title: [Guideline-adherent inpatient psychiatric psychotherapeutic treatment of behavioral and psychological symptoms of dementia : Normative definition of personnel requirements].
abstract: BACKGROUND
  Dementia is of increasing medical and societal relevance. Hospitalization of dementia patients is mostly due to behavioral and psychological symptoms of dementia (BPSD). There is a need for sufficient qualified personnel in hospitals in order to be able to effectively treat these symptoms.
  
  
  OBJECTIVE
  This study aims at identifying the personnel requirements for guideline-conform, evidence-based inpatient treatment concepts for patients with BPSD and to compare these with the resources defined by the German psychiatric personnel regulations (Psych-PV). Furthermore, it was the aim to identify how often patients with dementia received non-pharmacological therapy during inpatient treatment.
  
  
  METHODS
  Based on the current scientific evidence for treatment of BPSD, a schedule for a multimodal non-pharmacological treatment was defined and based on this the corresponding personnel requirements were calculated. Using the treatment indicators in psychiatry and psychosomatics (VIPP) database as a reference, it was calculated on what proportion of treatment days patients were classified into G1 according to the German Psych-PV and at least once received more than two treatment units per week.
  
  
  RESULTS
  For the implementation of a guideline-oriented and evidence-based treatment plan, a higher need for personnel resources than that provided by the Psych-PV was detected in all areas. Currently patients with dementia who received at least more than two treatment units per week during inpatient hospitalization, were classified into G1 according to German Psych-PV on 17.9 % of treatment days.
  
  
  CONCLUSIONS
  Despite evidence for the efficacy of non-pharmacological treatment measures on BPSD, these forms of treatment cannot be sufficiently provided under the current conditions. The realization of a new quality controlled therapeutic concept is necessary to enable optimized treatment of patients with BPSD.
authors: Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Von-Siebold-Str. 5, 37075, Göttingen, Deutschland. katrin.radenbach@med.uni-goettingen.de.
authors: K
authors: K
authors: Radenbach
authors: Klinik für Psychiatrie und Psychotherapie, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland. jens.retzlik@uk-koeln.de.
authors: J
authors: J
authors: Retzlik
authors: Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Von-Siebold-Str. 5, 37075, Göttingen, Deutschland.
authors: S H
authors: SH
authors: Meyer-Rötz
authors: Alexianer Fachkrankenhaus Aachen, Alexianergraben 33, 52062, Aachen, Deutschland.
authors: C
authors: C
authors: Wolff-Menzler
authors: Abteilung für Betriebswirtschaft und Controlling, Universitätsklinikum Freiburg, Hugstetter Str. 49, 79106, Freiburg, Deutschland.|Institute of Psychiatry, Psychology & Neuroscience, Centre for the Economics of Mental and Physical Health, King's College London, De Crespigny Park, SE5 8AF, London, UK.
authors: J
authors: J
authors: Wolff
authors: Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Von-Siebold-Str. 5, 37075, Göttingen, Deutschland.
authors: H
authors: H
authors: Esselmann
authors: Alexianer St. Joseph-Krankenhaus Berlin-Weißensee GmbH, Gartenstr. 1, 13088, Berlin, Deutschland.
authors: F
authors: F
authors: Godemann
authors: Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum des Saarlandes, 66421, Homburg, Deutschland.
authors: M
authors: M
authors: Riemenschneider
authors: Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Von-Siebold-Str. 5, 37075, Göttingen, Deutschland.|Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Standort Göttingen, Grisebachstraße 5, 37077, Göttingen, Deutschland.
authors: J
authors: J
authors: Wiltfang
authors: Klinik für Psychiatrie und Psychotherapie, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland.|Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Standort Bonn, Ludwig-Erhard-Allee 2, 53175, Bonn, Deutschland.
authors: F
authors: F
authors: Jessen
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D019317:Evidence-Based Medicine / Q000458:organization & administration; D005260:Female; D005858:Germany; D019983:Guideline Adherence / Q000458:organization & administration; D006297:Health Services Accessibility / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000458:organization & administration; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D009313:National Health Programs / Q000458:organization & administration; D010343:Patient Admission; D011613:Psychotherapy / Q000379:methods* / Q000458:organization & administration
keywords: Behavioral and psychological symptoms of dementia; Dementia; German psychiatric staffing regulations; Hospital treatment; Multimodal treatment