34th German Psychotherapist Day: Satisfied with the work of the board of the Federal Chamber

Der frisch elected board of directors of the Federal Chamber of Psychotherapists: Nikolaus Melcop, Michaela Willhauck-Fojkar, Dietrich Munz, Andrea Benecke and Wolfgang Schreck (from left to right). Photos: BPtK

Der frisch elected board of directors of the Federal Chamber of Psychotherapists: Nikolaus Melcop, Michaela Willhauck-Fojkar, Dietrich Munz, Andrea Benecke and Wolfgang Schreck (from left to right). Photos: BPtK

The importance of psychotherapy will continue to grow

"Mental health is an important political field of action for us," said the minister in her welcoming speech. "The demand for psychotherapy will continue to grow, its importance will continue to grow," emphasized Bätzing-Lichtenthäler. The reasons for the increasing need for treatment include stress and excessive demands at work, loneliness, but also the destigmatization of mental illnesses, which make it easier for more people to go to psychotherapist. "We need structural further development of the care of the mentally ill, evidence-based practice guidelines must be implemented - this applies above all to seriously ill patients," she said. The importance of psychotherapy is also growing in rehabilitation clinics, in youth welfare and in institutions for the disabled. "We are experiencing shortage, especially in the medical field - that must be absorbed," said the minister. The state government therefore welcomes reform of the training of psychotherapists and wants to support the draft law from the Federal Ministry of Health in the Federal Council.

The President of the Federal Chamber of Psychotherapists Dr. rer. nat. In the Executive Board's report, Dietrich Munz first addressed an important socio-political issue: increasing populism in Germany. The current Bertelsmann study “Populism 2018” found that broad sections of the population take positions against the establishment and democratic political processes and for popular sovereignty and supposedly simple solutions. "Denying plurality is danger," stressed Munz."You also have to trust the parties, contempt for the rulers is vehicle of populism and threatens democracy - we have to defend ourselves against it." For complex systems, you need regulated procedures and elected representatives with expertise. "It is negation of reality that one knows what is good for everyone," said Munz.

In this context, the BPtK President expressed concern that Federal Health Minister Jens Spahn sometimes "is the business of the populists “Serve. As part of the parliamentary procedure for the Appointment Service and Supply Act (TSVG), amendments were often only submitted late in the evening or shortly before the end of the meetings. Munz regretted that there was no longer any time to weigh things up. The BPtK President also criticized the initiative to put the Federal Joint Committee (G-BA) in its place by means of ordinances from the BMG: “We have well-coordinated decision-making processes in the G-BA. The complex test processes, even if they sometimes take long time, cannot be replaced by legal ordinances. “Only when the banks in the G-BA do not come to any solutions should the legislature take action, demanded Munz.

The President was pleased that the Federal Minister of Health reacted to the protests about the controversial passage in the TSVG of "tiered and controlled care" before psychotherapeutic treatment in § 92 SGB V and this was deleted. "In many discussions we have campaigned that it is worth taking closer look at the problem - and the minister has listened," reported Munz. As an addition, modified passage can now be found in the draft of the Psychotherapist Training Reform Act: The legislature now wants to mandate the G-BA to create the conditions for outpatient multi-professional care (see also box "Coordinated cooperation across professional groups", page 156). It just needs to become clearer that it is primarily about patients with severe mental illnesses, stressed Munz. In resolution, the delegates spoke out in favor of promoting “multi-professional care for mentally ill people with complex treatment needs” ( see box “Resolutions” ).

Training: great progress in Legislative process

On the agenda item reform of psychotherapist training, this time there has been great progress in the legislative process. On the 27th."You also have to trust the parties, contempt for the rulers is vehicle of populism and threatens democracy - we have to defend ourselves against it." For complex systems, you need regulated procedures and elected representatives with expertise. "It is negation of reality that one knows what is good for everyone," said Munz.

In this context, the BPtK President expressed concern that Federal Health Minister Jens Spahn sometimes "is the business of the populists “Serve. As part of the parliamentary procedure for the Appointment Service and Supply Act (TSVG), amendments were often only submitted late in the evening or shortly before the end of the meetings. Munz regretted that there was no longer any time to weigh things up. The BPtK President also criticized the initiative to put the Federal Joint Committee (G-BA) in its place by means of ordinances from the BMG: “We have well-coordinated decision-making processes in the G-BA. The complex test processes, even if they sometimes take long time, cannot be replaced by legal ordinances. “Only when the banks in the G-BA do not come to any solutions should the legislature take action, demanded Munz.

