[The Specific Treatment of Children and Adolescents with Substance Use Disorders in a Special Setting - A Qualitative Study of the Minimum Characteristics of OPS Code 9-694]. / Die spezifische Behandlung von substanzbedingten Störungen bei Kindern und Jugendlichen im besonderen Setting.

ABSTRACT

The Specific Treatment of Children and Adolescents with Substance Use Disorders in a Special Setting - A Qualitative Study of the Minimum Characteristics of OPS Code 9-694 Abstract Objective: The minimum characteristics for the treatment of children and adolescents with substance use disorders are shown in the additional code 9-694 of the Operation and Procedure Code (OPS). The OPS acts as an instrument of the PEPP remuneration system as well as for external quality assurance. In the presented study, we present the assessments of practitioners with regard to the practical relevance and feasibility of the OPS code as well as possible further development potentials. Methods: We used a qualitative research design to evaluate the topicality and practical feasibility of applicable minimum characteristics. A draft of a treatment concept prepared by the author according to the minimum characteristics of OPS code 9-694 served as the starting material for the study. The results of the expert interviews were evaluated using qualitative content analysis. Results: The minimum characteristics are assessed as being practical, with additional work becoming a burden, while resources remain the same. There is a need for adapting and defining disorder- and age-specific peculiarities as well as for designing the treatment setting and therapeutic methods. A clear setting, transparency, and the possibility of individual procedures enable practical implementation. Conclusions: This study reveals the need for specialized treatment concepts that map needs and specifications equally. Accordingly, the results of the study represent an important reference for the design of future treatment concepts. The implementation of further development potentials as well as professional transfer of theory to practice require further evaluation involving all those involved in the treatment process.