LAUTERBACH – Dr. Med. honey. Friedrich Jungblut, chief medical officer of the Psychiatry and Psychotherapy Department of Eichhof Hospital in Lauterbach, knows these prejudices. They have nothing to do with reality. But what's really going on behind the doors of psychiatry?
First of all, Dr. Jungblut cleans quickly, doors are usually open. During the treatment break patients can also leave the ward and go for a walk. Relatives can visit during the day like at any hospital. Incidentally, only some patients were admitted to the hospital. Many attend a day clinic, that is, take therapies and offers of the clinic truthfully, but continue to live and sleep at home.
When you enter the house, you will notice colorful paintings on the walls. There is a quiet and relaxed atmosphere. "We're a normal hospital," the 41-year-old explains. Many patients also have additional physical ailments. Determining whether they are triggered or exacerbated by a mental illness, "is part of our work," the doctor explains.
Each station explains to Dr. Jungblut continues, offering a fixed weekly program for patients, and each patient has an individualized treatment plan. "People and their individual needs to recover again are at the heart of our work," he explains. The return to a self-determined life should be facilitated by therapy and "activation of offers." This includes promoting concentration and day-to-day skills, such as occupational therapy or social competency training. Sports and exercise offerings – whether individually or in a group – are also important. "What's good for me?" "It's an important question for patients to answer on their own," says Jungblut. Therefore, Eichhof Psychiatry offers so-called indulgence groups to experience positive sensory perceptions. a “multi-professional team” is available at each station. ”Friedrich Jungblut, who served as department head for two years and worked at Eichhof Hospital for four and a half years, also completed psychotherapy training in his specialist medical training. All physicians and psychologists, but also many nursing, occupational therapy, and social work employees, have different therapeutic qualifications that are acquired through regular internal and external training.
Eichhof Psychiatric Day, which employs over 70 people, most of whom are caregivers, starts the morning with a department team meeting: How did the night shift work? What is it today? What is the occupancy of cells? In the morning, department visits are completed, a therapy program begins and discussions are held with teams. "If I don't have a visit, we offer outpatient counseling and drug dependency outpatients, we also do home visits and visit nursing homes," said the chief medical officer. It has 40 beds for patients. In addition, there are places for a 21 day clinic. Treatment wards at wards and day clinics are usually fully booked. On average, patients stay in the clinic for 16 to 17 days and for longer in the daily clinic. "Our focus is also on outpatient care and care for our patients, where we have a good network with an entire complementary area, with further care offers, especially with Vogelsberg habitats, where there is a long-standing collaboration."
As for the development of mental illness over the last years and decades, the number of illnesses remains constant. "Schizophrenia or addictions do not occur more often today than they did 20 years ago; they also affect almost all social classes," says Jungblut. Here, however, there are differences in the type of drug among addicts. In rural regions like Vogelsberg, alcohol and cannabis are more important than drugs like cocaine or heroin, which are more likely to be available in urban areas. However, the diagnosis of depressive illnesses has increased. In the Vogelsbergkreis you lie in the German department. Overall, a social change has taken place. "Such illnesses are no longer as stigmatized as they were 30 or 40 years ago," explains a psychiatrist specialist. Although women are still more likely to admit their illness than men, the last increase is the number of people being treated. However, many would need a "small swing", for example from relatives. Young blood diplomatically. In the past, mentally ill men have had physical progress even more than they do today. However, mental illness, including alcoholism, would often be suppressed in 2019 as well. "We treat only a small fraction of addicts," Jungblut says. Much has been done in the past decades on patient care. Jungblut. The medical and psychotherapeutic treatment of mental illness has improved significantly. Also, psychiatry consists of much more than just giving medication. "First of all, it's important to have a good diagnosis, both physically and mentally."
By the way, there is no particular focus of treatment in Lauterbach. "We are also mandatory full-service providers in the district, that is, treating all psychiatric conditions in adults, with the exception of forensics." Mentally ill offenders are not the case for Eichhof Psychiatry – not even the closed ward.
There are no "classic" psychiatric patients. However, prejudices born of ignorance have already been born. Most patients can think straight and have a predominantly insight into the disease – rarely is this not an acute episode of illness, as is the case with psychotic patients. Many symptoms can have physical causes. Chief Medical Officer Jungblut gives an example of a demented patient who is unable to sleep, has been transferred to psychiatry, where he is found to have "only" bladder problems.
Although the psychiatric ward is basically an open house, there are patients who need a temporary restriction on freedom of movement, such as suicide or threatening other people. "We have two stations, one of which can be started and closed as needed." However, it is up to the judge in each individual case, for which there is clear legislation and case law. Many patients are not concerned. "We average one to two at the station." But even these patients should – once depending on the situation and accompanied by staff – be in the fresh air once. The focus would always be "What happened?" and "What should be better for the patient?".
Finally, it remains to be noted – the spectrum of "psychiatry" has nothing to do with reality. It’s about helping people in need, seeing what they need to be self-determined – like at any other hospital.