotherapy

The entire spectrum of adult psychiatry is treated in the Clinic for Psychiatry and Psychotherapy. Several tracks and a variety of special outpatient clinics offer specialized therapy offers, including for acute and chronic depression and other mood disorders, psychotic disorders, complex clinical pictures, ADHD, autism spectrum disorder, anxiety disorders and disorders in pregnancy and after birth. The clinic also includes two geriatric psychiatric wards with a focus on dementia, a brain stimulation center, a psychiatric intensive care unit and a clinical sleep laboratory. The medical director is Andreas Meyer-Lindenberg .

Clinic for Dependent Behavior and Addiction Medicine

In the Clinic for Dependent Behavior and Addiction Medicine, patients with alcohol addiction, drug addiction (cannabis, amphetamines, cocaine, heroin etc.), drug addiction (benzodiazepines, opiate painkillers etc.), internet addiction and gambling addiction are treated. The clinic offers a qualified withdrawal program. Treatment usually consists of a combination of psychotherapy and medication, possibly supplemented by advice from social workers and occupational therapy. Additionally existing mental illnesses (e.g. depression) can also be treated. The clinic's medical director is Falk Kiefer.

Clinic for Psychosomatics and Psychotherapeutic Medicine

People with a borderline personality disorder , acute and chronic post-traumatic stress disorder and other psychosomatic illnesses such as affective disorders , anxiety disorders and somatoform disorders are treated in the Clinic for Psychosomatic Medicine and Psychotherapeutic Medicine. Depending on the diagnosis, dialectical behavioral therapy (DBT) and cognitive behavioral therapy (KBT) or a combination of both methods are used as psychotherapeutic methods . Individual therapies are combined with group therapies (for example skills and mindfulness groups, music, design, movement and body therapies, relaxation methods). The holistic concept of the clinic also includes the medical treatment of somatic diseases. In addition, if necessary, a differentiated treatment with medication tailored to the psychotherapy is carried out. Christian Schmahl is the medical director of the clinic.

Clinic for Psychiatry and Psychotherapy of Children and Adolescents

In this clinic, the entire spectrum of child and adolescent psychiatric diseases is treated on an outpatient and inpatient basis. The therapeutic conception of the clinic is primarily based on behavioral and systemic family therapeutic principles. In addition, curative educational, physiotherapeutic and occupational therapy offers are used. In addition, therapeutic measures and therapy groups specifically geared to individual clinical pictures are offered. The medical director of the clinic is Tobias Banaschewski.

Adolescent centers

The ZI has two specialized treatment centers for adolescents (adolescents and young adults from around 16 to 24 years of age). The interdisciplinary concept aims to avoid disruptions in care between child and adolescent psychiatry and adult psychiatry and to provide close support to the patients in a phase of life that is crucial for mental health. In addition, depending on the patient's situation, it is possible to switch between inpatient, day clinic and outpatient treatment (track concept). In the adolescent center for emotion regulation disorders, adolescents and young adults with borderline personality disorders and post-traumatic disorders are treated by a multi-professional team. The central component of the treatment is dialectical behavioral therapy (DBT). The second adolescent center at the ZI specializes in psychotic disorders, psychosis risk syndrome and comorbid addiction and addiction disorders. It works according to the soteria concept , which is aimed at coping with everyday life in the context of a therapeutic community.

Treatment in the track

Tracks are treatment units that specialize in one or more mental illnesses. They offer outpatient as well as partial inpatient and inpatient care and thus do particularly justice to the often chronic and phased course of mental illness. The patients are accompanied over a long period of time by a multi-professional team with permanent contact persons and therapeutically supported as needed. If necessary, contact is also maintained in the social and domestic environment. In this way, the treatment team can also take preventive action if, for example, changes in the patient's life are imminent that could lead to crises. The ZI has already converted several stations into track units. In the future, around two thirds of the beds in the Clinic for Psychiatry and Psychotherapy will be located in track units.

Prevention, treatment and rehabilitation of mental illnesses

The Central Institute for Mental Health worked in close cooperation with the city of Mannheim and the non-profit organizations ( Arbeiterwohlfahrt , Caritas , Gemeindediakonie, Social Service for Catholic Women , Mannheim Society for Mental Health eV) to develop a comprehensive system of community-based psychiatric care in the city of Mannheim participated in planning and coordinating. The Department of Community Psychiatry at the ZI offers support in the out-of-hospital environment for patients and helps them cope with everyday life. She participates in the planning of new outpatient facilities and takes on the construction of shared apartments and patient clubs herself, in order to then pass them on to the sponsorship of non-profit organizations. She also advises the community-based psychiatric facilities in the city of Mannheim.

research

The research and administration building (left) with attached addiction day clinic (right)

The Central Institute for Mental Health is one of the most important research institutions in the field of psychiatry and mental health in Europe. More than 350 women scientists work in around 50 scientific working groups and publish a large number of articles in renowned international journals every year. There are diverse international networks via international or European specialist societies and European research associations. There is regional cooperation with other research institutions and clinics such as the German Cancer Research Center (DKFZ) , the Karlsruhe Institute of Technology (KIT) , the Medical Faculty Mannheim as well as the University Hospital Mannheim and the Psychiatric Center North Baden (PZN) .

