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Armed to psychotherapy is coming to a head

94'422 signatures they have collected – in just three months. They, the psychologists and family doctors, relatives of the mentally ill as well as patients, wh

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Armed to psychotherapy is coming to a head

94'422 signatures they have collected – in just three months. They, the psychologists and family doctors, relatives of the mentally ill as well as patients, who care about access to psychotherapy in Switzerland.

In its Petition, submitted in March, call on the Undersigned by the Federal Council, more powers for psychological psychotherapists. Today, this must be a psychiatrist employed, so health insurance companies will cover the cost of therapy. The billing is made by the psychiatrist who prescribed the therapy and supervised. Instead of this delegation model, the psychologists want to a layout model, how it are familiar with the physiotherapists. All physicians, for example, a house or children's doctors, should be allowed to prescribe a therapy, and the psychologists would no longer be employed in order to obtain money from the cash register.

"cost threatens an explosion"

The collective success of the psychiatrists be alarmed – so much so that the break out long-simmering dispute with the psychologists now open to the public. Trigger two opinion posts from Erich Seifritz. The President of the Association of Psychiatric chief doctors and chief physicians warns, the current "medical newspaper" and in a NZZ-guest comment with harsh words in front of it, the psychologist to the basic insurance. Their claim was "a great danger for the psychiatric-psychotherapeutic care in Switzerland," writes the chief of adult psychiatry at the Psychiatric University clinic in Zurich. For example, a "cost explosion-threatened by expansion in the Volume" – refers to a rising number of patients, if more Doctors and psycho-therapies may prescribe. In addition, the quality of treatment would suffer under the new System, because the control by the psychiatrist lacked.

Switzerland would be to copy a "broken System," writes Seifritz with reference to Germany. There may have been visiting for twenty years, of any Person directly a psychological psychotherapist. Need only a certificate from the family doctor, to ensure that no physical disease affects the therapy. In consequence, the waiting times had risen to a therapy place, in spite of more psychotherapists, writes Seifritz. And it had opened up a trench: While psychiatrists more seriously ill, such as Schizophrenic took care of, treated psychologists, especially people with mild disorders, such as Burn-outs or life crises. Seifritz’ public criticism in the industry in an uproar. Well-known experts disagree with the chief doctor vehemently: "It is not me absolutely why a System that gives patients greater choice, to be worse," says Jérôme Endrass, specialist psychologist for law, psychology, and psychotherapy.

The chief of staff of the Zurich office of law enforcement (JuV), when the psychiatrist wanted to protect "his own garden". In this case, the target had to be the "best available therapy for all patients" – even for those who were dependent on the reimbursement by the basic insurance. "Wealthier patients can psychotherapists now a psychological. You simply pay yourself for it."

The psychologists will be supported by the house and paediatricians.

It was by no means in such a way that a psychiatrist would be the seriously ill tear says Endrass. "In truth, nobody wants you. In Zurich, for instance, it is very difficult to find psychiatrists a treatment place for people with schizophrenia. Often, these need to be in a dispensary of a clinic to be treated."

With Thomas Noll, head of forensics at the JuV, and himself a psychiatrist, has Endrass posted a replica, which is this newspaper. In it, you argue from a market-economic considerations for the new System. "If the psychotherapists meet with great, thriving practice, if not, you are away from the window," they write. With this free choice some psychiatrists, however, would have trouble – because they benefited from the current System. This was marked by a "hierarchical conception of the gods in White".

Seifritz’ attack also ensures the Association of Psychologists FSP for outrage. "The allegations are without basis," said spokesman Philipp Thüler. A doctor's prescription even with the new model necessary to make sure that there is no "expansion in the Volume and cost explosion". Instead of prolonged waiting periods would be closed thanks to a simplified arrangement, a supply gap, particularly in the country, and in the case of children, says Thüler. He also suspects other motives behind the criticism. "In today's model psychiatrist can earn easily, if you let psychologists work for themselves. Mr Seifritz has been afraid that the Tariff could be for a shrink with the increasing competition under pressure."

the psychologist of the house and paediatricians are Supported. The Association's President, Philippe Luchsinger stresses, that in future, professionals arrange the therapy and would run. The only difference is that the psychologists were not employed. Free access to psychotherapy, as in Germany, not in Switzerland.

"Great emotions"

Seifritz' opinion does not correspond to that of a psychiatrist, says Pierre Vallon, the President of the society for psychiatry and psychotherapy. The Association does not have consolidated his position. A majority, however, wanted to remain with the delegation model. "For the psychiatrist would change financially and organizationally, a lot of the strong emotions that triggers," says Vallon. The psychiatrist could not be simply replaced by psychologists. This would have little clinical skills to treat patients with severe psychiatric disorders.

Despite these reservations, the psychologists are confident that Even in the Parliament, the pressure on the Federal Council is growing. Currently nine initiatives on the issue are pending. In its reply, the Federal Council no longer considers that the current arrangements for adequately. At the same time, he feared, but higher costs. If he is to adopt a new regulation for the psychotherapy, it will show after the consultation, which starts in June. Otherwise, the psychologists examine a citizens ' initiative. The Petition has shown that The signatures are likely to soon, you will have together.

(editing Tamedia)

Created: 15.04.2019, 23:41 PM

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