PMID- 22427124
OWN - NLM
STAT- MEDLINE
DCOM- 20120522
LR  - 20191210
IS  - 1438-3608 (Print)
IS  - 1438-3608 (Linking)
VI  - 58
IP  - 1
DP  - 2012
TI  - [Evaluation of outpatient treatment units according to the Crime Victims' 
      Regulation Act].
PG  - 42-54
AB  - OBJECTIVE: Over the past years, 35 trauma outpatient units have been established 
      in accordance with the Crime Victims' Compensation Act in the federal state of 
      North Rhine-Westphalia (Germany) for both children and adolescents as well as for 
      adults. They are operated by the social welfare authorities and, since 2008, by 
      the regional authorities of Westphalia-Lippe and Rhineland. They enable victims 
      to receive qualified psychotraumatological help within the first few days after 
      suffering violence. Since trauma units have now been set up across most parts of 
      this federal state, the time has come to assess the effectiveness of their acute 
      care provision to victims of violence. METHODS: In 2007, on the order of the 
      Ministry of Labour, Health and Social Affairs of the federal state of North 
      Rhine-Westphalia, trauma outpatient units were subjected to scientific 
      evaluation. In 17 trauma outpatient units, a data assessment protocol was 
      officially implemented that included repeat measurements (immediately before the 
      initial contact, after completion of intervention, at follow-up six months after 
      intervention) of traumatized subjects aged 14 and older. Socio-demographic data 
      were gathered, and the scores of the Impact of Event Scale - Revised (IES-R), the 
      Symptom Checkliste-27 (SCL-27), the simplified Beck Depressions Inventory 
      (BDI-V), the Global Assessment of Functioning Scale (GAF) as well as the Cologne 
      Risk Index (CRI) (expert rating) were collected. RESULTS: Nearly three-fourths 
      (65.9 %) of the traumatic experiences of the 211 patients investigated can be 
      characterized as type-1 traumatisation. 31.8 % of patients were victims of crimes 
      involving violations of the right to sexual self-determination (94.0 % of sexual 
      offences being committed against girls and women). Crimes against physical 
      integrity, which according to crime statistics are the most frequent of crimes 
      against individuals (88.8 %, 34.8 % females), were suffered by 36.0 % of all 
      patients of the trauma outpatient units (63.2 % being females). In 57.1 % of the 
      victims, the interval between the traumatic event and initial intervention was 
      less than a month. In 51.7 % (n = 109), suspicion of PTBS (F43.1) was raised at 
      the initial presentation. The average of all instruments yielded an effect size 
      of d = 1.04 (SD = 0.28) in a pre-post comparison. Pair-wise comparison showed 
      highly significant differences in averages between pre and post (that is, between 
      initial and follow-up measurements) in the sense of marked symptom reduction for 
      all scales. CONCLUSIONS: The services of the trauma outpatient units are utilized 
      in a timely and targeted fashion. The calculated effects show that the trauma 
      outpatient units offer highly effective services to crime victims seeking help 
      there.
FAU - Bollmann, Kirsten
AU  - Bollmann K
AD  - Klinik und Poliklinik fur Psychosomatik und Psychotherapie, Universitatsklinikum 
      Munster, Domagkstr. 22, Munster.
FAU - Schurmann, Ivonne
AU  - Schurmann I
FAU - Nolting, Bjorn
AU  - Nolting B
FAU - Dieffenbach, Ina
AU  - Dieffenbach I
FAU - Fischer, Gottfried
AU  - Fischer G
FAU - Zurek, Gisela
AU  - Zurek G
FAU - Bering, Robert
AU  - Bering R
FAU - Heuft, Gereon
AU  - Heuft G
LA  - ger
PT  - Journal Article
TT  - Evaluation der Traumaambulanzen nach dem Opferentschadigungsgesetz in 
      Nordrhein-Westfalen.
PL  - Germany
TA  - Z Psychosom Med Psychother
JT  - Zeitschrift fur Psychosomatische Medizin und Psychotherapie
JID - 100886617
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Ambulatory Care Facilities/*legislation & jurisprudence
MH  - Child
MH  - Crime Victims/*legislation & jurisprudence/*psychology
MH  - Crisis Intervention/*legislation & jurisprudence
MH  - Female
MH  - Follow-Up Studies
MH  - Germany
MH  - Humans
MH  - Male
MH  - Outcome Assessment, Health Care
MH  - Personality Inventory
MH  - Referral and Consultation/legislation & jurisprudence
MH  - Sex Offenses/legislation & jurisprudence/psychology
MH  - Stress Disorders, Post-Traumatic/diagnosis/psychology/*therapy
MH  - Wounds and Injuries/psychology
MH  - Young Adult
EDAT- 2012/03/20 06:00
MHDA- 2012/05/23 06:00
CRDT- 2012/03/20 06:00
PHST- 2012/03/20 06:00 [entrez]
PHST- 2012/03/20 06:00 [pubmed]
PHST- 2012/05/23 06:00 [medline]
AID - 10.13109/zptm.2012.58.1.42 [doi]
PST - ppublish
SO  - Z Psychosom Med Psychother. 2012;58(1):42-54. doi: 10.13109/zptm.2012.58.1.42.