us citizen psychiatric liason and crisis intervention center

us citizen psychiatric liason and crisis intervention center

US CITIZEN PSYCHIATRIC LIASON
AND CRISIS INTERVENTION CENTER
Teaching Hospital of the Friedrich- AlexanderUniversity of Erlangen-Nürnberg
Department of Psychiatry,
Psychosomatic Medicine
and Psychotherapy
Director: Prof. Dr. med. Göran Hajak, MBA
US CITIZEN PSYCHIATRIC LIASON
AND CRISIS INTERVENTION CENTER
(USC-PLACIC)
Concept draft
Göran Hajak, MD, PhD, MBA, Professor of Psychiatry, Director
Michael Klink, MD, Senior Physician, Coordinator
Contact
Prof. Dr. med. Göran Hajak, MD, PhD, MBA
Department of Psychiatry, Psychosomatic Medicine and Psychotherapy
Social Foundation Bamberg - Klinikum am Michelsberg
St.-Getreu-Straße 14-18 Ÿ 96049 Bamberg, Germany
Phone: +49 (0)951 - 503-20001
Fax: + 49 (0)951 - 503-21009
E-Mail : [email protected]
Michael Klink, MD
Department of Psychiatry, Psychosomatic Medicine and Psychotherapy
Social Foundation Bamberg - Klinikum am Michelsberg
St.-Getreu-Straße 14-18 Ÿ 96049 Bamberg, Germany
Phone: +49 (0)951 - 503-26114
E-Mail : [email protected]
G. Hajak, version 01.06.2011
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Aim
To provide high quality of psychiatric inpatient and outpatient care for US soldiers
and relatives in Southern Germany
Core staff
Director
•
Göran Hajak, MD, PhD, MBA, Professor of Psychiatry (CV attached)
Coordinator
•
Michael Klink, MD, Senior Physician, Psychiatry Intensive and Intermediate Care
Senior staff
•
Nicholas Mitznegg, MD, Senior Physician, Psychiatry Comfort and Intermediate Care
•
Sarit Kreutzer, Senior Psychologist, Psychiatry Intensive and Intermediate Care
•
Philomina Seidenstricker, Director Nursing
Staff
•
Nicole Klink, MD, Physician, Psychiatry Intensive Care
•
Gudrun Kühne, MD, Physician, Psychiatry Intermediate Care
•
Dominica Petermichel, MD, Physician, Psychiatry Intensive Care
•
Christoph Zieglmayer, MD, Physician, Psychiatry Comfort Care
•
Stefanie Pechmann, MD, Physician, Psychiatry Comfort Care
•
Ulrich Pohle, Psychologist, Psychiatry Comfort Care
•
Ralph Berger, Psychologist Intermediate Care
•
Margareta Viering, Senior Social Worker
•
Jürgen Pühl, Senior Male Nurse, Intensive Care
•
Angela Nowak, Senior Nurse, Intensive Care
•
Doreen Howard, Nurse, Intensive Care
•
Gisela Maul, Admission officer
US Army contact
To be named
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General Inpatient Service
•
Main psychiatric diagnostic and treatment procedure in English language
•
Selected medical and psychological staff (USC-PLACIC core staff) with specific
treatment experience and advanced language skills
•
Personal nurse
•
Continuous psychotherapeutic treatment with same therapist during change of ward
•
3 specified wards considering individual patient´s needs
o Intensive care ward with secured area and 24-hours patient monitoring (ward A)
o Intermediate care ward(wards C/H)
•
Daily report to US Army Liason representative (if required)
•
Release of comprehensive medical letter in English language
o ICD-10 diagnoses
o Short clinical summary of diagnostic and therapeutic process
o Treatment recommendations (medication given as generics)
•
Full medical letter in German language
•
American television (comfort care, in preparation)
•
Internet access (comfort care)
•
Physical training (in cooperation with US Army, in preparation)
Inpatient Service
Crisis intervention (approx. 2 – 7 days)
o 1 psychiatric-psychotherapeutic emergency and crisis intervention (approx. 60´)
per weekday if applicable
o Pharmacological treatment initiation
o Full psychiatric and psychotherapeutic advanced standard service
Advanced standard service (duration as needed and permitted)
o Standardized psychiatric diagnostic procedure
o Standardized physical diagnostic procedure focusing on symptoms of Internal
Medicine and Neurology
o Standardized, diagnosis-specific rating of symptom severity and treatment outcome
(in preparation)
o Standardized technical diagnostic procedure including lab test, ECG, EEG, actigraphy
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o 1 first-day psychiatric-psychotherapeutic emergency and crisis intervention (approx.
60´)
o Psychiatric and psychotherapeutic service according to good clinical practice
including all available psychiatric and psychotherapeutic interventions
o Consultancy diagnostic and therapeutic procedures by medical experts available
at Social Foundation Bamberg
o 1 psychiatric visit and 1 treatment intervention by chief of hospital or senior physician
per day (weekdays)
o 1 psychiatric visit and 1 treatment intervention by senior physician and/or physician
per day (weekdays)
o 1 psychiatric visit and 1 treatment intervention by senior physician per day
(weekends)
o 1 – 3 psychiatric-psychotherapeutic interventions (approx. 45´) per week if applicable
o 2 relaxation treatment sessions per week if applicable (minimum of 3 patients
available)
o 2 psychotherapeutic group treatment interventions per week if applicable (minimum of
3 patients available)
o 1 partly supervised physical training session in fitness center per weekday
o 1 supervised physical training session in training hall or external hospital area per
weekday (in preparation)
o Specific treatment approaches according to individual needs (list of services in
German language attached)
o 1 team discussion including physicians and nursing staff per day (weekdays)
o 1 team discussion including all professions per week
List of treatments for inpatient care
PVTI
Physician´s visit and therapeutic intervention
ECI
Emergency and crisis intervention (appr. 60 min)
sPTI
Short psychotherapeutic intervention (appr. 20 min.)
lPTI
Long psychotherapeutic intervention (appr. 45 min.)
