The DPT confirmed the board of the Federal Chamber of Psychiatry. The care of the mentally ill should not be disregarded in the Pension Act. It is also called for to put the reform of psychotherapist training on the political agenda.
The Federal Chamber of Psychotherapists has been very successful - I thank you for the good external representation, ”said Jürgen Hardt on behalf of many delegates at the 18th German Psychotherapist Day (DPT), which took place on May 13th and 14th in Berlin. Even though the President of the Hesse Chamber of Psychotherapists hoped that “the inner work of psychotherapists would also be appreciated”.
So it was ultimately decision for continuity in professional policy that prompted the delegates of the regional chambers, the board of the Federal Chamber of Psychotherapists (BPtK) to be confirmed in office. President Prof. Dr. Rainer Richter, the vice-presidents Monika Konitzer and Dietrich Munz as well as the assessors Andrea Mrazek and Peter Lehndorfer, who represents the child and adolescent psychotherapists, will head the German Psychotherapist Association as well-rehearsed team for the next four years. "Our goal is better care for mentally ill people," emphasized President Richter, addressing one of the major issues for which the BPtK has advocated and which will continue to occupy the profession: the reform of requirements planning, which this year with the The upcoming Pension Act was put on the political agenda.
The DPT confirmed the board of the Federal Chamber of Psychiatry. The care of the mentally ill should not be disregarded in the Pension Act. It is also called for to put the reform of psychotherapist training on the political agenda.
The Federal Chamber of Psychotherapists has been very successful - I thank you for the good external representation, ”said Jürgen Hardt on behalf of many delegates at the 18th German Psychotherapist Day (DPT), which took place on May 13th and 14th in Berlin. Even though the President of the Hesse Chamber of Psychotherapists hoped that “the inner work of psychotherapists would also be appreciated”.
So it was ultimately decision for continuity in professional policy that prompted the delegates of the regional chambers, the board of the Federal Chamber of Psychotherapists (BPtK) to be confirmed in office. President Prof. Dr. Rainer Richter, the vice-presidents Monika Konitzer and Dietrich Munz as well as the assessors Andrea Mrazek and Peter Lehndorfer, who represents the child and adolescent psychotherapists, will head the German Psychotherapist Association as well-rehearsed team for the next four years. "Our goal is better care for mentally ill people," emphasized President Richter, addressing one of the major issues for which the BPtK has advocated and which will continue to occupy the profession: the reform of requirements planning, which this year with the The upcoming Pension Act was put on the political agenda.
From the perspective of psychological psychotherapists, the central problem of needs planning is - for historical reasons - too low ratios ( see also page 253): According to this, it is planned that psychotherapist will care for around 2,500 residents in cities; in the country, however, he has to look after almost 16,000 residents. "The morbidity in rural regions is just as high as in the city," said Dr. Christina Tophoven, managing director of BPtK, of course. This means that almost all of Germany is considered to be oversupplied, although patients even in metropolitan areas have to wait long time for therapy place. “The Supply Act will not change that,” Tophoven predicted. On the contrary: This creates new opportunities to reduce oversupply. According to the BPtK, this can lead to the allegedly excess seats for psychotherapists being dismantled and new seats created for general practitioners. “That would lead to further deterioration in the supply situation,” fears the managing director.
The delegates therefore demanded that politicians develop demand planning in such way that it is based on actual supply needs. In addition, the chambers of psychotherapists should be involved in an advisory capacity in the regional planning of requirements.
While there was still agreement on the planning of requirements, the delegates discussed very controversially about the introduction of further areas in the (model) further training regulations (MWBO). So far, only further training in clinical neuropsychology has been regulated by the BPtK. An expansion of the MWBO could, for example, include further psychotherapy procedures, scientifically recognized methods or fields of application such as psycho-oncology.She has been on the board of the BPtK for eight years. The President of the Chamber of Psychotherapists in North Rhine-Westphalia worked for long time in inpatient addiction therapy before she settled down in 1992. Photos: BPtK
From the perspective of psychological psychotherapists, the central problem of needs planning is - for historical reasons - too low ratios ( see also page 253): According to this, it is planned that psychotherapist will care for around 2,500 residents in cities; in the country, however, he has to look after almost 16,000 residents. "The morbidity in rural regions is just as high as in the city," said Dr. Christina Tophoven, managing director of BPtK, of course. This means that almost all of Germany is considered to be oversupplied, although patients even in metropolitan areas have to wait long time for therapy place. “The Supply Act will not change that,” Tophoven predicted. On the contrary: This creates new opportunities to reduce oversupply. According to the BPtK, this can lead to the allegedly excess seats for psychotherapists being dismantled and new seats created for general practitioners. “That would lead to further deterioration in the supply situation,” fears the managing director.
