title: [Structural quality in inpatient and daycare child and adolescent psychiatry- indicators for planning future staff ratios for the era following the Psychiatry Personnel Act].
abstract: The German Psychiatry Personnel Act, which went into effect in 1990, has led to a decrease in the number of child and adolescent psychiatry inpatient beds, to a decrease in the length of stay, and to an increase in inpatient psychotherapy. Today, this act is outdated~ for a number of reasons, such as changes in the morbidity of the population, the rising number of emergencies, and new professional standards such as documentation. In addition, new legal provisions and conventions (like the UN Convention on the Rights of the Child) necessitate a complete reevaluation. Child and adolescent psychiatry needs a normative act to enable the necessary implementation. Many different rationales are available to support the debate.
authors.affiliation: 1 Abteilung für Psychiatrie und Psychotherapie des Kindes- und Jugendalters Weissenau, Ravensburg.
authors.forename: Renate
authors.initials: R
authors.lastname: Schepker
authors.affiliation: 2 Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Universität Ulm.
authors.forename: Jörg M
authors.initials: JM
authors.lastname: Fegert
authors.affiliation: 3 Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Universitätsklinikum Marburg und Philipps-Universität Marburg.
authors.forename: Katja
authors.initials: K
authors.lastname: Becker
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000458:organization & administration* / Q000592:standards* / Q000639:trends; D002648:Child; D002665:Child Psychiatry / Q000458:organization & administration* / Q000592:standards* / Q000639:trends; D003631:Day Care, Medical / Q000458:organization & administration* / Q000592:standards* / Q000639:trends; D005544:Forecasting; D005858:Germany; D006287:Health Planning Guidelines; D006297:Health Services Accessibility / Q000458:organization & administration / Q000592:standards / Q000639:trends; D006301:Health Services Needs and Demand / Q000458:organization & administration* / Q000592:standards* / Q000639:trends; D006760:Hospitalization / Q000639:trends*; D006801:Humans; D007902:Length of Stay / Q000639:trends; D009313:National Health Programs / Q000639:trends; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards* / Q000639:trends; D011613:Psychotherapy / Q000458:organization & administration / Q000592:standards; D011785:Quality Assurance, Health Care / Q000458:organization & administration* / Q000592:standards* / Q000639:trends
keywords: Kinder- und Jugendpsychiatrie; Personalmindeststandards; Psychiatrie-Personalverordnung; Strukturqualität; child and adolescent psychiatry; personnel minimum requirements; psychiatry personnel regulation; quality of structure