Universität zu Köln

Westermair, Anna L., Buchman, Daniel Z., Levitt, Sarah ORCID: 0000-0002-9648-0373, Perrar, Klaus M. and Trachsel, Manuel ORCID: 0000-0002-2697-3631 (2022). Palliative psychiatry in a narrow and in a broad sense: A concept clarification. Aust. N. Z. J. Psych., 56 (12). S. 1535 - 1542. LONDON: SAGE PUBLICATIONS LTD. ISSN 1440-1614

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Abstract

Even with optimal treatment, some persons with severe and persistent mental illness do not achieve a level of mental health, psychosocial functioning and quality of life that is acceptable to them. With each unsuccessful treatment attempt, the probability of achieving symptom reduction declines while the probability of somatic and psychological side effects increases. This worsening benefit-harm ratio of treatment aiming at symptom reduction has motivated calls for implementing palliative approaches to care into psychiatry (palliative psychiatry). Palliative psychiatry accepts that some cases of severe and persistent mental illness can be irremediable and calls for a careful evaluation of goals of care in these cases. It aims at reducing harm, relieving suffering and thus improving quality of life directly, working around irremediable psychiatric symptoms. In a narrow sense, this refers to patients likely to die of their severe and persistent mental illness soon, but palliative psychiatry in a broad sense is not limited to end-of-life care. It can - and often should - be integrated with curative and rehabilitative approaches, as is the gold standard in somatic medicine. Palliative psychiatry constitutes a valuable addition to established non-curative approaches such as rehabilitative psychiatry (which focuses on psychosocial functioning instead of quality of life) and personal recovery (a journey that persons living with severe and persistent mental illness may undertake, not necessarily accompanied by mental health care professionals). Although the implementation of palliative psychiatry is met with several challenges such as difficulties regarding decision-making capacity and prognostication in severe and persistent mental illness, it is a promising new approach in caring for persons with severe and persistent mental illness, regardless of whether they are at the end of life.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Westermair, Anna L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Buchman, Daniel Z. UNSPECIFIED UNSPECIFIED UNSPECIFIED Levitt, Sarah UNSPECIFIED orcid.org/0000-0002-9648-0373 UNSPECIFIED Perrar, Klaus M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Trachsel, Manuel UNSPECIFIED orcid.org/0000-0002-2697-3631 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-686328
DOI:	10.1177/00048674221114784
Journal or Publication Title:	Aust. N. Z. J. Psych.
Volume:	56
Number:	12
Page Range:	S. 1535 - 1542
Date:	2022
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1440-1614
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DISORDER MAXIMIZING RECOVERY; MENTAL-ILLNESS; ANOREXIA-NERVOSA; MAINTAINING HOPE; CARE; METAANALYSIS; SOCIETY; MODELS Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68632