Research goals

Research at the Central Institute for Mental Health is strongly interdisciplinary and translational. The aim of the research is to better understand the mechanisms of risk, resilience and plasticity of mental disorders over the entire lifespan of humans (mechanism research). With the Center for Innovative Psychiatry and Psychotherapy Research (ZIPP), the ZI has established a new type of experimental medical therapy research center for mental illnesses. Various imaging methods (including PET-MRT , MRT , MEG ), a virtual reality laboratory and laboratory resources for researching biomarkers, including Germany's largest biobank for mental illnesses, are in use to test the effectiveness of new drugs and psychotherapeutic methods. The aim is to develop effective therapies tailored to the individual situation of those affected or to improve existing ones (therapy research) and to strengthen prevention and care (public health and prevention research).

Examples of research networks

MHG study: Sexual abuse of minors in the German Catholic Church

In March 2014, the German Bishops' Conference commissioned a research consortium consisting of scientists from the Central Institute for Mental Health, the Criminological Institute of the University of Heidelberg, the Institute of Gerontology of the University of Heidelberg and the Chair of Criminology of the University of Giessen to carry out the MHG study . Harald Dreßing (ZI) led the study as network coordinator. The aim was to deal with sexual abuse within the Catholic Church as transparently as possible, both for those affected and for the public. On September 25, 2018, the research results were presented at the autumn general assembly of the German Bishops' Conference in Fulda.

ESPRIT and ESCA

The research alliances ESPRIT and ESCA are part of the research network on mental illness funded by the Federal Ministry of Education and Research (BMBF) and are coordinated by the ZI. The research association ESPRIT (Enhancing Schizophrenia Prevention and Recovery through Innovative Treatments) is headed by Andreas Meyer-Lindenberg (ZI). University cooperation partners are: RWTH Aachen University, Charité Berlin, Bonn, Düsseldorf, Cologne, LMU Munich, Tübingen. The research association ESCAlife (Evidence-based, Stepped Care of ADHD along the life span) aims to improve the treatment of attention deficit / hyperactivity disorder (ADHD) over the entire lifespan of a person and to strengthen prevention. The network is led by Tobias Banaschewski (ZI). University cooperation partners are Bochum, Cologne, Freiburg, Mannheim, Marburg, Rostock, Saarland, Tübingen and Würzburg.

Feuerlein Center for Translational Addiction Medicine

The Feuerlein Center for Translational Addiction Medicine was founded in 2017 and is based on a joint initiative of the addiction clinics of the ZI and the Psychiatric Center North Baden (PZN). The aim is to research the effectiveness and acceptance of therapies for addiction patients. This should make treatment more accessible and support destigmatization. The center is named after Wilhelm Feuerlein , who died in 2015 and who carried out significant research in the field of alcoholism and addiction research in Germany. Falk Kiefer (ZI) and Barbara Richter (PZN) run the Feuerlein Centrum.

Systems Biology of Alcohol Addiction (SyBil-AA) - Horizon 2020

The Systems Biology of Alcohol Addiction (SyBil-AA) research association is a multidisciplinary, EU-funded project that investigates functional disorders in brain networks (pathophysiology) in alcohol disorders. New therapeutic approaches are to be developed through neurobiological findings. Particular attention is paid to the neural structures involved in relapses.

PEZ: Psychoepidemiological Center

The Psychoepidemiological Center (PEZ) at the ZI researches the effects of stress on children, adolescents and young adults over a longer period of time. Above all, the effects of environmental conditions and their influence on genetic information (epigenetics) are examined.

Research Training Group 2350

The research projects and studies in the context of the Graduate School 2350 examine the consequences of traumatic childhood experiences on various levels (neurobiological, somatic and psychosocial). The Graduate College 2350 is funded by the German Research Foundation (DFG). In addition to the ZI, the Heidelberg University Hospital and the Mannheim University Hospital are involved. The speaker is Christian Schmahl (ZI).

Collaborative Research Center / Transregio 265

The Collaborative Research Center / Transregio 265 Losing and Regaining Control over Drug Intake: From Trajectories to Mechanisms to Interventions, funded by the Deutsche Forschungsgemeinschaft (DFG), aims to better understand which ones are involved in addiction disorders: processes, mechanisms and interventions Mechanisms are responsible for making people lose control of drug use. Based on this, therapies are to be developed. The ZI cooperates with the Charité - Universitätsmedizin Berlin and the Technical University of Dresden , among others .

