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Originalarbeit

Transitions- und Adoleszenzpsychiatrie in Österreich: Eine Pilotuntersuchung zur Sicht von Expert(innen)

Published Online:November 27, 2017https://doi.org/10.1024/1422-4917/a000559

Abstract

Zusammenfassung.Fragestellung: Ziel der vorliegenden Pilotstudie war die Erhebung der Ausgangslage zur aktuellen Situation der Transitionspsychiatrie in Österreich sowie zu den spezifischen Fragen, Problemen und Veränderungswünschen des Fachpersonals im Zusammenhang mit dem Übergang psychisch erkrankter Adoleszenter in den Behandlungsbereich der Erwachsenen. Methodik: Im Rahmen einer Online-Fragebogenuntersuchung wurden fachkundige KlinikerInnen (N = 86) der Arbeitsfelder Psychiatrie, Kinder- und Jugendpsychiatrie, Klinische Psychologie und Psychotherapie zu ihren Erfahrungen die Transition von jungen Erwachsenen betreffend befragt. Ergebnisse: Das aktuelle System der Transition wird von 98.8 % der Befragten als ungünstig beurteilt. Ein Großteil (70.9 %) der Stichprobe ist der Meinung, dass der Übergang vom Jugend- zum Erwachsenenbereich von den PatientInnen nicht gut verkraftet werde. Nur 16.3 % geben an, dass an ihrem Arbeitsplatz ein geplantes und geregeltes Prozedere des Überganges vom jugendpsychiatrischen in den Erwachsenenbereich bestehe. 83.7 % plädieren für eine Verbesserung der Zusammenarbeit an der Schnittstelle zwischen der Kinder- und Jugendpsychiatrie und der Erwachsenenpsychiatrie. Schlussfolgerungen: Aus Sicht der hier befragten BehandlerInnen finden sich in Österreich, die Transitionspsychiatrie betreffend, deutliche Defizite. Nicht zuletzt aufgrund der Tatsache, dass gerade im Transitionsalter die Weichenstellung für die psychische Konstellation im weiteren Leben erfolgt, besteht die dringende Notwendigkeit, Strukturen zur geregelten Transition im Bereich der Psychiatrie zu etablieren.


Transitional and Adolescent Psychiatry in Austria: A Pilot Study on the Attitudes of Experts

Abstract.Objective: This pilot study establishes baseline data on the current situation of transitional processes in Austrian psychiatry. We sought to gather information on the specific problems and needs occurring during the transition of mentally ill adolescents from child and adolescent to adult psychiatry. Method: Professionals (psychiatrists, psychologists, psychotherapists) working in child and adolescent psychiatry and adult psychiatry (N = 86) were assessed by means of an online survey concerning their experience with the transition of young adults. Results: Almost all of the subjects queried (98.8 %) considered the current system inappropriate, and the majority (70.9 %) thought that patients would not tolerate transition from youth to adult psychiatric institutions very well. Only 16.3 % reported having a structured transition protocol at their workplace. Further 83.7 % expressed the need to improve collaboration between adolescent and adult psychiatry. Conclusions: This sample of Austrian healthcare professionals describes large deficits regarding transitional issues in psychiatry. There is an urgent need to establish structured protocols for transition, especially since experiences occurring during this vulnerable period are crucial to the mental health of young people later in life.

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