title: [GPs' Views on Barriers and Preconditions for Referring Elderly People with Depressive Disorder to Psychotherapy].
abstract: OBJECTIVE
  Older people with depressive disorders access psychotherapy less frequently than younger ones. GPs play an important role in referring patients, particularly the elderly, to psychotherapeutic treatment. This paper presents the obstacles to and preconditions for referring older, depressed sick people to psychotherapy from the point of view of GPs.
  
  
  METHODS
  Doctors who are training GPs were given a questionnaire on the care of the elderly (60+) with depressive disorders. In 2 open questions, they were requested to state their views on obstacles to and preconditions for referring older, depressed diseased people to psychotherapeutic treatment.
  
  
  RESULTS
  Most statements related to obstacles perceived by patients followed by barriers on the part of the supply system. Especially obstructive attitudes and emotions, but also functional limitations on the part of patients were referred to as barriers. With regard to the supply system, structural aspects, such as lack of psychotherapy places, but also the actions of care providers and insufficient cooperation were listed. As preconditions, specific therapy for the elderly were mentioned CONCLUSIONS: Dealing with reservations about psychotherapy on the part of older people takes time, which usually is not reimbursed in general practice. Collaborations with psychotherapists are seen as an important precondition for referral. Especially for people with multiple illnesses, access is considered difficult.
authors.affiliation: Institut für Gerontologische Forschung e. V., Berlin.
authors.forename: K
authors.initials: K
authors.lastname: Kammerer
authors.affiliation: Institut für Gerontologische Forschung e. V., Berlin.
authors.forename: K
authors.initials: K
authors.lastname: Falk
authors.affiliation: Institut für Allgemeinmedizin der Charité-Universitätsmedizin Berlin.
authors.forename: C
authors.initials: C
authors.lastname: Heintze
authors.affiliation: Institut für Allgemeinmedizin der Charité-Universitätsmedizin Berlin.
authors.forename: S
authors.initials: S
authors.lastname: Döpfmer
authors.affiliation: Hochschule Magdeburg-Stendal, Fachbereich Soziale Arbeit, Gesundheit und Medien - SGM.
authors.forename: J
authors.initials: J
authors.lastname: Heusinger
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D003866:Depressive Disorder / Q000175:diagnosis / Q000601:surgery; D005858:Germany; D006801:Humans; D011613:Psychotherapy; D012017:Referral and Consultation; D011795:Surveys and Questionnaires