[Psychotherapy - concepts, effect factors and a comparison of legal regulations in three German speaking countries]

Rosian K, Winkler R
Record ID 32018000205
German
Authors' objectives: Mental illnesses are an increasingly macrosocial issue and, according to the WHO Global Burden of Disease Study, are among the leading causes of illness-related impairments. In the treatment of persons with mental disorders, psychotherapy is of central importance. Psychotherapy has developed on the basis of various sciences (e.g., medicine or psychology) and has become an independent scientific discipline with specific methods. In order to answer the research questions, both a systematic literature search and manual search for key publications were carried out. These searches were supplemented with targeted manual searches for relevant and recent literature on the websites of institutions and expert associations. Furthermore, a semi-structured interview was conducted with three experts from the Federal Joint Committee (G-BA). The presentation of the results was based on a narrative-descriptive synthesis of the literature.
Authors' recommendations: When presenting the results regarding the legal regulations and requirements for state recognition of new psychotherapy methods, numerous differences could be shown: In Austria and Switzerland, for example, there are criteria in guidelines that have to be met for the recognition of new psychotherapeutic methods. In Germany, on the other hand, recognition is regulated by a benefit assessment procedure, based on the Rules of Procedure of the Federal Joint Committee. As a result, there are varying numbers of legally recognised psychotherapeutic methods in German-speaking countries that are eligible for reimbursement by national insurances for the outpatient sector. The requirements for the professional practice of psychotherapy are also regulated differently in the German-speaking countries (e.g. educational requirements, duration of education and entry requirements). During the working progress of this report, it has transpired that common effect factors are attributed greater importance for achieving therapeutic effects than, for example, the application of specific therapy techniques (specific effect factors). Looking at the results of legal regulations in the German-speaking area, the differences indicate that requirements and standards for the recognition of a new psychotherapeutic method differ substantially, which can be attributed to heterogeneous national legislations.
Details
Project Status: Completed
Year Published: 2017
URL for additional information: http://eprints.hta.lbg.ac.at/1143/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Austria
MeSH Terms
  • Humans
  • Psychotherapy
Contact
Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
Contact Name: tarquin.mittermayr@aihta.at
Contact Email: office@aihta.at
Copyright: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBI-HTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.