Sebastian Von Peter
Dados Biográficos
| ID | 3591020 |
|---|---|
| NOME | Sebastian Von Peter |
| PRENOMES | Sebastian |
| SOBRENOME | Von Peter |
| ASSINATURA | VON PETER S |
| AFILIAÇÕES | Medizinische Hochschule Brandenburg Theodor Fontane |
| ORCID | 0000-0002-8187-5444 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAÇÕES | 16 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
Attitudes of Peer Support Workers towards the Medical Model
Attitudes of Peer Support Workers are generally expected to be grounded in recovery philosophy. They may encounter resistance from Mental Health Workers, which tend to be more closely aligned with the medical model. We aim to investigate how PSWs relate in clinical contexts to some main aspects of medical model-based attitudes. This research is part of the larger ImpPeer-Psy5 project, involving 57 interviews with PSWs, MHWs, and service users. Th…
Implementing peer support work in mental health care in Germany
BACKGROUND: Starting in the 1990s in the United States, individuals with lived experience of mental health crises and recovery have been employed as peer support workers (PSWs) internationally. However, the implementation of PSW in clinical contexts remains challenging. METHODS: This manuscript presents and discusses the methodological framework of the ImpPeer-Psy5 study on the PSW implementation in the German mental healthcare sector. This study…
Participatory Process Evaluation of Flexible and Integrative Treatment (FIT) Models in German Psychiatry – A Mixed Method Study
Flexible and integrative treatment (FIT) services in Germany make it possible to shift mental health inpatient care to day- and outpatient care. This paper presents the results of the mixed methods, participatory process evaluation (= PE) of the PsychCare clinical trial, which compares the outcomes of nine FIT departments to those of eight standard mental health care services. This PE integrates diverse data using a program theory and data transf…
Exploring the Relationship Needs of Service Users During Crisis Interventions
People in crisis sometimes seek professional support, and the relationship between service users and professionals is crucial in overcoming the crisis. To understand the relationship needs of people in crisis, 29 semi-structured interviews with service users were conducted and analyzed using a grounded-theory approach. The findings reveal that people in crisis seek a professional who is there for them, recognizes the crisis as an emergency and a …
Internalized stigma in mental health staff with lived experience of mental crises–Does the professional role protect against self-stigmatization
The relationship between self-stigma, workplace stigma, and vulnerability should be investigated in terms of mutual causality in order to derive possible strategies of reducing self-stigma along with its detrimental effects. Possible reasons for the low levels of self-stigma are discussed in the light of limitations, including processes of self-selection, with highly self-stigmatizing individuals being possibly discouraged from participating. Str…
Lived experiences matter
Mental health professionals are not external to the clinical situation. Their lived experiences do matter, shaping their beliefs and concepts and, thus, possibly also their actions toward patients
How to measure staff continuity in intensive psychiatric home treatment
Our results suggest that a high number of different staff in the early period of IOC episodes correlates with an extended LOS. Future research must clarify the exact mechanisms of this correlation. Furthermore, it should be investigated how the multiple professions within IOC teams influence the LOS and the quality of treatment and what quality indicators may be suitable to ensure treatment processes
Needs and Experiences in Psychiatric Treatment (Nept)- Piloting a Collaboratively Generated, Initial Research Tool to Evaluate Cross-Sectoral Mental Health Services
The NEPT tool seems to be promising for further development to assess the experiences with and fulfillment of needs of psychiatric care models from the perspective of users. This paper demonstrates that it is possible to use a participatory-collaborative approach within the methodologically rigorous confines of a prospective, controlled research design
Flexible and Integrative Psychiatric Care Based on a Global Treatment Budget
Background: The past decade has witnessed the establishment of flexible and integrative treatment (FIT) models in 55 German and Polish psychiatric catchment areas. FIT is based on a global treatment budget (GTB), which integrates funding of all acute psychiatric hospital services for a regional population. Prior research has identified 11 specific program components of FIT in Germany. In this paper we aim at assessing the applicability of these c…
Physicians’ Perspectives on the Implementation of the Second Opinion Directive in Germany—An Exploratory Sequential Mixed-Methods Study
