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Themenschwerpunkt

Was tun, bevor es losgeht? FRITZ – Das Frühinterventions- und Therapiezentrum in Berlin

Published Online:April 04, 2017https://doi.org/10.1024/1661-4747/a000309

Abstract

Zusammenfassung. Psychosen manifestieren sich häufig im jungen Erwachsenenalter und können schwerwiegende Auswirkungen auf das Leben der Betroffenen und ihrer Angehörigen haben. In den meisten Fällen geht der Erstmanifestation eine mehrjährige Prodromalphase mit heterogener Symptomatik und erheblichem Funktionsverlust voraus. Eine Identifikation dieser Personen mit erhöhtem Erkrankungsrisiko ermöglicht es, präventive Maßnahmen zu ergreifen. Eine frühe Diagnosestellung und Einleitung einer adäquaten Behandlung, die pharmakologische, psycho- und soziotherapeutische Ansätze umfasst, sind von hoher Bedeutung für die Prognose der Erkrankung. Am besten können diese Ziele im Rahmen von spezialisierten Behandlungsangeboten für junge, erstmals psychotisch erkrankte Menschen bzw. mit erhöhtem Erkrankungsrisiko erreicht werden. Während solche Zentren in vielen Ländern Teil der Regelversorgung sind, sind sie im deutschsprachigen Raum noch die Ausnahme. Das Frühinterventions- und Therapiezentrum FRITZ am Urban bietet ambulante und stationäre Angebote zur Behandlung von Risikopersonen für die Entwicklung psychotischer Störungen und Patienten in einer frühen Phase der Erkrankung. Durch niedrigschwellige Beratungsangebote, eine zugewandte und unterstützende Haltung des multiprofessionellen Teams, das Angebot stabiler Bezugspersonen, die Wahrung der Patientenautonomie, eine Stärkung des Selbstwertes, sowie den Einbezug von Peers soll ein positiver Erstkontakt mit dem Versorgungssystem ermöglicht werden. Die Behandlung ist intensiv psychotherapeutisch ausgerichtet und soll durch frühen Einsatz von Individual Placement and Support (IPS) Strategien nicht nur zu einer Symptomremission, sondern auch zu einer funktionellen Recovery beitragen.


What to do before it starts? FRITZ – The early intervention and therapy centre in Berlin

Abstract. First episode psychosis frequently manifest in young adulthood and can impact severely on the lives of the affected individuals and their relatives. In most cases, a first episode psychosis is preceded by a long-term prodromal phase with heterogeneous symptomatology and considerable functional impairment. The early identification of individuals at high risk of psychosis enables a timely implementation of preventive strategies, and an early diagnosis and the start of an adequate therapy, including pharmacological, psychotherapeutic and socio-therapeutic approaches, are essential for the prognosis of the disease. These aims are best achieved in specialised early intervention centres for young people experiencing first-episode psychosis. While in many countries such centres form part of standard care provisions, in German-speaking areas they remain the exception. The Early Intervention and Therapy Centre FRITZ am Urban offers in- and out-patient care for persons at risk of psychosis as well as for individuals in an early phase of the disease. Low-threshold counselling, an open and supportive attitude on the part of the multidisciplinary team, the availability of regular contact persons, the preservation of patient autonomy, the strengthening of a patient’s self-esteem and peer consultation and peer support are designed to create a positive first contact experience with the psychiatric care system. The treatment on offer is of a pronounced psychotherapeutic orientation, and an early application of Individual Placement and Support (IPS) strategies not only seeks to reduce symptoms but also to contribute to functional recovery.

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