title: [Guideline-adherent inpatient psychiatric psychotherapeutic treatment of obsessive-compulsive disorder : Normative definition of personnel requirements].
abstract: BACKGROUND
  Guideline-oriented inpatient psychiatric and psychotherapeutic treatment of patients with obsessive-compulsive disorder (OCD) is an important part of the care available for these patients. It may not be adequately reflected in the current personnel resources available according to the German psychiatry personnel regulation (Psych-PV).
  
  
  OBJECTIVE
  The goal of this work was to assess the personnel resources necessary for a guideline-oriented inpatient psychiatric and psychotherapeutic treatment of patients with OCD and compare the necessary resources with the resources available according to Psych-PV.
  
  
  METHODS
  Based on the German national guidelines for OCD and a meta-analysis on treatment intensity, we formulated a normative weekly treatment plan. Based on this plan we calculated the necessary personnel resources and compared these with the resources available according to Psych-PV category A1 (standard care).
  
  
  RESULTS
  The weekly treatment time for a guideline-oriented inpatient psychiatric and psychotherapeutic treatment of patients with OCD is 23.5 h per week. This corresponds to a weekly personnel requirement of 20.9 h. This requirement is only partly reflected in the Psych-PV (17.3 h, 82.8 %). The coverage of personnel resources by Psych-PV is even lower for psychotherapy provided by psychiatrist and psychologists (38.3 %, i. e. 183 min in the normative plan versus 70 min in Psych-PV).
  
  
  CONCLUSIONS
  The current paper shows that the personal resources required for a guideline-oriented inpatient psychiatric and psychotherapeutic treatment of patients with OCD is not adequately reflected in the German psychiatry personnel regulation (Psych-PV). The actual shortage may be underestimated in our paper.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. philipp.klein@uksh.de.
authors.forename: J P
authors.initials: JP
authors.lastname: Klein
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Zurowski
authors.affiliation: Abteilung für Betriebswirtschaft und Controlling, Universitätsklinikum Freiburg, Freiburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Wolff
authors.affiliation: Klinik für Seelische Gesundheit im Alter und Verhaltensmedizin, Alexianer St. Joseph-Krankenhaus Berlin-Weißensee, Berlin, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Godemann
authors.affiliation: Klinik für Allgemeine Psychiatrie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
authors.forename: S C
authors.initials: SC
authors.lastname: Herpertz
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Berger
authors.affiliation: Klinik für Psychosomatik und Psychotherapie, Universitätsklinikum Münster, Münster, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Heuft
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Hohagen
mesh_terms: D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000458:organization & administration; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D017146:Models, Organizational; D015233:Models, Statistical; D020380:Needs Assessment; D009771:Obsessive-Compulsive Disorder / Q000453:epidemiology / Q000628:therapy*; D010561:Personnel Staffing and Scheduling / Q000592:standards / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D011613:Psychotherapy / Q000592:standards* / Q000706:statistics & numerical data*; D016526:Workload / Q000592:standards / Q000706:statistics & numerical data
keywords: Inpatient treatment; Lump-sum payment system in psychiatry and psychosomatic medicine; Obsessive-compulsive disorder; PEPP; Psych-PV; Psychiatry personnel regulation; Psychotherapy