[COVID-19 vaccination for people with severe mental diseases : Results of the COVID Ψ outpatient survey and recommendations for psychiatry]. / COVID-19-Impfung für Menschen mit schweren psychischen Erkrankungen : Ergebnisse des COVID-Ψ-Ambulant-Surveys und Empfehlungen für die Psychiatrie.

BACKGROUND: Severe mental illnesses are risk factors for SARS-CoV-2-related morbidity and mortality. Vaccination is an effective protection; therefore, high vaccination rates should be a major priority for people with mental illnesses. OBJECTIVES: (1) Identification of at-risk groups for non-vaccination and structures and interventions needed for widespread vaccination among people with mental illnesses from the perspective of outpatient psychiatrists and neurologists, (2) discussion of the results in the context of the international literature and (3) recommendations derived from them. MATERIAL AND METHODS: Qualitative content analysis of COVID-19 vaccination-related questions from the COVID Ψ online survey of n = 85 psychiatrists and neurologists in Germany. RESULTS: In the survey, people with schizophrenia, severe lack of drive, low socioeconomic status and homelessness were seen as risk groups for non-vaccination. Increased and targeted information, education, addressing and motivation and easily accessible vaccination offers by general practitioners, psychiatrists, and neurologists as well as complementary institutions were considered as important interventions. DISCUSSION: COVID-19 vaccinations as well as information, motivation and access support should be systematically offered by as many institutions of the psychiatric, psychotherapeutic and complementary care systems in Germany as possible.

[The Importance of High Quality Discharge Letters: An Empirical Investigation]. / Die Bedeutung qualitativ hochwertiger Entlassbriefe: Eine empirische Untersuchung.

INTRODUCTION: The discharge letter is part of the discharge management. This study empirically examines the quality of discharge letters after a stay in a psychiatric/psychosomatic clinic using a self-developed code list. Suggestions are made for the creation and structuring of high-quality discharge letters that provide information to practitioners and institutions that should help in the seamless further treatment of patients. METHOD: Different aspects of the social-psychiatric and social-medical assessments in 50 discharge letters were evaluated by 2 raters each; in case of disagreements in evaluation, a consensus was reached. RESULTS: The average time between discharge from hospital and completion of the discharge letter was 22.4 days (median: 15.0 days). In 18% of cases, the letter of discharge was available at the time of discharge and in 14% within one week. In 24% of cases, the letter of discharge was only available after 27 days or longer. In 97.5% of the cases, the medication was completely listed, but in 52% of the cases, there was no information on further medical treatment by the specialist. When further treatment was recommended (n=10, e. g. day clinic or PIA), it was initiated in only three cases. At the time of admission, 28 patients had a job. Information on the employment status of 11 patients was missing. Information on the ability to work at the time of admission was complete in 44% and incomplete in 20%. At the time of discharge, seven patients were able to work, 19 were incapacitated and information on work ability was missing in the discharge report of 24 patients. CONCLUSION: A high quality discharge letter contains clear formulations, is structured, contains only relevant information and a separate chapter "Therapy recommendations/recommendations for further action". Electronic discharge letters with automated inclusion of examination findings/assessments save time and money during preparation and reading.

[Transition psychiatry: attention deficit/hyperactivity disorder]. / Aufmerksamkeitsdefizit-Hyperaktivitätsstörung: Transitionspsychiatrie.

Transition psychiatry: attention deficit/hyperactivity disorder Abstract. Attention deficit/hyperactivity disorder affects 5 % of all children and adolescents and 2-3 % of all adults. It is thus one of the most frequent neurodevelopmental disorders, frequently associated with comorbid disorders and multiple functional impairments. Administrative data indicate that many patients with ADHD are at a great risk for treatment discontinuation during the transition to adulthood despite persistent symptomatology and functional impairment. The article addresses potential consequences for optimizing ADHD treatment during this transition.

[Anxiety and Depression in Transition - Desiderata for Improved Care and Research: Results of the Joint Task Force Transition of DGPPN and DGKJP]. / Angst und Depression in der Transition ­ Desiderate für eine verbesserte Versorgung und Forschung: Ergebnisse der gemeinsamen Task-Force Transition von DGPPN und DGKJP.

Anxiety and Depression in Transition - Desiderata for Improved Care and Research: Results of the Joint Task Force Transition of DGPPN and DGKJP Abstract. Affective disorders (e. g., anxiety, depression) frequently begin during adolescence. Yet therapeutic approaches during adolescence differ in some respects from those employed during adulthood. During the transition from adolescence to adulthood, there is a high risk of discontinuation of therapeutic treatment, which may consequently affect integration in employment. There is a need for age-specific therapeutic strategies that address the relevant issues of adolescents as well as the presently unmet needs in research and treatment for this specific population.

[Experience of Practice-Based Psychiatrists and Neurologists During the COVID-19 Pandemic]. / Erfahrungen und Belastungserleben niedergelassener Neurologen und Psychiater während der COVID-19-Pandemie.

AIM: To date, to our knowledge there are no studies regarding attitudes and experiences of outpatient medical personnel during a pandemic. This study's aim was to evaluate the impact of the COVID-19 pandemic in March 2020 on German psychiatrists and neurologists. METHODS: An e-mail and fax-based short survey of 2,072 practice-based psychiatrists and neurologists was performed including Likert-type questions on personal burden and concerns, anticipated risk of infection, practice management as well as anxiety and sleep problems. RESULTS: 396 physicians returned the questionnaire (19 %). More than 60 % of the participants felt restricted strongly or very strongly, more than 30 % were strongly and very strongly concerned. They anticipated a high own risk of infection. However, 91 % did not report any contact with patients positively screened for COVID-19, which they were aware of. One third felt financially threatened and loss of business volume was anticipated. 18 % reported, that the pandemic triggers substantial anxiety. Sleep problems, which occur at least almost every night, were rarely reported (9 %). CONCLUSION: Practice-based psychiatrists and neurologists are negatively affected by the COVID-19 pandemic.

[Transition psychiatry in private practice]. / Transitionspsychiatrie in der vertragsärztlichen Versorgung.

The transition from private practice child and adolescent psychiatric care in to the following psychiatric care of adults bears many changes and problems for young people with psychiatric disorders. This article informs about structural difficulties and demands improvements regarding the handover.