DGPPN pilot study on the implementation of the S3 guideline Prevention of coercion: prevention and therapy of aggressive behavior in adults

Bechdolf, Andreas, Buehling-Schindowski, Felix, Weinmann, Stefan, Baumgardt, Johanna, Kampmann, Marie, Sauter, Dorothea, Jaeger, Susanne, Walter, Gernot, Mayer, Michael, Loehr, Michael, Schulz, Michael, Gather, Jakov, Ketelsen, Regina, Assfalg, Ralf, Cole, Celline, Vandamme, Angelika, Mahler, Lieselotte, Hirsch, Sophie and Steinert, Tilman . DGPPN pilot study on the implementation of the S3 guideline Prevention of coercion: prevention and therapy of aggressive behavior in adults. Nervenarzt. NEW YORK: SPRINGER. ISSN 1433-0407

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DOI:10.1007/s00115-021-01242-6

Abstract

Objective To investigate whether implementation recommendations derived from the German guidelines Prevention of coercion can be implemented on acute psychiatric wards by means of implementation consultants into ward work and if this contributes to an increased level of adherence to guideline intervention recommendations approved by the DGPPN (Deutsche Gesellschaft fur Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde)? Material and methods Two medical or nursing experts advised ward teams on the implementation of three individually selected recommendations from the guidelines in a structured consulting process over 6 months. The degree of implementation of the recommendations was assessed before and after the intervention by the ward teams together with the implementation consultants using a tool developed for this purpose (PreVCo rating tool). Results A total of five wards responsible for compulsorily admitted patients took part in the pilot study; three of them completed the intervention. On all three wards, implementation of the guideline recommendations improved for both selected and unselected recommendations. The strategy of using implementation consultants as well as the application of the PreVCo rating tool were well accepted and considered feasible by both the treatment teams and the implementation consultants. Conclusion This pilot study showed that an implementation of recommendations on psychiatric wards derived from the German guidelines Prevention of coercion supported by implementation consultants is feasible, well acceptable among treatment teams and can lead to positive changes. The sample of five wards with diverse patient profiles was convincing. The efficacy in terms of reduction of coercive measures is currently being investigated in a randomized controlled trial on 55 psychiatric wards in different parts of Germany, with an intervention based on this pilot study.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Bechdolf, Andreas	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Buehling-Schindowski, Felix	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Weinmann, Stefan	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Baumgardt, Johanna	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Kampmann, Marie	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Sauter, Dorothea	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Jaeger, Susanne	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Walter, Gernot	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Mayer, Michael	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Loehr, Michael	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Schulz, Michael	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Gather, Jakov	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Ketelsen, Regina	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Assfalg, Ralf	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Cole, Celline	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Vandamme, Angelika	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Mahler, Lieselotte	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Hirsch, Sophie	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Steinert, Tilman	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED