Die Behandlungsabsprache als Partizipationsmethode in der  Kinder- und Jugendpsychiatrie

Wedemeyer, Friederike

dc.contributor.advisor	Wiesemann, Claudia Prof. Dr.
dc.contributor.author	Wedemeyer, Friederike
dc.date.accessioned	2022-01-17T10:32:07Z
dc.date.available	2022-01-27T00:50:06Z
dc.date.issued	2022-01-17
dc.identifier.uri	http://hdl.handle.net/21.11130/00-1735-0000-0008-59F5-0
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-9030
dc.language.iso	deu	de
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc	610	de
dc.title	Die Behandlungsabsprache als Partizipationsmethode in der Kinder- und Jugendpsychiatrie	de
dc.type	doctoralThesis	de
dc.title.translated	The Treatment Agreement As a Way to Encourage Child Participation in Child and Adolescent Psychiatry	de
dc.contributor.referee	Poustka, Luise Prof. Dr.
dc.date.examination	2022-01-20
dc.description.abstracteng	Background: Children’s participation in all matters affecting themselves is guaranteed by human rights documents such as the UN Convention on the Rights of the Child. Yet, patients in child and adolescent psychiatric hospitals suffer from double marginalisation as minors and mentally ill patients, thus, special care should be taken to safeguard their rights. So far, little research efforts have been invested into exploring the means and effects of children`s participation in psychiatric decision making. One form of advance care planning are treatment agreements which are already established in some adult psychiatric clinics. Child and adolescent psychiatry could follow this example. Objective: We investigated available options for child participation and developed an advance care document for child and adolescent psychiatric hospitals in collaboration with the Child and Adolescent Psychiatric Hospitals at the University of Göttingen. To this aim, we carried out explorative qualitative interviews with hospitalised children, their parents and staff members to explore the need for advance care planning, and we organised two workshops. Results: Children, parents and staff members stated several positive effects of a treatment agreement in psychiatry. It could increase child trust, reduce fear and help safeguard respect for the dignity of the child. Both parents and children would expect to profit from increased reliability of the hospital team. Doctors expect positive effects on transparency as well as crisis prevention. Based on this assessment, a treatment agreement document was developed together with staff members, including psychiatrists, a psychotherapist and a nurse, as well as ethicists and a law student. The document comprises an information and an agreement part. Conclusion: Supported by hospitalised child and adolescent psychiatric patients, their parents and staff members, we succeeded in developing a practicable treatment agreement. Once established, this form of advance care planning could contribute to safeguarding minors’ participation rights in healthcare decision making.	de
dc.contributor.coReferee	Meyer, Thomas Prof. Dr.
dc.subject.eng	participation	de
dc.subject.eng	child and adolescent psychiatry	de
dc.subject.eng	ethics	de
dc.subject.eng	advance care planning	de
dc.subject.eng	treatment agreement	de
dc.identifier.urn	urn:nbn:de:gbv:7-21.11130/00-1735-0000-0008-59F5-0-7
dc.affiliation.institute	Medizinische Fakultät	de
dc.subject.gokfull	Medizin (PPN619874732)	de
dc.subject.gokfull	Psychiatrie (PPN619876344)	de
dc.subject.gokfull	Ethik	de
dc.description.embargoed	2022-01-27
dc.identifier.ppn	178629043X