Julian Schwarz 1*, Laura Galbusera 1, Andreas Bechdolf 2,3,4, Thomas Birker 5, Arno Deister 6, Annette Duve 7, Philip Heiser 8, Kerit Hojes 9, Sonja Indefrey 1,10, Jakob Johne 1,10, Burkhard Rehr 1,10, Sandeep Rout 11, Harald Scherk 12, Anna Schulz-Du Bois 13, Bettina Wilms 14, Dyrk Zedlick 15, Manfred Zeipert 1,10,13, Martin Heinze 1 and Sebast. Industries: Health Care, Mobile Apps, Personal Health, Wellness. Mental health in Germany | Statista Additional informations are provided under the Availability of data and materials section. Selfapy has received a total investment of 6.6 million to date, from a total of 8 investors. //]]>. Reasons for delay and prompts to seek help for mental health problems in an Australian clinical sample. 7 March 2019]; Available from: https://www.bbsr.bund.de/BBSR/DE/Raumbeobachtung/Raumabgrenzungen/SiedlungsstrukturelleRegionstypenEuropa/downloadangebot.html?nn=443162. Polit Anal. Moreover, for patients with a recurrent moderate, mild or non-specified and a first severe episode, convergence of EB for the subgroup in the GP program required dropping the skewness requirement, which means that these subgroups are only comparable to the PNP sample with regard to the mean and variance of the included covariates. Psychiatr Prax. Headquarters: Dsseldorf, Nordrhein-Westfalen, Germany, Industries: Health Care, Health Diagnostics, Wellness. The idea behind this startup: Zentor combines scientific insights, happiness research, and technology to provide inspiration for more happiness in life. The goal is to help users* improve their mental health in particular. Lancet. The idea behind this startup: Innoviva develops and provides breath analyzers for lab-quality diagnostics. excluding these patients could reduce the generalizability) and b) our main interest was to compare health plans (therefore, our priority was to generate comparable groups of a sufficient size to enable balancing and severity specfic assessments). For instance, if substance abuse develops in the course of a depressive disorder in an attempt to self-medicate, qualified withdrawal, rehabilitation and long-term monitoring should be prefered over the type of treatment we assessed [42, 64]. For this purpose, we focus on patients with depression the largest homogenous subgroup of our trial sample and assess two potential mediators that could explain the results of the cost comparison. Moreover, we compare treatment intensity by assessing the number of psychotherapy sessions and the rates of adequate pharmacotherapy. If you're in trouble or know someone who is, call them anonymously. This selection bias is expectable, since the insured can choose freely between the different health plans. 1981;68(2):3739. Therapie.de offers a wealth of information on mental health issues in Germany. Headquarters: Heidelberg, Baden-Wurttemberg, Germany. Mental health care in Germany: current state and trends PubMedGoogle Scholar. N=5.918 had a first episode and N=4.879 a recurrent episode with a moderate severity. 2011;9(1):90. Google Scholar. We provide additional reverse survival curves that illustrate the effect for the subsequent sessions in Figs. Looking for your next great book to read? Industries: Fitness, Health Care, Wellness. Article BMC Psychiatry Queer refugees welcome is a website for LGBTIQ* refugees living in Germany. Frequency of feeling specific negative emotions Germany 2021. It is leading to more frequent and intense extreme weather events such as storms and floods. 1.2) Mental health helplines for Russian speakers. In view of our aim to identify mediators that explain our previous findings, we wanted to maintain comparability to our previous analysis by using similar inclusion criteria [36]. They can advise on international students' issues, so get in contact if you're struggling. N=23,245 patients were included. In 2019, mental illness was responsible for almost half of all cases of early retirement. Mental health law in Germany Mental health law in Germany BJPsych Int. 2017;24(3):64960. Kassebaum NJ, et al. In this process, the psychological, emotional, and physical health of the user*s is tracked to provide a personalized assessment of their mental health based on their answers. Latest reviews. Mental health care in Germany: Current state and trends 3. 29 Best Wellbeing Startups Headquartered in Germany . However, we found no evidence that the PNP contract improves guideline adherence or the outcomes for chronic and severe cases and independent of the health plan our results suggest a gap in sufficient utilization of adequate treatment options. GP general practitioner program, PNP psychiatry-neurology-psychotherapy contract, UC usual care. From Crisis to Success: The Outsourcing Strategy Every Startup Needs, The Impact of Non-Startup Activities on Organizational Culture. Plots on treatment type, the number of therapy sessions and sick leave days for patients with mild or non-specified depression. IsHak WW, et al. Steinert C, et al. In addition, the treatment intensity required for remission is presumably higher and our sample is only a subset of those suffering from depression, because many do not seek professional help [30,31,32]. Methods In a population . whether waiting times depend on depression severity and relative urgency): Does the PNP contract in the specialists program increase the rate of patients with depression treated according to guidelines compared to UC and the GP program? The GPs ability to provide optimal