The delegates therefore demanded that politicians develop demand planning in such way that it is based on actual supply needs. In addition, the chambers of psychotherapists should be involved in an advisory capacity in the regional planning of requirements.
While there was still agreement on the planning of requirements, the delegates discussed very controversially about the introduction of further areas in the (model) further training regulations (MWBO). So far, only further training in clinical neuropsychology has been regulated by the BPtK. An expansion of the MWBO could, for example, include further psychotherapy procedures, scientifically recognized methods or fields of application such as psycho-oncology.
Andreas Pichler, delegate from North Rhine-Westphalia, spoke out in favor of additional training regulations: "I think we should make such regulations because the market demands it." For example, it is more difficult to grant special permits without further training certificates to reach. “In psycho-oncology, too, other health professions with corresponding additional qualification are more likely to be hired than psychological psychotherapists without,” explained Pichler.
"We shouldn't withhold certified training from our colleagues," argued Friedrich Gocht from Baden-Württemberg. At the moment, many would like to continue their education according to the requirements of the National Association of Statutory Health Insurance Physicians, because this is offered by most training institutes. “However, I am in favor of the chamber making these regulations.”
However, some of the delegates fear devaluation of the license if the MWBO is expanded. “The upcoming pension law will give preference to applicants with additional qualifications. With more advanced training, we then create ever higher hurdles for young professionals, ”explained Ellen Bruckmayer from Bavaria. Karl-Otto Hentze from North Rhine-Westphalia emphasized that further training in psychotherapy procedures would give them specialist status. “In our opinion, the license to practice as psychotherapist corresponds to the specialist training of medical doctor. The arguments in favor of further training therefore already assume devaluation of the license to practice medicine. ”
Another point of criticism: A comprehensive MWBO jeopardizes the reform of training. The Federal Ministry of Health favors direct training in psychological psychotherapists, that is, university degree in "psychotherapy" with final state examination as in medicine. Last year the DPT spoke out clearly against this form of training and voted in favor of maintaining the academic and postgraduate training. "If we introduce further training in psychology procedures, we will create the structures for direct training," warned Bruckmayer.
How divided the opinion of the delegates on this topic was, was also evident in the subsequent votes: With 51 to 50 votes, the DPT decided that the decision on the MWBO would be delayed until the amendment of the Psychotherapists Act should. Despite this decision, the majority of the delegates supported that draft for further training in systemic therapy should be drawn up by the next DPT.
"As in the last term of office, we will work for reform of psychotherapist training", explained Richter with regard to the big topic that has occupied the Psychotherapeutentage intensively since 2008.
Andreas Pichler, delegate from North Rhine-Westphalia, spoke out in favor of additional training regulations: "I think we should make such regulations because the market demands it." For example, it is more difficult to grant special permits without further training certificates to reach. “In psycho-oncology, too, other health professions with corresponding additional qualification are more likely to be hired than psychological psychotherapists without,” explained Pichler.
"We shouldn't withhold certified training from our colleagues," argued Friedrich Gocht from Baden-Württemberg. At the moment, many would like to continue their education according to the requirements of the National Association of Statutory Health Insurance Physicians, because this is offered by most training institutes. “However, I am in favor of the chamber making these regulations.”
However, some of the delegates fear devaluation of the license if the MWBO is expanded. “The upcoming pension law will give preference to applicants with additional qualifications. With more advanced training, we then create ever higher hurdles for young professionals, ”explained Ellen Bruckmayer from Bavaria. Karl-Otto Hentze from North Rhine-Westphalia emphasized that further training in psychotherapy procedures would give them specialist status. “In our opinion, the license to practice as psychotherapist corresponds to the specialist training of medical doctor. The arguments in favor of further training therefore already assume devaluation of the license to practice medicine. ”
Another point of criticism: A comprehensive MWBO jeopardizes the reform of training. The Federal Ministry of Health favors direct training in psychological psychotherapists, that is, university degree in "psychotherapy" with final state examination as in medicine. Last year the DPT spoke out clearly against this form of training and voted in favor of maintaining the academic and postgraduate training. "If we introduce further training in psychology procedures, we will create the structures for direct training," warned Bruckmayer.
