The psychotherapist school made decision of the post-graduate school Psychotherapy is to be licensed in the future; Priorities should be set in further training. The Supply Strengthening Act was critically examined.
Federal Health Minister Gröhe is waiting for clear vote from the profession - please decide so that we can enter into discussions with politicians . Dr. phil. Rainer Richter to the delegates of the 25th German Psychotherapist Day (DPT) on November 15th in Munich was urgent. The reform of psychotherapist training has been topic at the Psychotherapist Days for ten years, and concepts have been discussed for three years. The time for changes is good: In the coalition agreement, the Federal Government has agreed to revise the Psychotherapists Act and the entry requirements for training in this legislative period.
The delegates were aware of the need to make decision: After factual discussion, the 25th DPT came out in favor of pioneering reform: an education that aims to obtain license to practice medicine after scientific university degree in psychotherapy at master's level. In subsequent further education, priorities are to be set in the treatment of adults, children and adolescents as well as in scientifically recognized procedures.
Uniform master's degree
Status quo is postgraduate training, i.e. university degree from Psychology followed by three to five year training as psychological psychotherapist (PP), or pedagogy / social pedagogy for training as child and adolescent psychotherapist (KJP). The reason for reform is, on the one hand, the increasing “bachelorisation” of training to become child and adolescent psychotherapist due to the Bologna reform: ten out of 16 federal states now recognize the bachelor’s degree as an access. It is feared that future KJP will be less qualified. On the other hand, psychotherapists in training have been demonstrating for years that they are appropriately rewarded for their compulsory practical work in psychiatric and psychosomatic clinics and departments. This one-year “year of practice” is often not remunerated at all, often slightly and only appropriately remunerated by few clinics.
The psychotherapist school made decision of the post-graduate school Psychotherapy is to be licensed in the future; Priorities should be set in further training. The Supply Strengthening Act was critically examined.
Federal Health Minister Gröhe is waiting for clear vote from the profession - please decide so that we can enter into discussions with politicians . Dr. phil. Rainer Richter to the delegates of the 25th German Psychotherapist Day (DPT) on November 15th in Munich was urgent. The reform of psychotherapist training has been topic at the Psychotherapist Days for ten years, and concepts have been discussed for three years. The time for changes is good: In the coalition agreement, the Federal Government has agreed to revise the Psychotherapists Act and the entry requirements for training in this legislative period.
The delegates were aware of the need to make decision: After factual discussion, the 25th DPT came out in favor of pioneering reform: an education that aims to obtain license to practice medicine after scientific university degree in psychotherapy at master's level. In subsequent further education, priorities are to be set in the treatment of adults, children and adolescents as well as in scientifically recognized procedures.
Uniform master's degree
Status quo is postgraduate training, i.e. university degree from Psychology followed by three to five year training as psychological psychotherapist (PP), or pedagogy / social pedagogy for training as child and adolescent psychotherapist (KJP). The reason for reform is, on the one hand, the increasing “bachelorisation” of training to become child and adolescent psychotherapist due to the Bologna reform: ten out of 16 federal states now recognize the bachelor’s degree as an access. It is feared that future KJP will be less qualified. On the other hand, psychotherapists in training have been demonstrating for years that they are appropriately rewarded for their compulsory practical work in psychiatric and psychosomatic clinics and departments. This one-year “year of practice” is often not remunerated at all, often slightly and only appropriately remunerated by few clinics."Psychotherapists under exploitation" can therefore be read on the demonstrators' banners.
"As long as the practical work is legally regarded as an internship, nothing will change that", emphasized President Richter at the 25th DPT. On the other hand, qualification at master's level for KJP can only be secured through comprehensive reform of psychotherapist training, he said in the direction of an initiative by university teachers who had approached the Federal Ministry of Health (BMG) in advance of the DPT with the demand that the entry requirements be met to be legally stipulated for KJP training at the master’s level. The initiators are the professors who in 2009 prepared the research report for the BMG on the reform of psychotherapeutic training. More than 4,700 psychotherapists have accepted the demand.
It was not easy for the delegates to decide in favor of the so-called basic direct training, but in the end 86 delegates from the regional chambers voted in favor, 38 against with four abstentions. In the run-up to the crucial psychotherapists' day, in addition to maintaining postgraduate training, the model of "dual direct training" was also discussed: After studying psychotherapy, 1st state examination was planned, but the license to practice medicine would only be possible after second qualification phase and 2nd State examination takes place.
"The crucial point is the time of the license to practice medicine, because only if you have license to practice medicine after your university studies is it possible to finance further training like the specialist doctors", explained Walter Ströhm, delegate of the Chamber of Psychotherapists North Rhine Westphalia. In order to be able to solve the regulatory problems of training, "equality with the doctors, that is, the same training structures" is needed, stressed the President. In addition, this is the only way psychotherapists in institutions and clinics could obtain specialist status.
"In further training, colleagues would not only have the right to remuneration at specialist level, but also protection under collective bargaining law and the right to continued payment of wages," explained Dieter Best, Rhineland-Palatinate. Hans Bauer, Hessen, also spoke out in favor of basic direct training: “If we don't make decision, others will. And the BMG has made it very clear that only direct training can be considered. ”“ The responsibility for further development remains with us if we opt for direct training, ”said Alfred Kappaus, President of the Rhineland-Palatinate Chamber of Psychotherapists. "The construction of license to practice medicine after studying psychotherapy with subsequent further training ensures the independence and quality of our profession", explained Barbara Lubisch, North Rhine-Westphalia. The further training must then be regulated."Psychotherapists under exploitation" can therefore be read on the demonstrators' banners.
