[Psychiatric crisis-consultation with a focus on the working relationship].
OBJECTIVE
Evaluation of a psychiatric emergency service in Munich that was implemented in spring 2000.


METHODS
Socio-demographic and clinical data as well as the working relationship between patients and psychiatrists were documented. 92 psychiatrists rated 137 crisis consultations. 58 patients were able to answer a questionnaire in the acute crisis situation.


RESULTS
The largest diagnostic group consists of patients with affective disorders, followed by patients with neurotic, stress, and somatoform disorders. The results indicate an overall high satisfaction of patients and psychiatrists concerning the efficacy of the crisis consultations. As to be expected from psychotherapy research, socio-demographical factors are hardly of any consequence, whereas relationship-based factors have a considerable influence.


CONCLUSIONS
Directivity and giving structure on the psychiatrist's part can clearly enhance the patient's confidence.
Huber
Dorothea
D
Institut und Poliklinik für Psychosomatische Medizin, Psychotherapie und medizinische Psychologie, Klinikum rechts der Isar der TU München, Germany. D.Huber@lrz.tum.de
Gastner
Judith
J
Hartmuth
Ulrike
U
Maragkos
Markos
M
Schleu
Andrea
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D003258:Consumer Behavior; D003419:Crisis Intervention; D004637:Emergency Services, Psychiatric; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D010817:Physician-Patient Relations; D011614:Psychotherapy, Brief; D016896:Treatment Outcome
Krisenberatungsgespräche unter besonderer Berücksichtigung der Arbeitsbeziehung - Feldstudie zur Evaluation des psychiatrischen Bereitschaftsdiensts im Elisenhof, München -