PTGT
Psychotherapeutic group therapy
PPT
Psychopharmacological treatment
RT
Relaxation therapy
RMP
Retreat and mentalizing period
sPT
Supervised physical training
psPT
Partly supervised physical training
LT
Bright white light treatment
WT
Wake therapy
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rTMS
Repetitive transcranial magnetic stimulation
ECT
Electroconvulsive treatment
Ergo
Ergotherapy
AP
Acupuncture
CTP
Counseling of third persons such as relatives or US Army
representatives
BTG
“Body training and gym”
Standard weekly agenda on intermediate care ward
Time
Mon
Tue
Wed
Thu
Fri
Sat
Sun
7-8 a.m.
Breakfast
Breakfast
Breakfast
Breakfast
Breakfast
Breakfast
Breakfast
8-9 a.m.
sPT
sPT
sPT
sPT
sPT
psPT
psPT
9-10 a.m.
PVTI
PVTI
PVTI
PVTI
PVTI
PVTI
PVTI
10-11 a.m.
lPTI
11-12 a.m.
RMP
Lunch
Lunch
psPT
psPT
lPTI
12 a.m.-1p.m. Lunch
lPTI
PTGT
RMP
PTGT
RMP
Lunch
Lunch
Lunch
Lunch
1-2 p.m.
RT
RT
RT
2-3 p.m.
RMP
RMP
RMP
3-4 p.m.
psPT
psPT
psPT
psPT
psPT
4-5 p.m.
PVTI
PVTI
PVTI
PVTI
PVTI
Further treatment as needed on the individual basis
Outpatient Service
Emergency and crisis outpatient care
o Ad hoc service by USC-PLACIC core staff from 09:00 a.m. – 04:00 p.m. on
weekdays (phone announcement recommended)
o Emergency service from 04:00 p.m. – 09:00 a.m. and on weekends
(phone announcement recommended; restricted language skills possible)
o Psychiatric and psychotherapeutic service according to good clinical practice
including all available psychiatric and psychotherapeutic interventions applicable for
outpatients
o Ad hoc transfer to inpatient care if necessary
o Comprehensive medical letter in English
§
ICD-10 diagnoses
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§
Treatment recommendations
Second opinion
o Ad hoc service by USC-PLACIC core staff from 09:00 a.m. – 04:00 p.m. on
weekdays (phone announcement recommended)
o Psychiatric diagnostic service
o Direct phone line
o Comprehensive medical letter in English
§
ICD-10 diagnoses
§
Treatment recommendations
Requirements by service provider (Social Foundation Bamberg)
o Guaranteed coverage of costs by TRICARE (as defined by given contracts)
o Guaranteed admission of minimum number of US patients by US Army Health
Service (to be agreed on)
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CV Göran Hajak
Göran Hajak is Director of the Department of Psychiatry, Psychosomatic Medicine and
Psychotherapy at the Social Foundation Bamberg, teaching hospital of the University of
Erlangen, Germany, and Professor of Psychiatry at the University of Regensburg,
Germany.
Dr. Hajak has distinguished himself in the specialties of neurology, psychiatry,
psychotherapy, sleep medicine, and health management. His widespread interests are
demonstrated by his neuropsychiatric research, including clinical and pathophysiological
aspects of affective, emotional, somatoform, and sleep disorders, the mechanisms of
neuroplasticity and brain networking, psychopharmacology, and health management.
He achieved his MD at the University of Munich, Germany, specialized in Neurology,
Psychiatry, Psychotherapy and Sleep Medicine at the University of Göttingen, Germany,
followed his clinical and scientific career at the Institute of Mental Health, Bethesda,
Maryland, USA, received a PhD(GER) in Psychiatric Neuroscience in Göttingen and
performed a university programme achieving his MBA in Health Management at the
University of Applied Sciences, Deggendorf, Germany and the University of California,
Los Angeles, USA.
In his clinical career he worked as Military physician and Army contract physician at the
Military Medical Services in Munich, Germany, as Senior Physician and Deputy Director
of the Department of Psychiatry and Psychotherapy of the University of Göttingen and
as Vice-Chairman and Clinical Research Coordinator at the Department of Psychiatry,
Psychosomatic Medicine and Psychotherapy of the University of Regensburg, Germany.
Dr. Hajak has served on boards and in expert groups of several national and
international institutions such as the Drug Commission of the German Medical
Profession, German Sleep Society, German Academy of Sleep and Health, the
International Masters Program on Clinical and Experimental Neuroscience of the
Bavarian Elite Network, and Green Cross. Dr. Hajak holds a position as Consultant
Member of Board for Psychiatry and Psychotherapy and for Sleep Medicine at the
Bavarian Board of Physicians, is Sections Board Member on Psychiatry and Sleep
Wakefulness Disorders of the World Psychiatric Association and Secretary of the Task
Force on Sleep Disorders of the World Federation of Societies of Biological Psychiatry.
Dr. Hajak has authored or co-authored various publications in the field of psychiatry and
neuroscience, including 300 peer-reviewed original papers, 190 review articles, 120
book chapters, 21 books, and more than 720 abstracts. He is member of the editorial
and expert board of several medical and scientific journals.
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