care and coordinate treatment for patients with chronic disorders is to some extent reliant on sufficient interactive communication and collaboration with specialists [33, 34]. Providing professional counseling for those that need more, and 3. Dtsch Arztebl Int. A rise in both consumer interest and purchasing power presents tremendous opportunities for companies, particularly as spending on personal wellness rebounds after stagnating or even declining during the COVID-19 crisis. Top Mental health companies | VentureRadar - in contrast to UC - patients need a referral from their GP to gain access to specialist care. Sozialdienst katholischer Frauen Berlin is a Catholic women's organization offering support, shelter, and advice to women in need. The effects of waiting for treatment: A meta-analysis of waitlist control groups in randomized controlled trials for social anxiety disorder. 2005;43:11309. Mental health law in Germany - PubMed Germany's parliament (Bundestag) has decided to withdraw the German Armed Forces' (Bundeswehr) participation from the United Nations (UN) Multi-dimensional Integrated Stabilisation Mission (MINUSMA) in Mali. In this analysis, we aimed to find mediators that could explain the reduction of sick pay and sick leave days due to common mental disorders in the specialist program, which we found when we compared the costs for the treatment of common mental disorders between the specialist program, the GP program and UC [36]. The most important key figures provide you with a compact summary of the topic of "Mental health Germany" and take you straight to the corresponding statistics. Provided by the Springer Nature SharedIt content-sharing initiative. These changes also affect patients in the specialists program, because they are simultaneously enrolled in the GP program. A Closer Look at Mental Health in Germany - The Borgen Project TrustScore 4.8 | 4,508 reviews. Required fields are marked *, By using this form you agree with the storage and handling of your data by this website. Gtersloh: Bertelsmann Stiftung; 2014. For patients with a first episode of moderate depression for whom we observed lower treatment rates sick leave days were 37.68days lower in the specialists program than in UC, t (5918)=6.21, p<.001, and 14.08days lower than in the GP program, t (5918)=2.69, p=.0071 and hospitalization rates were descriptively lower. Find the most up-to-date statistics about mental health in Europe. Table 4. These mental disorders were selected, because they often co-occur with one another, are often treated by the same specialists and are important from a payers perspective due to high costs or prevalence. Br J Psychiatry. Selfapy, the online provider of therapy support tools, aims to identify negative thinking patterns and subsequently train new, healthy behaviors. Klauber J, et al. Just so you know, Pretty Progressive may collect a share of sales from the links on this page. They have offices across Berlin and are available 16:00 to midnight to handle crises in a range of languages including English. Versorgungs-Report 2013/2014: Schwerpunkt: Depression. Then, we examined whether the effect of these accumulated sick leave days on waiting time for psychotherapy and on the frequency or sessions was stronger for patients in the specialists program compared to UC or the GP program. Visit their website for advice on choosing a therapist and explore their directory of local mental health professionals. We estimate the global wellness market at more than $1.5 trillion, with annual growth of 5 to 10 percent. Walendzik A, et al. First, we balanced for healthcare costs and service use, which includes sick pay, outpatient, inpatient and medication costs, sick leave days, hospital days, antidepressant prescriptions within the last 6months and psychotherapy within the last 2months. HIV is extremely rare), we did not balance for it, because EB might assign high weights to individual patients in an attempt to balance rare disorders, which would make the analysis prone to outliers. 2020;21:111. Arch Gen Psychiatry. and over 1Mio. Cost-of-illness studies of depression: a systematic review. Terms and Conditions, For the GP program, we found no signficant differences in the waiting time or the frequency of sessions. Depression treatment in Germany - BMC Psychiatry This withdrawal from Mali will . Industries: Biotechnology, Health Care, Health Diagnostics, Life Science, Software, Wellness, The idea behind this startup: ABATONHealth, Industries: Health Care, Medical, Wellness. Survey on how much attention people pay to their mental health Germany 2021. 2013;27(4):32138. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Additional production for The Sunday Read was contributed by Emma Kehlbeck, Parin Behrooz, Anna Diamond, Sarah Diamond, Jack D'Isidoro, Elena Hecht, Desiree Ibekwe, Tanya Prez, Marion Lozano . The idea behind this startup: INSENIO GmbH provides high burden of self-esteem and often leads to uncertainty in dealing with other people. Figure1. The whole thing works via an app, which is available for download in the app store for both iOS and Android devices. Wittchen H-U, Jacobi F. Die Versorgungssituation psychischer Strungen in Deutschland eine klinisch-epidemiologische Abschtzung anhand des Bundes-Gesundheitssurveys 1998. Accordingly, it is an all-round package: both mental and physical health are included in this application. Mental health in Europe - statistics & facts | Statista Boxplots on the number of sick leave days. Hainmueller J. Entropy balancing for causal effects: a multivariate reweighting method to produce balanced samples in observational studies. Google Scholar. These types of extreme weather events . Percentage of worldwide population that had depression from 1990 to 2019, by gender Share of the population that had anxiety disorders worldwide 1990-2019, by gender Share of the population with . During the week, how often do you feel sleepy, too tired or have difficulty concentrating at school or work? Which of the following problems do you see as the biggest challenge that young people face today? Due to varying update cycles, statistics can display more up-to-date Consequently, we assume that the decline in treatment rates could be attributable to the reduced utilization of specialist care observed in the GP program [54]. Your email address will not be published. We plotted the estimated marginal means and confidence bands ( 1 Standarderror) from the two-part model. Headquarters: Stuttgart, Baden-Wurttemberg, Germany, Your email address will not be published. It will help companies negotiate and sign contracts faster, BLIK summarized 2021: nearly 113 million in revenue, June 30 marks the return of the #OMGKRK Summer Jam this time at Forty Kleparz. Rock P, et al. The PNP contract implemented new legal regulations on accessibility in neurology and psychiatry and readjusted multiple regulations in the field of psychotherapy when compared to UC or the GP program. Instead, we provide the results on the these cases in the supplement (see supplemental figure 1 and supplemental Tables3, 4, 5, 6). Reducing waiting times for patients who are contributing the most to high productivity losses could explain the reduction of sick leave days and sick pay observed in our recent analysis [36]. Industries: Fitness, Health Care, Nutrition, Wellness, Founders: Calin Popescu, Valerie Bures-Bonstrom. The gap time was defined as the delay in days from the previous sessions or the delay from the index sick leave date for the initial session. Fifth, there were notable differences between the groups at baseline. Bmj. The curves were plotted only for the comparison of usual care (UC) with the specialists program. In Germany, however, mental health care funding and organization of services does not effectively incentivize the collaboration between outpatient care providers and intersectorial collaboration with hospitals. Especially since 2016, the wave of mental health startups began to reach Germany. We calculated the chi-square test with the Rao-Scott second order correction, in order to compare the proportion of the six different treatment types in the three health plans. PubMed Thomas DR, Rao J. Small-sample comparisons of level and power for simple goodness-of-fit statistics under cluster sampling. Moreover, we tested for negative effects of these reduced treatment rates on productivity losses or hospitalization. Table 3 shows the results of the PWP-gap time model. If you want to enter your startup to be in the running for the top startup of 2021 orlearn more about our competition click here. Mental health and loneliness in the German general population - Nature Bromet E, et al. Nevertheless, sick leave days still vary substantially within subgroups and there is large overlap between the distributions of sick leave days by severity (see supplemental figure 4), which suggests that accumulated sick leave days are a more precise proxy for subjective burden. studierendenWERK counsel those studying at Berlin universities. Depression treatment in Germany using claims data to compare a collaborative mental health care program to the general practitioner program and usual care in terms of guideline adherence and need-oriented access to psychotherapy. Great Recession Shift-share instrument 1. 2010;107(40):700. They focus on fighting discrimination in all areas, including racism, sexism, and homophobia. A meta-analysis. Moreover, preferred access or reduced waiting times for psychotherapy for patients with severe and acute depression could be advantageous, because in UC patients with high symptom severity are insufficiently treated [19,20,21] and patients with high severity might benefit to a larger extent from psychosocial interventions [51, 52]. 2013;2014:2154. Big launch on Real Estate: the bidding system starts! Magaard JL, et al. Eur Arch Psychiatry Clin Neurosci. The idea behind this startup: Selfapy offers a therapy support tool that helps recognize negative patterns of thought and train new behavior. PubMed Central Int J Methods Psychiatr Res. Slowly, but steadily. The received license permits the use of the data for the purpose of the research proposal within our company, exclusively. MH is a licensed psychotherapist and JLM is in the process of training as a psychodynamic psychotherapist. The samples in the three health plans were systematically different with regard to various characteristics at baseline irrespective of whether we analyzed the six subgroups or all moderate and severe cases. 