Teaching, training and advice

Training of students

At the Medical Faculty Mannheim of Heidelberg University, the ZI performs the tasks of the university clinics in its specialist areas. It represents teaching and research in the fields of psychiatry , addiction research, psychosomatic medicine and child and adolescent psychiatry . The four clinic directors are also professors in their fields at Heidelberg University. At the Faculty of Philosophy, Psychology and Education at the University of Mannheim , the subjects are clinical psychology and psychopathology taught. The subject forensic psychiatry is offered to students of the Law Faculty of the University of Mannheim.

Training and promotion

The ZI offers further training for doctors in the subjects of psychiatry , psychotherapy and clinical psychology . The institute is a state-recognized training facility that trains psychiatric nurses, social workers, geriatric nurses, occupational and occupational therapists, among other things.

Advice to institutions

The ZI advises on the planning and preparation of public health facilities and services in the field of mental health. The institute advises planners, managers and operators of facilities for psychiatric care of the population nationally and internationally. From 1980 to 2014 the Institute was the Collaborating Center for Research and Training in Mental Health of the World Health Organization (WHO).

Subsidiaries

MVZ Mannheim Mitte

The MVZ Mannheim Mitte is a medical care center for internal medicine, psychiatry and psychotherapy as well as child and adolescent psychiatry and psychotherapy.

ZI Service GmbH

ZI Service GmbH provides reception, catering and building cleaning services for the ZI.

Hector Institute for Translational Brain Research (HITBR)

The Hector Institute for Translational Brain Research was founded in 2015 as a joint project of the Central Institute for Mental Health, the German Cancer Research Center (DKFZ) and the Hector Foundation II and is headed by Philipp Koch. The research institutions ZI and DKFZ contribute their expertise in the form of a cooperation as a non-profit GmbH. The managing directors are Andreas Meyer-Lindenberg and Philipp Koch. In order to be able to better treat severe psychiatric diseases and brain tumors, the HITBR aims to identify new molecular and functional starting points for therapy. With the help of stem cells , disease-causing mechanisms, i.e. the cellular and synaptic changes in mental disorders, and possible therapies can be investigated directly on affected cell populations from the patient's brain. In this way, an approach for the development of new drugs by partner institutions is to be created. In addition, the training and further education of a new generation of neuroscientists is to be supported. The focus of the investigation at HITBR is initially on the mental illnesses schizophrenia , bipolar disorder , attention deficit hyperactivity disorder and autism .

history

The ZI was founded in the context of the psychiatry reform and the psychiatry enquête on April 8, 1975 as a state foundation under public law. The official inauguration was on September 17, 1976. Heinz Häfner and Hans Martini were key pioneers of the institute . Häfner designed the institute, was appointed the first director of the ZI and headed it until 1994. During this time, he established the ZI as a nationally and internationally recognized institution. The main building (J 5) was completed and occupied in 1975. From 2015 to 2019, it was fundamentally modernized while it was still in operation. In 2019, the Center for Innovative Psychiatry and Psychotherapy Research (ZIPP) was set up on the ground floor and basement of the main building, in which all essential imaging methods are combined. In 1997 the research and administration building (J 4) was moved into. A new laboratory building (J 5) was opened in 2005. In 2016, a new building for further therapy offers was built in square K 3. Among other things, the adolescent center for emotion regulation disorders is housed there.

Emeriti

literature

  • Heinz Häfner , Hans Martini : The Central Institute for Mental Health. Founding history and present . Beck, Munich 2011, ISBN 978-3-406-62968-6 .
  • Heinz Häfner: The Mannheim Project . In: Mental health service evaluation , 1996, pp. 82-95.

Web links

Individual evidence

  1. Dusan et al .: The ZI-Track Concept in Modern Psychiatry: A Syndrome-Specific Cross-Sectoral Treatment. In: Fortschr Neurol Psychiatr, Stuttgart, Thieme 2018
  2. German Bishops' Conference: Research project on sexual abuse in the area of ​​the Catholic Church is extended (as of June 12, 2018)
  3. German Bishops' Conference: Research project MHG study (as of June 12, 2018)
  4. German Bishops' Conference: [1] (as of January 10, 2019)
  5. Research results of the MHG study https://www.zi-mannheim.de/forschung/forschungsverbuende/mhg-studie-sexueller-missrauch.html
  6. ESCAlife: What is ESCAlife? (As of June 12, 2018)
  7. Feuerlein Center for Translational Addiction Medicine: Das Feuerlein Centrum, URL: https://feuerlein-cts.de/
  8. SyBil-AA: Welcome to SyBil-AA, (as of June 12, 2018)
  9. Graduiertenkolleg 2350 https://www.grk2350.de/index.php/startseite
  10. MVZ Mannheim Mitte https://www.mvz-mannheim-mitte.de/
  11. Hector Foundations: Hector Institute for Translational Brain Research (HITBR), URL: https://www.hector-stiftung.de/medizinische-forschung/hector-institute-for-translational-brain-research-ggmbh/