[Implementation of the recommendations for psychotherapy after psychiatric inpatient treatment : Results of the PAKT study Part II].
BACKGROUND
Waiting periods for inpatient or outpatient psychotherapeutic treatment are generally considerable. For patients treated in a psychiatric day-clinic or hospital, implementation of a recommended subsequent psychotherapeutic treatment might be difficult.


OBJECTIVE
In part II of the psychotherapy after hospital or day clinic (PAKT) study, we examined how the recommendation for psychotherapy can be implemented after psychiatric treatment.


METHODS
Three months after discharge from one of four psychiatric hospitals in southern Germany, we interviewed 306 patients who received a recommendation for psychotherapeutic treatment after their hospital stays if the recommendation was implemented successfully.


RESULTS
Only about 12 % of the patients in the follow-up group were unable to implement the general recommendation for psychotherapy after psychiatric stay despite motivation for psychotherapeutic treatment. In the case of recommendation for outpatient psychotherapy, 20 % were unsuccessful. Predictors for successful implementation were education and employment, whereas variables like age, gender, diagnosis, or severity of disorder did not play a significant role.


CONCLUSIONS
The relatively small percentage of unimplemented psychotherapeutic treatment is surprising at a first glance. However, the proportion recommended for psychotherapy after psychiatric stay was less than 10 %, as shown in the first part of the study (see PAKT Study Part I, doi:s00115-016-0107-z).
ZfP Südwürttemberg, Versorgungsforschung Weissenau, Klinik Psychiatrie und Psychotherapie I, Universität Ulm, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland. carmen.uhlmann@zfp-zentrum.de.
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Uhlmann
ZfP Südwürttemberg, Versorgungsforschung Weissenau, Klinik Psychiatrie und Psychotherapie I, Universität Ulm, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland.
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Flammer
ZfP Südwürttemberg, Versorgungsforschung Weissenau, Klinik Psychiatrie und Psychotherapie I, Universität Ulm, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland.
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Pfiffner
ZfP Südwürttemberg, Versorgungsforschung Weissenau, Klinik Psychiatrie und Psychotherapie I, Universität Ulm, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland.
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Grempler
Zentrum für Psychiatrie Südwürttemberg, 88427, Bad Schussenried, Deutschland.|Universitätsklinik für Psychiatrie und Psychotherapie, Universität Tübingen, 72076, Tübingen, Deutschland.
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Längle
Universitätsklinik für Psychiatrie und Psychotherapie, Universität Tübingen, 72076, Tübingen, Deutschland.
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Eschweiler
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Bezirkskrankenhaus Landshut, 84034, Landshut, Deutschland.
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Spießl
ZfP Südwürttemberg, Versorgungsforschung Weissenau, Klinik Psychiatrie und Psychotherapie I, Universität Ulm, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland.
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Steinert
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019317:Evidence-Based Medicine; D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients / Q000523:psychology / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011613:Psychotherapy / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000592:standards / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult
Implementation; Predictors; Psychiatry; Psychotherapy; Utilization