2011;171(1):5665. Umfrage der Landespsychotherapeutenkammern und der BPtK, 2011. Barkham M, et al. Surveys conducted by German health insurance company, DAK, revealed that 24% of 800,000 tested children had some sort of psychological anomaly although less than 2% of those tested between the ages of 10 and 17 were diagnosed with depression. Similar to our previous analysis [36], we again found that patients in the specialists program had on average a worse health status e.g. Model coefficients for the number of therapy sessions in the 12-month after the index diagnosis. Wherever you are, you'll be able to access a local helpline that can help give you the advice and support you need. We decided to categorize individuals based on the most severe diagnosis they received (assuming recurrent > first episode and severe > moderate > mild). Consequently, we found no evidence that these lower treatment rates have a negative effect on productivity losses or hospitalization. ":"&")+"url="+encodeURIComponent(b)),f.setRequestHeader("Content-Type","application/x-www-form-urlencoded"),f.send(a))}}}function B(){var b={},c;c=document.getElementsByTagName("IMG");if(!c.length)return{};var a=c[0];if(! Regarding need-orientation, we observed that the effect of each additional month of sick leave on the likelihood of starting psychotherapy was increased by 6% in PNP compared to UC. Industries: Consumer Goods, Fitness, Health Care, Nutrition, Wellness. Get quick analyses with our professional research service. Befrienders Worldwide is led through volunteer action. The continuing deinstitutionalisation process and the . Youth Compass is a mentoring and counseling service for expat teenagers and young adults. 2015 Feb 1;12 (1):14-16. doi: 10.1192/s2056474000000088. On the regression analysis of multivariate failure time data. Not only in general society, but also specifically in business, more and more people are becoming aware of the (once taboo) topic. Germanys mental health care system lacks an effective mechanism to distribute the available resources according to symptom severity. VAHAs goal is to motivate people with passion to reach their full potential, making a fulfilling and energetic life possible. Alonso J, et al. London: National Institute for Health and Care Excellence; 2004.https://www.nice.org.uk/guidance/cg90/resources/depression-in-adults-recognition-and-management-pdf-975742636741. 2011;21(9):65579. 2023 BioMed Central Ltd unless otherwise stated. 18 June 2019]; Available from: https://www.whocc.no/ddd/. Symptoms such as tiredness, fatigue, exhaustion and sleep disturbances have increased among working people in recent years. Hence, there are few natural ways to collaborate. Overview and forecasts on trending topics, Industry and market insights and forecasts, Key figures and rankings about companies and products, Consumer and brand insights and preferences in various industries, Detailed information about political and social topics, All key figures about countries and regions, Market forecast and expert KPIs for 1000+ markets in 190+ countries & territories, Insights on consumer attitudes and behavior worldwide, Business information on 70m+ public and private companies, Detailed information for 35,000+ online stores and marketplaces. Mental health in Germany - statistics & facts | Statista In order to fulfill the legal requirements to obtain that kind of data, researchers must conclude a contract with the AOK BW regarding data access. Harvard Rev Psychiatry. prior experience with antidepressants or psychotherapy) and on patient characteristics (e.g. Melartin TK, et al. Table 2. Industries: Dietary Supplements, Wellness. In the app, all necessary documents can be kept at once: Vaccination record, medication schedule, health card, etc. 24. 2008 7 June 2019]; Available from: https://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf. It is unclear, whether this issue can be solved solely by implementing alternative health plans, because several studies indicate that the attitude towards mental disorders [59,60,61] and a lack of knowledge about mental health problems [62] contribute to insufficient or delayed utilization of mental health care. Clicking on the following button will update the content below. The global cost of mental-ill health through lost productivity, absences and staff turnover is estimated to be around $2.5 trillion annually. Founders: Farina Schurzfeld, Katrin Bermbach, Nora Blum. However, EB or another matching technique is necessary to adequately controll for this bias, which is difficult if there are large difference at baseline or if the sample size is insufficent to find enough comparable cases. The idea behind this startup: German based Healthtech/Clean Air company provides smart Indoor Health Ecosystem engineered to save lives and protect the environment. We defined sufficient pharmacotherapy as over 180 daily defined dosis (DDD) [46] of antidepressants. J Am Stat Assoc. adequate pharmacotherapy or psychotherapy rates). 2014;23(3):289303. Lower utilization rates for specialists care are intended and expected in a gatekeeping framework [26] and as assumed by stepped care interventions [55] they do not have to result in lower remission rates if they only impact minor interventions that the GP can provide as well. Take advantage of Child Helpline International and find the right help for you. Psychol Med. Ann Stat. Moreover, it implements a stepped payment scheme that grants a substantial surplus for the first 10 psychotherapy session for patients suffering from acute disorders (e.g. Reverse survival curves for the first therapy session. For this reason, you can now find the best 5 mental health startups from Germany here. Int J Public Priv Healthc Manage Econ. Google Scholar. Setting Up Company Insurance in Germany; Risk Coverage for Businesses in Germany; Health Insurance. statement and Industries: Communications Infrastructure, Fitness, Health Care, Health Insurance, Information Technology, Wellness, Founders: Katharina Juenger, Patrick Palacin, Reinhard Meier. We conducted a retrospective observational cohort study based on health insurance claims data. J Affect Disord. Nonetheless, our study has its limitations. However, we found no indication for increased guideline adherence and independent of the health plan a gap in sufficient utilization of adequate treatment options. These statistics indicate that the group in the specialists program had a higher utilization of health services and a worse health status at baseline. Major depressive disorder is a highly prevalent disorder with a lifetime prevalence of 14.6% in high income countries [1] and a 12-month prevalence of 7% in Germany [2]. Changes in German Mental Health Care by Implementing a Global Treatment Ieso Digital Health Total funds raised: 27.8m Ieso Digital Health (previously trading under PsychologyOnline) provides online cognitive behavioural therapy (CBT) for the treatment of common mental illnesses such as depression, anxiety and other disorders. In 2021, almost 60 percent of people in Germany said that they were unable to switch off . If youre looking for professional help in Germany check out our listings of expat-friendly mental health services: Are you an expat service provider in Germany? The cost of depressiona cost analysis from a large database. GP-centered health care in Baden-Wrttemberg, Germany: Results of a quantitative and qualitative evaluation. Mental health among immigrants in Germany - BMC Public Health The platform's catalog of therapists specializes in helping expat populations with the unique stresses of life abroad. Referral and consultation communication between primary care and specialist physicians: finding common ground. Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: the mental health module of the German health interview and examination survey for adults (DEGS1-MH). Zepf S, Mengele U, Hartmann S. Zum Stand der ambulanten psychotherapeutischen Versorgung der Erwachsenen in der Bundesrepublik Deutschland. It was founded in October 2016 by Felix Frauendorf and Max Goering to help people recognize the symptoms of depression at an early stage. The AOK BW did not participate in the analysis or interpretation of data. The latter assists during stressful periods in life and arranges specialist appointments if necessary. Accordingly, we found no differences in the amount of sessions or the appropriateness of pharmacotherapy. This approach allowed us to assess waiting times as the difference in days between that sick leave diagnosis and the first therapy session. By using this website, you agree to our Weighted proportion of adequately or inadequately treated patients by severity subgroups. J Clin Psychiatry. Founded 2018. The company is currently in the Series B financing phase and employs approximately 65 people. Garbage in-garbage out? Licensees are not allowed to pass the data to a third party, or to create software or data bases with the exception of scientific publications. We recommend conducting longterm studies that merge primary with secondary data. PubMed Central Self-reported utilization of mental health services in the adult German populationevidence for unmet needs? Industries: Internet, Retirement, Wellness. After we identified patients with depression who were on sick leave due to a mental disorder in 2015, we applied entropy balancing to adjust for selection effects and employed chi-squared tests to compare guideline adherence of the received treatment between PNP, the GP program and UC. Ward-equivalent treatment (WeT) is a complex psychiatric-psychotherapeutic treatment in the patients' home environment in times of acute diseases and is, thus, an alternative to an in-patient stay. We found that the relative benefit of the specialists program declines in these sessions. moderate and severe depression), but only if these are provided within a limited time period. The online platform PRNEWS.IO, developed by a startup, is already helping clients save tens of thousands of dollars annually, mostly due to zero fees Onlyfans is starting to get into the Web3 and NFT space by launching an NFT trading card platform called Zoop. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Article They have meetings in several countries across the globe, and you can usually find an English-speaking community. Therapy Route is an online directory of mental health professionals worldwide. The idea behind this startup: Humanoo is a digital health platform for employees and policyholders. Founder*: Calin Popescu & Valerie Bures-Bonstrom. Melchior H, et al. Psychotherapy was defined as at least one session and phamacotherapy as at least one antidepressant prescription within the 12-month observational period. 13 September 2022. With an aim to make counseling accessible and affordable for all, the platform connects people with accredited and experienced mental health professionals. 2018 18 June 2019]; Available from: https://www.kbv.de/html/bundesarztregister.php. Survey on resigning from a job due to burnout or mental illness in Germany 2021. Who is Tarique Rahman and why are there calls for his extradition from the UK? The violence against women support hotline (Hilfetelefoon Gewalt gegen Frauen) is available 24/7 in Germany for women who need advice and confidential support.
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