title: [Normative definition of staff requirement for a guideline-adherent inpatient qualified detoxification treatment in alcohol dependence].
abstract: The central element of the "qualified withdrawal treatment" of alcohol dependence is - in addition to physical withdrawal treatment - psychotherapy. The treatment of the underlying addictive disorder that is displayed by intoxication, harmful behaviour and withdrawal symptoms is only possible with a combination of somatic and psychotherapeutic treatment elements. The successfully established multimodal therapy of the "qualified alcohol withdrawal treatment", postulated in the current S3-Treatment Guidelines, requires a multi-disciplinary treatment team with psychotherapeutic competence. The aim of the present work is to calculate the normative staff requirement of a guideline-based 21-day qualified withdrawal treatment and to compare the result with the staffing regulations of the German Institute for Hospital Reimbursement. The present data support the hypothesis that even in the case of a hundred per cent implementation of these data, adequate therapy of alcohol-related disorders, according to the guidelines, is not feasible. This has to be considered when further developing the finance compensation system based on the described superseded elements of the German Institute for Hospital Reimbursement.
authors: Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, Quadrat J5, 68159, Mannheim, Deutschland. falk.kiefer@zi-mannheim.de.
authors: F
authors: F
authors: Kiefer
authors: Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, Quadrat J5, 68159, Mannheim, Deutschland.
authors: A
authors: A
authors: Koopmann
authors: Klinik für Psychiatrie und Verhaltenstherapeutische Medizin, Alexianer St. Joseph-Krankenhaus Berlin-Weißensee, Berlin, Deutschland.
authors: F
authors: F
authors: Godemann
authors: Abt. Betriebswirtschaft und Controlling, Geschäftsbereich Controlling und Finanzen, Universitätsklinikum Freiburg, Freiburg, Deutschland.
authors: J
authors: J
authors: Wolff
authors: Sektion Suchtforschung und Suchtmedizin, Universitätsklinik für Psychiatrie und Psychotherapie Tübingen, Tübingen, Deutschland.
authors: A
authors: A
authors: Batra
authors: Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, Quadrat J5, 68159, Mannheim, Deutschland.
authors: K
authors: K
authors: Mann
mesh_terms: D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000191:economics / Q000453:epidemiology / Q000628:therapy*; D002908:Chronic Disease; D002983:Clinical Competence / Q000191:economics / Q000592:standards; D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment / Q000191:economics; D010561:Personnel Staffing and Scheduling / Q000191:economics / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011570:Psychiatry / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data; D011613:Psychotherapy / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data; D014600:Utilization Review; D000078329:Workforce; D055815:Young Adult
keywords: Alcohol; Detoxification; Guidelines; Psychotherapy; Withdrawal