[Quality Development in Psychiatric Care: A Standardized Treatment Process for the Medical Therapeutic Services of UPK Basel]. / Qualitätssicherung in der psychiatrischen Versorgung: Ein standardisierter Behandlungsprozess für die Medizinisch Therapeutischen Dienste der Universitären Psychiatrischen Kliniken Basel.

OBJECTIVE: Within the framework of a quality development project, the aim of this study was to examine the existing, heterogeneous structures and processes and content of various specialised therapies offered by the Medical Therapeutic Services (MTD) at the University Psychiatric Clinics Basel (UPK), and the methods and documentation procedures, for internal and external evidence, in order to create transparency, and to standardise them where possible and thus to increase their efficiency and effectiveness. METHODS: The current-state analysis included a literature review of efficacy studies, guidelines, assessments and indications for the therapies. In addition, performance and personnel indicators of the MTD were systematically determined. The target definition was carried out by means of an iterative project procedure. In a working group, contents of the current-state analysis were compiled in open and exploratory procedures (brainstorming, mind mapping), analyzed in subsequent discussions, and used for developing criteria, evaluations, mapping of process flows and structural specifications. RESULTS: The project resulted in a comprehensive revision of the range of therapies, core concepts of the services and a sharpening of the indications. In addition, an overall process for the MTD was defined, checklists and sample job descriptions were developed, new functions were introduced (responsible for professional training) and a fixed allocation of staff to all departments was established. With the introduction of the ICF, a uniform basis was created with regard to diagnostics, intervention planning and documentation. CONCLUSION: This practical report shows how evidence-based care can be implemented from the perspective of medical therapeutic services with regard to inpatient psychiatric treatment, what effects are hoped for as a result and what challenges are associated with it. The project for quality assurance through standardisation offers clarity and and transparency for all professional groups in the treatment process, which enables patients to receive more effective and individualised treatment, especially through improved indications and diagnostics.

Work-related participation impairments and support needs of patients in a Swiss psychiatric university hospital.

Objective: To assess work-related participation impairments and support needs of adult patients in inpatient and day-care treatment at a Swiss psychiatric university hospital. Methodology: Cross-sectional survey on a department-dependent cut-off date in May and June 2022 using a standardized structured interview. Results: Data were available for 93 patients (response rate 59%), of which 51% (n = 47) stated that they had a job or training place. Patients in first hospitalization and with a job or training place were approached significantly more often. Regardless of age and first hospitalization, 76% of the patients expressed a need for support, of which 92% expressed interest in job coaching. A total of 54% of the patients stated that they had received support from the treatment team. Conclusion: From the patients' point of view, work and education were not addressed by the treatment team across the board and independently of patient characteristics. The need for support was insufficiently met. There is a considerable interest for support programs through job coaching, and this offers opportunities to promote the inclusion of patients in the regular labor market.