The President was pleased that the Federal Minister of Health reacted to the protests about the controversial passage in the TSVG of "tiered and controlled care" before psychotherapeutic treatment in § 92 SGB V and this was deleted. "In many discussions we have campaigned that it is worth taking closer look at the problem - and the minister has listened," reported Munz. As an addition, modified passage can now be found in the draft of the Psychotherapist Training Reform Act: The legislature now wants to mandate the G-BA to create the conditions for outpatient multi-professional care (see also box "Coordinated cooperation across professional groups", page 156). It just needs to become clearer that it is primarily about patients with severe mental illnesses, stressed Munz. In resolution, the delegates spoke out in favor of promoting “multi-professional care for mentally ill people with complex treatment needs” ( see box “Resolutions” ).

Training: great progress in Legislative process

On the agenda item reform of psychotherapist training, this time there has been great progress in the legislative process. On the 27th.In February the Federal Minister of Health presented the cabinet draft. The draft is expected to be discussed in the Federal Council on April 12th. A first reading in the Bundestag can be expected between the beginning and the middle of May, and second reading in early June, so that the law can probably be passed before the summer break. The German Medical Association (BÄK) rejects the training reform in principle. Prof. Dr. med. Frank Ulrich Montgomery, President of the BÄK, fears “an extensive outsourcing of the treatment of the mentally ill from the medical care system”. The reform threatens care that integrates somatic and psychological aspects and is therefore at the expense of the patient.

The President of the Federal Chamber of Psychotherapists Munz made it clear to the delegates that “some of the reactions of the medical profession have left the scope of what I think for cooperation ”. With the draft law on training reform, the prerequisites would be created for psychotherapists to be able to earn regular income in the future after their studies and license to practice medicine, stressed Munz, and that was his very important step. They are then already licensed in their profession and can be employed subject to social security contributions. The BPtK supports the present draft law because it "ends the special path of previous psychotherapist training", said Munz. "The reform is plus for patients because psychotherapists are better prepared for the ever-increasing spectrum of mental illnesses that can be treated psychotherapeutically," he added. However, the President sees additional funding requirements for outpatient training. He also sees need for change in the definition of professional practice (Section 1, Paragraph 2 of the Psychotherapists Act). This legal definition in the present formulation is "an unacceptable interference with professional sovereignty" (see page 156). Instead of consultant report, as is still provided in the cabinet draft, the BPtK demands right to refer to specialists in order to be able to clarify somatic complaints during the treatment process and not only at the beginning of therapy. This demand was very well received by the delegates who criticized the consultant report. "Many doctors do not make any qualified statements in this report, I find referral regulation much more useful," said Bernhard Moors from North Rhine-Westphalia, for example. Anke Pielsticker, Bavaria, also spoke out in favor of smooth cooperation with the doctors in the context of referral procedure.

In the opinion of the BPtK, it should be appreciated that the draft law authorizes the institutes' further training clinics in Section 117 of SGB V. become.In February the Federal Minister of Health presented the cabinet draft. The draft is expected to be discussed in the Federal Council on April 12th. A first reading in the Bundestag can be expected between the beginning and the middle of May, and second reading in early June, so that the law can probably be passed before the summer break. The German Medical Association (BÄK) rejects the training reform in principle. Prof. Dr. med. Frank Ulrich Montgomery, President of the BÄK, fears “an extensive outsourcing of the treatment of the mentally ill from the medical care system”. The reform threatens care that integrates somatic and psychological aspects and is therefore at the expense of the patient.

