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[The CIMH track concept in the treatment of psychotic disorders].

Authors
  • Hirjak, Dusan1
  • Gass, Peter2
  • Deuschle, Michael2
  • Leweke, F Markus2, 3
  • Böhringer, Andreas2
  • Schenkel, Nadine4
  • Borgwedel, Doris4
  • Heser, Marco4
  • Breisacher, Antje4
  • Meyer-Lindenberg, Andreas2
  • 1 Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland. [email protected]
  • 2 Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland.
  • 3 Brain and Mind Centre, The University of Sydney, Sydney, Australien.
  • 4 Zentralinstitut für Seelische Gesundheit, Mannheim, Deutschland.
Type
Published Article
Journal
Der Nervenarzt
Publisher
Springer-Verlag
Publication Date
Mar 01, 2020
Volume
91
Issue
3
Pages
233–242
Identifiers
DOI: 10.1007/s00115-019-0711-9
PMID: 30976829
Source
Medline
Keywords
Language
German
License
Unknown

Abstract

The treatment of psychotic disorders and illnesses is a challenge for therapists and institutions due to the heterogeneity of the cause and course, refractory symptoms, lack of therapy adherence and high rates of relapse. These circumstances can be effectively counteracted by the flexibility of therapeutic approaches and settings. A useful but rarely used concept is the treatment of psychoses within the so-called track unit. A track unit is defined as a syndrome-oriented, decentralized, modular unit, adjusted to the patient's individual stage-specific needs across both inpatient and outpatient sectors. The track concept offers a fully integrated sector-spanning model of treatment at all stages of psychotic illnesses as well as a continuity of treatment. Another important goal is the early availability of timely treatment for as many psychotic patients as possible so that the symptoms can be alleviated as soon as possible and the quality of life can be sustainably improved or preserved. The track concept not only improves the current situation of treatment for acutely or chronically psychotic patients but also represents a necessary investment in the future. This treatment model aims to ensure that the good but complex and costly treatment options are available to patients even if inpatient treatment is not favored by the patient.

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