How divided the opinion of the delegates on this topic was, was also evident in the subsequent votes: With 51 to 50 votes, the DPT decided that the decision on the MWBO would be delayed until the amendment of the Psychotherapists Act should. Despite this decision, the majority of the delegates supported that draft for further training in systemic therapy should be drawn up by the next DPT.
"As in the last term of office, we will work for reform of psychotherapist training", explained Richter with regard to the big topic that has occupied the Psychotherapeutentage intensively since 2008.The discussions culminated in the draft for psychotherapist training reform law that the 17th DPT passed in Hanover (see PP, issue 12/2010). The aims of the reform are to secure the master’s degree for postgraduate training, including in child and adolescent psychotherapy, and to improve the precarious situation of psychotherapists in training during their practical time.
The BPtK submitted the draft to the Federal Ministry of Health in December 2010 and, in numerous discussions with the BMG, members of the Bundestag, professional associations and others, drew attention to the importance of the initiative for the future of psychotherapists. “All of our activities surprisingly did not even lead to ministerial draft from the BMG”, reported Richter. Whether the pending pension law or the nursing reform are taking up too much of the ministry's resources - the BMG is still officially examining the introduction of direct training.
"It is very likely that the reform of training will only fall into the next legislative period," believes Karl Heinz Schrömgens, President of the Bremen Chamber of Psychotherapists. He called for short-term solution to the problem that in many federal states the bachelor's degree for training as child and adolescent psychotherapist (KJP) is now recognized instead of the required master's. In the long term, this results in poorly trained KJP. Dr. Josef Könning, delegate from Lower Saxony, feared “damage to the profession if the great solution to the training reform comes very late”. As “small solution”, he suggested that the master’s degree be made mandatory for KJP training.
“You cannot simply replace the term 'university degree' for admission to KJP training with the term 'master's'. That gives constitutional problems, ”said the President of the Federal Chamber. In any case, the board wants to stick to major solution, its own draft for training reform: "We have to stay on course now," said Richter. The delegates endorse the position of the board of directors and passed resolution: The 18th German Psychotherapist Day calls on the federal government "to act quickly - the reform of psychotherapist training must be initiated immediately".
Petra Bühring, Marc Meißner
Resolutions*
Expand therapy offers in prisons
The 18th German Psychotherapist Day (DPT) calls on the federal government and the federal states to give the penal system and preventive detention more therapeutic orientation.The discussions culminated in the draft for psychotherapist training reform law that the 17th DPT passed in Hanover (see PP, issue 12/2010). The aims of the reform are to secure the master’s degree for postgraduate training, including in child and adolescent psychotherapy, and to improve the precarious situation of psychotherapists in training during their practical time.
The BPtK submitted the draft to the Federal Ministry of Health in December 2010 and, in numerous discussions with the BMG, members of the Bundestag, professional associations and others, drew attention to the importance of the initiative for the future of psychotherapists. “All of our activities surprisingly did not even lead to ministerial draft from the BMG”, reported Richter. Whether the pending pension law or the nursing reform are taking up too much of the ministry's resources - the BMG is still officially examining the introduction of direct training.
"It is very likely that the reform of training will only fall into the next legislative period," believes Karl Heinz Schrömgens, President of the Bremen Chamber of Psychotherapists. He called for short-term solution to the problem that in many federal states the bachelor's degree for training as child and adolescent psychotherapist (KJP) is now recognized instead of the required master's. In the long term, this results in poorly trained KJP. Dr. Josef Könning, delegate from Lower Saxony, feared “damage to the profession if the great solution to the training reform comes very late”. As “small solution”, he suggested that the master’s degree be made mandatory for KJP training.
“You cannot simply replace the term 'university degree' for admission to KJP training with the term 'master's'. That gives constitutional problems, ”said the President of the Federal Chamber. In any case, the board wants to stick to major solution, its own draft for training reform: "We have to stay on course now," said Richter. The delegates endorse the position of the board of directors and passed resolution: The 18th German Psychotherapist Day calls on the federal government "to act quickly - the reform of psychotherapist training must be initiated immediately".