The President of the Federal Chamber of Psychotherapists Munz made it clear to the delegates that “some of the reactions of the medical profession have left the scope of what I think for cooperation ”. With the draft law on training reform, the prerequisites would be created for psychotherapists to be able to earn regular income in the future after their studies and license to practice medicine, stressed Munz, and that was his very important step. They are then already licensed in their profession and can be employed subject to social security contributions. The BPtK supports the present draft law because it "ends the special path of previous psychotherapist training", said Munz. "The reform is plus for patients because psychotherapists are better prepared for the ever-increasing spectrum of mental illnesses that can be treated psychotherapeutically," he added. However, the President sees additional funding requirements for outpatient training. He also sees need for change in the definition of professional practice (Section 1, Paragraph 2 of the Psychotherapists Act). This legal definition in the present formulation is "an unacceptable interference with professional sovereignty" (see page 156). Instead of consultant report, as is still provided in the cabinet draft, the BPtK demands right to refer to specialists in order to be able to clarify somatic complaints during the treatment process and not only at the beginning of therapy. This demand was very well received by the delegates who criticized the consultant report. "Many doctors do not make any qualified statements in this report, I find referral regulation much more useful," said Bernhard Moors from North Rhine-Westphalia, for example. Anke Pielsticker, Bavaria, also spoke out in favor of smooth cooperation with the doctors in the context of referral procedure.

In the opinion of the BPtK, it should be appreciated that the draft law authorizes the institutes' further training clinics in Section 117 of SGB V. become."That is good, but not yet sufficient," said Peter Lehndorfer on behalf of the board. In this way, the treatment services would be financed by the statutory health insurance (GKV), but not the specific psychotherapeutic content of further training, such as supervision, self-awareness and teaching of theory. "A subsidy is required for the salary of psychotherapists in further training (PiW)," explained Lehndorfer. It is conceivable that this subsidy comes from the GKV, possibly with the participation of the KBV, the German pension insurance, from the health fund, or from foundation that has yet to be established. Appropriate framework conditions for PiW during the outpatient training and planning security for the institutes are important. In resolution, the 34th DPT therefore called for further training by the prospective psychotherapist without any deductible. A legally regulated subsidy is necessary for this, which secures PiW an income equivalent to the standard salary in hospitals.

BPtK President Dietrich Munz confirmed in his office

Finally, the board elections determined the further course of the 34th DPT. The legislative period of the current board of the Federal Chamber of Psychotherapists ends on May 17th. The incumbent President Dietrich Munz was confirmed in his office by the delegates. The 67-year-old doctor of physics and psychological psychotherapist prevailed with 95 to 37 votes against the only opposing candidate Dagmar Schulz. The psychological psychotherapist from Schleswig-Holstein was surprising candidate. "Some might interpret my candidacy as insolence," she said at the beginning of her introduction. “But I want us to not only react reactively and defensively. You always have choice. "The 54-year-old wanted to work towards developing critical concepts with regard to digitization and to get involved in the inclusion of younger and employed psychotherapists.

" I still do It is an honor and pleasure to be able to represent the psychotherapists ”, said the old and new president. Munz has been President of the Baden-Württemberg Chamber of Psychotherapists since 2006 and was Vice President of the BPtK from 2006 to 2014. Even after his retirement, the psychoanalyst is still working in mini job at the Sonnenbergklinik in Stuttgart. "I am pleased to be able to advance the reform of psychotherapist training and also to the challenges that this will bring with it," he emphasized."That is good, but not yet sufficient," said Peter Lehndorfer on behalf of the board. In this way, the treatment services would be financed by the statutory health insurance (GKV), but not the specific psychotherapeutic content of further training, such as supervision, self-awareness and teaching of theory. "A subsidy is required for the salary of psychotherapists in further training (PiW)," explained Lehndorfer. It is conceivable that this subsidy comes from the GKV, possibly with the participation of the KBV, the German pension insurance, from the health fund, or from foundation that has yet to be established. Appropriate framework conditions for PiW during the outpatient training and planning security for the institutes are important. In resolution, the 34th DPT therefore called for further training by the prospective psychotherapist without any deductible. A legally regulated subsidy is necessary for this, which secures PiW an income equivalent to the standard salary in hospitals.

BPtK President Dietrich Munz confirmed in his office

Finally, the board elections determined the further course of the 34th DPT. The legislative period of the current board of the Federal Chamber of Psychotherapists ends on May 17th. The incumbent President Dietrich Munz was confirmed in his office by the delegates. The 67-year-old doctor of physics and psychological psychotherapist prevailed with 95 to 37 votes against the only opposing candidate Dagmar Schulz. The psychological psychotherapist from Schleswig-Holstein was surprising candidate. "Some might interpret my candidacy as insolence," she said at the beginning of her introduction. “But I want us to not only react reactively and defensively. You always have choice. "The 54-year-old wanted to work towards developing critical concepts with regard to digitization and to get involved in the inclusion of younger and employed psychotherapists.

