title: [Working with a family systems therapy approach as part of the routine treatment on acute psychiatric wards: sustained effects on team members' workload].
abstract: OBJECTIVE
  Assessing long-term effects of a family systems therapy approach (systems therapy methods in acute psychiatry, SYMPA) on occupational stress and interdisciplinary cooperation of team members in three German psychiatric hospitals.
  
  
  METHODS
  Pre-post-follow-up survey using the Maslach Burnout Inventory (MBI) and Team Climate Inventory (TCI) questionnaires complemented by semi-structured in-depth interviews (N = 56).
  
  
  RESULTS
  Three years after implementing a family systems therapy approach, experienced work load and staff burnout remain significantly lower than before. Interdisciplinary cooperation was intensified and nursing staff status increased. Following systemic case conceptualisations and interventions the therapeutic alliance moved towards a need-adapted treatment approach.
  
  
  CONCLUSIONS
  Seven years after implementation, the family systems therapy approach still included significantly lower workload burden, an intensified interdisciplinary cooperation, and a need-adapted treatment orientation that strengthens the alliance between staff and client system.
authors.affiliation: Klinik für Allgemeine Innere Medizin und Psychosomatik, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg, Heidelberg. markus.haun@med.uni-heidelberg.de
authors.forename: Markus W
authors.initials: MW
authors.lastname: Haun
authors.forename: Henrike
authors.initials: H
authors.lastname: Kordy
authors.forename: Matthias
authors.initials: M
authors.lastname: Ochs
authors.forename: Jochen
authors.initials: J
authors.lastname: Schweitzer
authors.forename: Julika
authors.initials: J
authors.lastname: Zwack
mesh_terms: D002055:Burnout, Professional / Q000517:prevention & control*; D003299:Cooperative Behavior; D005196:Family Therapy / Q000193:education*; D006801:Humans; D007318:Inservice Training; D010348:Patient Care Team; D013598:Systems Theory