Auch für die klinische Notfallmedizin: Implementierung eines klinischen Kriseninterventionsteams

During and after crisis-like, potentially traumatising events, prompt, low-threshold and professional psychosocial support (clinical crisis intervention) should be offered in hospitals and be an integral part of psychosocial care in hospitals, including support for relatives in the context of life-threatening conditions or serious diagnoses or psychological stress consequences for employees—the so-called “second victims”. Clinical emergency medicine and intensive care medicine are particularly important here, as a large proportion of acute cases fall within their area of responsibility and they therefore play a central role in requesting crisis intervention. While established systems of psychosocial emergency care with fixed quality standards already exist in the non-clinical and preclinical area, there is a lack of comparable systematisation in the in-clinical area.

For this reason, experts with several years of experience in the field of crisis intervention structures have come together to formulate content-related, organisational and structural recommendations for the implementation and establishment of a crisis intervention team with the help of a multiphasic approach.

The article outlines a six-phase implementation strategy, ranging from the initial conception and pilot processes to sustainable stabilisation in everyday clinical practice. This is an ongoing process that requires adaptation to local conditions and is based on continuous evaluation and adjustment. Each phase includes specific steps such as stakeholder and needs analysis, concept development, formal decision-making, professionalisation and team and organisational development. “Lessons learnt” from the authors’ experience and a graphic illustration provide support.