" I still do It is an honor and pleasure to be able to represent the psychotherapists ”, said the old and new president. Munz has been President of the Baden-Württemberg Chamber of Psychotherapists since 2006 and was Vice President of the BPtK from 2006 to 2014. Even after his retirement, the psychoanalyst is still working in mini job at the Sonnenbergklinik in Stuttgart. "I am pleased to be able to advance the reform of psychotherapist training and also to the challenges that this will bring with it," he emphasized."A great compromise is perfect when everyone is dissatisfied," he quoted the French politician Aristide Briand.

Dr. phil. Nicholas Melcop. The President of the Bavarian Chamber of Psychotherapists, who has been in office since 2003, received 116 out of 137 votes. Melcop is established as psychological psychotherapist in Landshut. He is member of the German Society for Behavioral Therapy (DGVT) and the German Psychotherapist Association (DPtV). He highlighted digitization as focus for which he particularly wants to work. "In times of surveillance capitalism we have to be active in this area," he said.

With large majority, Dr. was elected second vice president. phil. Andrea Benecke, who previously held the office of assessor on the BPtK board. The Vice President of the State Chamber of Psychotherapists Rhineland-Palatinate is, among other things, head of the training clinic for psychological psychotherapy at the University of Mainz. She is member of DGVT and DPTV, the German Diabetes Society and the German Obesity Society. Her focus on the BPtK board is further training and the equality of women. Among other things, she is committed to mentoring programs to promote women in professional politics.

The election as representative of the child and adolescent psychotherapists or assessor on the BPtK board was exciting. Peter Lehndorfer, who has been in office for 16 years, did not want to run again, but is retiring. "Not only did he help shape the work of the BPtK from the start, but he also campaigned like no other with great expertise for the concerns of mentally ill children," said President Munz. "We respect you for this decision and we very much regret it, dear Peter," he said. Lehndorfer was bid farewell with very large applause. He remains member of the DPT for the Bavarian State Chamber of Psychotherapists.

Commitment to cross-professional care concepts

With 83 out of 135 votes, Michaela Willhauck-Fojkar, established child and adolescent psychotherapist, sat in the elections from Mannheim, against Bettina Meisel from the Association of Analytical Child and Adolescent Psychotherapists and Ariadne Sartorius from the Federal Association of Contract Psychotherapists. Willhauck-Fojkar works together with her husband, child and youth psychiatrist, in practice. She is member of the DPtV, member of the Baden-Württemberg Association of Statutory Health Insurance Physicians, the Representative Assembly of the KBV and the Advisory Committee on Psychotherapy. As part of the KBV contract workshop, she was involved in the cross-occupational care concept for children with complex mental disorders."A great compromise is perfect when everyone is dissatisfied," he quoted the French politician Aristide Briand.

Dr. phil. Nicholas Melcop. The President of the Bavarian Chamber of Psychotherapists, who has been in office since 2003, received 116 out of 137 votes. Melcop is established as psychological psychotherapist in Landshut. He is member of the German Society for Behavioral Therapy (DGVT) and the German Psychotherapist Association (DPtV). He highlighted digitization as focus for which he particularly wants to work. "In times of surveillance capitalism we have to be active in this area," he said.

With large majority, Dr. was elected second vice president. phil. Andrea Benecke, who previously held the office of assessor on the BPtK board. The Vice President of the State Chamber of Psychotherapists Rhineland-Palatinate is, among other things, head of the training clinic for psychological psychotherapy at the University of Mainz. She is member of DGVT and DPTV, the German Diabetes Society and the German Obesity Society. Her focus on the BPtK board is further training and the equality of women. Among other things, she is committed to mentoring programs to promote women in professional politics.

The election as representative of the child and adolescent psychotherapists or assessor on the BPtK board was exciting. Peter Lehndorfer, who has been in office for 16 years, did not want to run again, but is retiring. "Not only did he help shape the work of the BPtK from the start, but he also campaigned like no other with great expertise for the concerns of mentally ill children," said President Munz. "We respect you for this decision and we very much regret it, dear Peter," he said. Lehndorfer was bid farewell with very large applause. He remains member of the DPT for the Bavarian State Chamber of Psychotherapists.