"As long as the practical work is legally regarded as an internship, nothing will change that", emphasized President Richter at the 25th DPT. On the other hand, qualification at master's level for KJP can only be secured through comprehensive reform of psychotherapist training, he said in the direction of an initiative by university teachers who had approached the Federal Ministry of Health (BMG) in advance of the DPT with the demand that the entry requirements be met to be legally stipulated for KJP training at the master’s level. The initiators are the professors who in 2009 prepared the research report for the BMG on the reform of psychotherapeutic training. More than 4,700 psychotherapists have accepted the demand.
It was not easy for the delegates to decide in favor of the so-called basic direct training, but in the end 86 delegates from the regional chambers voted in favor, 38 against with four abstentions. In the run-up to the crucial psychotherapists' day, in addition to maintaining postgraduate training, the model of "dual direct training" was also discussed: After studying psychotherapy, 1st state examination was planned, but the license to practice medicine would only be possible after second qualification phase and 2nd State examination takes place.
"The crucial point is the time of the license to practice medicine, because only if you have license to practice medicine after your university studies is it possible to finance further training like the specialist doctors", explained Walter Ströhm, delegate of the Chamber of Psychotherapists North Rhine Westphalia. In order to be able to solve the regulatory problems of training, "equality with the doctors, that is, the same training structures" is needed, stressed the President. In addition, this is the only way psychotherapists in institutions and clinics could obtain specialist status.
"In further training, colleagues would not only have the right to remuneration at specialist level, but also protection under collective bargaining law and the right to continued payment of wages," explained Dieter Best, Rhineland-Palatinate. Hans Bauer, Hessen, also spoke out in favor of basic direct training: “If we don't make decision, others will. And the BMG has made it very clear that only direct training can be considered. ”“ The responsibility for further development remains with us if we opt for direct training, ”said Alfred Kappaus, President of the Rhineland-Palatinate Chamber of Psychotherapists. "The construction of license to practice medicine after studying psychotherapy with subsequent further training ensures the independence and quality of our profession", explained Barbara Lubisch, North Rhine-Westphalia. The further training must then be regulated.
But there were also some critical voices: "I find it difficult to say goodbye to the highly qualified postgraduate training", said Susanne Walz-Pawlita, Hesse. She found the discussion “very shortened”. Many concerns fell by the wayside. President Richter emphasized that the debate did not end with the decision of the 25th DPT, and many discussions still had to be held. But: "The course has been set, we are sending clear signal to politicians."
Introduce consultation hours
The effects of the draft statutory health insurance supply strengthening law on psychotherapeutic care were discussed read in the report of the board, which was presented to the delegates of the 25th German Psychotherapists' Day. The planned new regulation for psychotherapeutic consultation hours is being carefully followed. The Federal Joint Committee should make more detailed provisions on this. During these consultation hours, an initial discussion and individual advice about various care options should take place. The aim is to clarify the need for treatment at short notice.
In this context, the BPtK board wants to achieve gradual lifting of the restrictions on the powers of psychotherapists. He currently sees little support in health policy for the requirement that psychotherapists should be authorized to certify incapacity for work. It seems more realistic that they will be allowed to hospitalize in the future. The aim is also to be authorized to prescribe sociotherapy and remedies for certain indications.
The BPtK board of directors also criticized the draft prevention law. It is noticeable that psychotherapeutic expertise is only insufficiently addressed here. The realization of health-promoting lifestyle is dependent on number of emotional, motivational and social factors, the influence of which the profession is ideally suited to. In view of the importance of mental illnesses, the BPtK will work to ensure that advice on prevention can also be provided by psychotherapists.
But there were also some critical voices: "I find it difficult to say goodbye to the highly qualified postgraduate training", said Susanne Walz-Pawlita, Hesse. She found the discussion “very shortened”. Many concerns fell by the wayside. President Richter emphasized that the debate did not end with the decision of the 25th DPT, and many discussions still had to be held. But: "The course has been set, we are sending clear signal to politicians."
Introduce consultation hours
The effects of the draft statutory health insurance supply strengthening law on psychotherapeutic care were discussed read in the report of the board, which was presented to the delegates of the 25th German Psychotherapists' Day. The planned new regulation for psychotherapeutic consultation hours is being carefully followed. The Federal Joint Committee should make more detailed provisions on this. During these consultation hours, an initial discussion and individual advice about various care options should take place. The aim is to clarify the need for treatment at short notice.
In this context, the BPtK board wants to achieve gradual lifting of the restrictions on the powers of psychotherapists. He currently sees little support in health policy for the requirement that psychotherapists should be authorized to certify incapacity for work. It seems more realistic that they will be allowed to hospitalize in the future. The aim is also to be authorized to prescribe sociotherapy and remedies for certain indications.
The BPtK board of directors also criticized the draft prevention law. It is noticeable that psychotherapeutic expertise is only insufficiently addressed here. The realization of health-promoting lifestyle is dependent on number of emotional, motivational and social factors, the influence of which the profession is ideally suited to. In view of the importance of mental illnesses, the BPtK will work to ensure that advice on prevention can also be provided by psychotherapists.
Petra Bühring, Thomas Gerst
Criticism from the medical profession
The German Medical Association is critical of the planned reform of psychotherapeutic training and refers to it the resolution of the 115th German Medical Association from 2012. This calls on the Federal Ministry of Health to refrain from plans for direct training. Instead, the tried and tested postgraduate training structure should be retained.
The reason for the rejection of direct training is that it does not seem possible to acquire sufficient skills in the PP and KJP in the diagnosis and treatment of seriously ill patients without including inpatient treatment settings. It would therefore make more sense to improve the clinical part of the training and enforce payment for the trainees.
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