[Implementation and evaluation of a further-training measure on detection and diagnostics of mental disorders in medical rehabilitation].
The prevalence of comorbid mental disorders in rehabilitation patients is high. In spite of the biopsychosocial treatment approach in rehabilitation, recognition and treatment rates of comorbid mental disorders during medical rehabilitation are low. Therefore this study evaluates a special further-training measure for rehabilitation staff, intended to inform them about the relevance of comorbid mental disorders in rehabilitation patients, to train them in the use of screening instruments, and to discuss needed changes in rehabilitation processes. 14 further-training courses were carried out with 148 participants of different professions from rehabilitation hospitals. Interest in the training was rated to be high whereas previous knowledge of comorbid mental disorders was relatively low. The participants rated the basic conditions of the training as being good. Overall, the steps discussed to improve psycho-diagnostics in rehabilitation were rated as being important and realistic. Especially early recognition of mental burden, the use of screeners for detection, and the naming of diagnoses of mental disorders in discharge reports were considered as most readily realized. The results underline the importance of further-training for improving psycho-diagnostics in rehabilitation clinics, not only to ensure the biopsychosocial treatment approach in rehabilitation but also in view of reducing costs in the health care system.
Hahn
D
D
Abteilung für Psychiatrie und Psychotherapie, Universitätsklinik Freiburg. daniela_hahn@psyallg.ukl.uni-freiburg.de
Bengel
J
J
Härter
M
M
D003258:Consumer Behavior; D003479:Curriculum; D004501:Education, Medical; D004521:Educational Measurement / Q000379:methods*; D005858:Germany; D007318:Inservice Training / Q000379:methods* / Q000706:statistics & numerical data*; D001523:Mental Disorders / Q000175:diagnosis* / Q000534:rehabilitation*; D011570:Psychiatry / Q000193:education*; D012046:Rehabilitation / Q000193:education*