Spectrum, rate and unmet needs of sociomedical interventions in outpatient psychotherapy

TY - JOUR

T1 - Spectrum, rate and unmet needs of sociomedical interventions in outpatient psychotherapy

AU - Schymainski, David

AU - Solvie, Julia

AU - Linden, Michael

AU - Rose, Matthias

N1 - © 2021 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.

PY - 2022/3

Y1 - 2022/3

N2 - OBJECTIVE: Psychological disorders often take a long-term course, resulting in impairment in daily life and work. Treatment must therefore target not only symptoms of illness but also capacity limitations and context restrictions, as outlined in the International Classification of Functioning, Disability and Health (ICF). This includes sociomedical and interdisciplinary interventions like coordination with other specialists, contact to employers and employment agencies, social support agencies, debt counselling, self-help and leisure groups. There are no data on the spectrum, rate and unmet needs of sociomedical interventions in outpatient psychotherapy.METHOD: Following a semistructured interview schedule, 131 psychotherapists in private practice were asked to report on unselected patients. The interviewer assessed to what degree 38 predefined sociomedical interventions were applied so far or should be considered in the future.RESULT: Reports for 322 patients were gathered. All sociomedical interventions were applied, depending on the sick leave status and course of illness. Cognitive behaviour therapists used more sociomedical interventions than psychodynamic therapists.CONCLUSION: The data show that sociomedical interventions are a frequent part of psychotherapy. They are used preferably in patients with participation restrictions. Psychotherapeutic concepts and education should include sociomedical aspects.

AB - OBJECTIVE: Psychological disorders often take a long-term course, resulting in impairment in daily life and work. Treatment must therefore target not only symptoms of illness but also capacity limitations and context restrictions, as outlined in the International Classification of Functioning, Disability and Health (ICF). This includes sociomedical and interdisciplinary interventions like coordination with other specialists, contact to employers and employment agencies, social support agencies, debt counselling, self-help and leisure groups. There are no data on the spectrum, rate and unmet needs of sociomedical interventions in outpatient psychotherapy.METHOD: Following a semistructured interview schedule, 131 psychotherapists in private practice were asked to report on unselected patients. The interviewer assessed to what degree 38 predefined sociomedical interventions were applied so far or should be considered in the future.RESULT: Reports for 322 patients were gathered. All sociomedical interventions were applied, depending on the sick leave status and course of illness. Cognitive behaviour therapists used more sociomedical interventions than psychodynamic therapists.CONCLUSION: The data show that sociomedical interventions are a frequent part of psychotherapy. They are used preferably in patients with participation restrictions. Psychotherapeutic concepts and education should include sociomedical aspects.

KW - Employment

KW - Humans

KW - Mental Disorders/therapy

KW - Outpatients

KW - Psychotherapy

KW - Social Support

U2 - 10.1002/cpp.2649

DO - 10.1002/cpp.2649

M3 - SCORING: Journal article

C2 - 34260112

VL - 29

SP - 590

EP - 599

JO - CLIN PSYCHOL PSYCHOT

JF - CLIN PSYCHOL PSYCHOT

SN - 1063-3995

IS - 2

ER -