Commitment to cross-professional care concepts

With 83 out of 135 votes, Michaela Willhauck-Fojkar, established child and adolescent psychotherapist, sat in the elections from Mannheim, against Bettina Meisel from the Association of Analytical Child and Adolescent Psychotherapists and Ariadne Sartorius from the Federal Association of Contract Psychotherapists. Willhauck-Fojkar works together with her husband, child and youth psychiatrist, in practice. She is member of the DPtV, member of the Baden-Württemberg Association of Statutory Health Insurance Physicians, the Representative Assembly of the KBV and the Advisory Committee on Psychotherapy. As part of the KBV contract workshop, she was involved in the cross-occupational care concept for children with complex mental disorders.She emphasized that she wanted to represent the child and adolescent psychotherapists well, especially with regard to the challenges of the future: “I want to grow into Peter Lehndorfer's big shoes,” she said.

The second assessor was again Wolfgang Schreck elected. The psychological psychotherapist has been board member of the North Rhine-Westphalia Chamber of Psychotherapists and the DGVT since 2014. The head of the counseling center for children, adolescents and parents in the city of Gelsenkirchen also has an eye on the employed psychotherapists. Petra Bühring

* The Schängel is bronze figure on fountain in Koblenz's old town, which represents boy. Every two minutes the figure spits spray of water several meters above the fountain basin.

Resolutions of the 34th German Psychotherapists' Day

• "Psychotherapists under fair conditions for care qualify ": ​​The draft law to reform training is welcomed, but more comprehensive financing of outpatient training costs is called for.
• " Promote multi-professional care for mentally ill people with complex treatment needs ": The involvement of the G-BA, which is involved in the The delegates expressly welcome the development of concept. The committee should be given time for this until at least the end of 2021. The legislature should provide that necessary coordination services are remunerated.
• "Children's rights belong in the Basic Law!"
• "Integrate video treatment patient-oriented into psychotherapeutic care!": Reference is made to previous resolution of the DPT, according to which at least initial diagnosis, indication and clarification must be carried out in direct contact before video treatment. The delegates criticized parallel structures of the health insurance companies in the form of video treatment centers. The patient protection should not be restricted at any point by video treatment.She emphasized that she wanted to represent the child and adolescent psychotherapists well, especially with regard to the challenges of the future: “I want to grow into Peter Lehndorfer's big shoes,” she said.

  The second assessor was again Wolfgang Schreck elected. The psychological psychotherapist has been board member of the North Rhine-Westphalia Chamber of Psychotherapists and the DGVT since 2014. The head of the counseling center for children, adolescents and parents in the city of Gelsenkirchen also has an eye on the employed psychotherapists. Petra Bühring

  * The Schängel is bronze figure on fountain in Koblenz's old town, which represents boy. Every two minutes the figure spits spray of water several meters above the fountain basin.

  Resolutions of the 34th German Psychotherapists' Day

  • "Psychotherapists under fair conditions for care qualify ": ​​The draft law to reform training is welcomed, but more comprehensive financing of outpatient training costs is called for.
  • " Promote multi-professional care for mentally ill people with complex treatment needs ": The involvement of the G-BA, which is involved in the The delegates expressly welcome the development of concept. The committee should be given time for this until at least the end of 2021. The legislature should provide that necessary coordination services are remunerated.
  • "Children's rights belong in the Basic Law!"
  • "Integrate video treatment patient-oriented into psychotherapeutic care!": Reference is made to previous resolution of the DPT, according to which at least initial diagnosis, indication and clarification must be carried out in direct contact before video treatment. The delegates criticized parallel structures of the health insurance companies in the form of video treatment centers. The patient protection should not be restricted at any point by video treatment.
  • "Improve psychotherapeutic care in psychiatric clinics! The minimum personnel standards are overdue! "
  • " Psychotherapists must remain in the public service! The classification of psychotherapists in the collective bargaining agreements of the public service is not acceptable! "
  • " Recognize reports by psychological psychotherapists and child and adolescent psychotherapists in legal residence procedures! "