Petra Bühring, Marc Meißner
Resolutions*
Expand therapy offers in prisons
The 18th German Psychotherapist Day (DPT) calls on the federal government and the federal states to give the penal system and preventive detention more therapeutic orientation.For this, psycho- and socio-therapeutic offers have to be made available, qualified staff hired and institutions built. The DPT therefore welcomes the judgment of the Federal Constitutional Court (BVerfG) of May 4th, which called for an overall concept of preventive detention with therapeutic focus. This would also make the inadmissible link between extremely dangerous and mental disorders superfluous, which in the new Therapy Placement Act is intended to enable highly dangerous offenders to be locked up further. This link represents an abuse of psychiatric concepts.
No psychiatization of dangerous offenders
The 18th DPT calls for the accommodation of offenders who, because of the Judgment of the BVerfG of May 4, can no longer be placed in preventive detention to create new forms of institution. So far, the Therapy Placement Act provides for people who have been released from preventive detention but are still dangerous and diagnosed with mental disorder to be accommodated in “suitable closed facilities”. The achievements of the psychiatric reform are massively jeopardized if placement in psychiatric facilities takes place. Psychiatization of dangerous offenders would devalue the destigmatization initiatives of the profession, those with experience in psychiatry and their relatives.
No regionalization of psychotherapeutic remuneration
The 18th DPT demands that the fee distribution autonomy of the associations of statutory health insurance physicians (KVen) be restricted through uniform national guidelines for all psychotherapeutic services. In addition, it must be ensured that the services that require application and approval continue to be remunerated outside of the standard service volume. The background to this is the fear that the pension law will introduce regionalization of the remuneration system. The distribution of the total remuneration by the KVen has in the past already resulted in systematic and serious disadvantage for the psychotherapists.
* all resolutions in abbreviated form
Diotima Prize
For the excellent treatment of the consequences of flight, trauma and exile, the Psychosocial Centers for Refugees and Victims of Torture in Germany received the 2011 Diotima Prize from the German Psychotherapists' Association.For this, psycho- and socio-therapeutic offers have to be made available, qualified staff hired and institutions built. The DPT therefore welcomes the judgment of the Federal Constitutional Court (BVerfG) of May 4th, which called for an overall concept of preventive detention with therapeutic focus. This would also make the inadmissible link between extremely dangerous and mental disorders superfluous, which in the new Therapy Placement Act is intended to enable highly dangerous offenders to be locked up further. This link represents an abuse of psychiatric concepts.
No psychiatization of dangerous offenders
The 18th DPT calls for the accommodation of offenders who, because of the Judgment of the BVerfG of May 4, can no longer be placed in preventive detention to create new forms of institution. So far, the Therapy Placement Act provides for people who have been released from preventive detention but are still dangerous and diagnosed with mental disorder to be accommodated in “suitable closed facilities”. The achievements of the psychiatric reform are massively jeopardized if placement in psychiatric facilities takes place. Psychiatization of dangerous offenders would devalue the destigmatization initiatives of the profession, those with experience in psychiatry and their relatives.
No regionalization of psychotherapeutic remuneration
The 18th DPT demands that the fee distribution autonomy of the associations of statutory health insurance physicians (KVen) be restricted through uniform national guidelines for all psychotherapeutic services. In addition, it must be ensured that the services that require application and approval continue to be remunerated outside of the standard service volume. The background to this is the fear that the pension law will introduce regionalization of the remuneration system. The distribution of the total remuneration by the KVen has in the past already resulted in systematic and serious disadvantage for the psychotherapists.
* all resolutions in abbreviated form
Diotima Prize
For the excellent treatment of the consequences of flight, trauma and exile, the Psychosocial Centers for Refugees and Victims of Torture in Germany received the 2011 Diotima Prize from the German Psychotherapists' Association.
"People who are looking for security in our country must of course receive the professional help they need to come to terms with the emotional torment they have suffered," emphasized Elise Bittenbinder, chairwoman of the nationwide working group for psychosocial centers for refugees and Torture victims. She is pleased that the psychotherapists recognize this with this award.
"The treatment of around 8,300 traumatized people and victims of organized violence every year requires in-depth knowledge and exceptional sensitivity," explained Prof. Dr. Rainer Richter this year's choice of the winner. "The treatment centers not only offer outstanding care services, but also make significant contribution to the further development of psychotherapeutic treatment for these people."
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