Every effort has been made to convert the EPA 2020 scientific programme into a fully virtual programme. Thank you to all the presenters who have submitted their recordings in advance. These are available as on-demand webcasts in the interactive programme. Please note that some presenters were not yet able to pre-record their presentations, therefore there are still some sessions with some missing presentations.
The Perspective of Hospital-Based Care - S025
Abstract
Abstract Body
Concepts like person-centred or personalized care on the one hand and the newer term precision medicine have something in common, do partly overlap, but still elaborate different approaches to the patient. In some sense, they are borrowing from the bio-psycho-social model (Engel, 1980) in that they favor a multi-perspective approach to the ill person. But whereas the personalized approach has a more ‘holistic’ approach of the whole ‘person’ in mind, taking the ill person as an integrate unity of body, mind and brain with related needs, precision psychiatry as the newest concept aims at ‘tailoring of medical treatment to the individual characteristics of each patient … (by) classifying individuals into subpopulations that differ in their susceptibility to a particular disease or in their response to a specific treatment’ (NRC, 2011). However, although the genetic, neurobiological and technical state of the art is growing rapidly, their clinical applicability is still in its early adolescence (Perna et al., 2017). Persons with schizophrenia are the ones who profit most from a person-centred approach in early recognition, treatment, rehabilitation and care (Gaebel & Zielasek, 2016; Schizophrenia Guideline, DGPPN 2019). The broad spectrum of available effective interventions needs to be applied across an increasingly interconnected, integrated network of settings, in which the hospital is one component of a complex system of care. Hospital-based care like other components needs to follow the guidelines of person-centred care. The presentation will focus on the current state and future perspectives of hospital-based personalized treatment and care of schizophrenia.
The Perspective of Community-Based Care - S026
Abstract
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The personal experience with care and life with a diagnosis of schizophrenia is an essential foundation of the recovery-concept. Recovery-orientation is widely endorsed as a guiding principle of mental health policy and warrants the realization of person-centered approaches. Core elements include empowerment, resilience, dignity, self-determination, choice, and community inclusion. People with a diagnosis of schizophrenia benefit from flexible support for everyday life in the community in core areas of personal life, such as housing, health, education, employment, and family life. Community-based alternatives to conventional services, pertaining to e.g. acute crisis interventions, independent living, and vocational rehabilitation, need to be implemented in the context of emerging empirical evidence on the value of supporting a person’s individual preferences as well as legal developments with regard to self-determination and social inclusion as formulated in the UN Convention on the Rights of Persons with Disabilities (CRPD). The UN-CRPD includes a call for the inclusion of persons with lived experience of psychosocial disabilities in service planning, delivery, quality assurance, and research. Data show peer support is feasible and effective in different forms in the community. User-led research as well as collaborations between researchers with and without lived experience of psychosis have significantly impacted the development of the recovery model and the focus on person-centeredness of care. Such collaborations have consequences with regard to research topics, methods as well as dissemination and are paramount for meeting the scientific responsibilities of recovery-orientation and person-centered care for persons with a diagnosis of schizophrenia in the community.