A new Second Opinion Directive (SOD) was introduced in Germany in December 2018 for hysterectomy, tonsillotomy, and tonsillectomy to support shared decision making and to avoid unnecessary surgeries. Owing to its recent implementation, evidence and insights regarding outcomes and challenges encountered with the SOD are lacking, notably from the physicians' perspective. To assess this, we undertook an exploratory sequential mixed-methods design wi…
Distributing Reflexivity through Co-laborative Ethnography
In ethnographic research and analysis, reflexivity is vital to achieving constant coordination between field and concept work. However, it has been conceptualized predominantly as an ethnographer’s individual mental capacity. In this article, we draw on ten years of experience in conducting research together with partners from social psychiatry and mental health care across different research projects. We unfold three modes of achieving reflexivi…
Dialogue as a Response to the Psychiatrization of Society? Potentials of the Open Dialogue Approach
In recent decades, the use of psychosocial and psychiatric care systems has increased worldwide. A recent article proposed the concept of psychiatrization as an explanatory framework, describing multiple processes responsible for the spread of psychiatric concepts and forms of treatment. This article aims to explore the potentials of the Open Dialogue (OD) approach for engaging in less psychiatrizing forms of psychosocial support. While OD may no…
Supported Employment, Participation at Work, and Peer Support
Background: For people who have experienced mental health crises or psychosocial disabilities, it is considerably more difficult to receive support to participate in work on an equal basis with others. In the town of Geesthacht, in Northern Germany, an integrative care network was implemented that allows for acute psychiatric treatment as well as participation in work and activities. This paper aims to explore the principles, advantages, and chal…
Multiperspective and Multimethod Evaluation of Flexible and Integrative Psychiatric Care Models in Germany
Background: New cross-sectoral mental health care models have been initiated in Germany to overcome the fragmentation of the German health care system. Starting in 2013, flexible and integrative psychiatric care model projects according to §64b SGB V German Social Law (FIT64b) have been implemented. The study "PsychCare" combines quantitative and qualitative primary data with routine health insurance data for the evaluation of these models. Effec…
Ethnography in Health Services Research
The well-known divergence between what policy and protocol look like on paper, and what happens in the actual practice of daily life remains a central challenge in health services provision and research. This disparity is usually referred to as the theory-practice gap and contributes to concerns that scientific evidence fails to make substantial impacts on the processes of service delivery. In this article, we present an argument for the inclusio…
Implementation of a Global Treatment Budget in Psychiatric Departments in Germany—Results and Critical Factors for Success From the Staff Perspective
Results point to the importance of new forms of multi-professional cooperation, training programs, improvement of work conditions, and guidance of the implementation process by systematic Change Management for future implementations of FIT. Our exploratory findings require further validation to guide practical improvements in FIT implementation. Longitudinal observations and a multilevel analysis should yield a better understanding of the relevan…
Changes in German Mental Health Care by Implementing a Global Treatment Budget—A Mixed-Method Process Evaluation Study
Based on the results, we developed 3 core mechanisms of change of FIT64b models: (1) Need-adaptedness and flexibility; (2) Continuity of care; (3) Maintaining everyday life. Our findings outline and emphasize the potential a GTB approach may have for improving psychiatric hospital services
Evaluation of Flexible and Integrative Psychiatric Treatment Models in Germany—A Mixed-Method Patient and Staff-Oriented Exploratory Study
Contrary to the practice in some countries, access to flexible and integrated forms of psychiatric care (FIT models) is limited in Germany. Several legislations have been introduced to improve this situation, notably the recent §64b (flexible and integrative treatment model; FIT64b) of the German Social Code, which allows for a capitation-based accounting of fees for services. The aim of this study was to explore the effects of FIT64b implementat…
Development and Preliminary Validation of the Scale for Evaluation of Psychiatric Integrative and Continuous Care—Patient’s Version
This pilot study aimed to evaluate and examine an instrument that integrates relevant aspects of cross-sectoral (in- and outpatients) mental health care, is simply to use and shows satisfactory psychometric properties. The development of the scale comprised literature research, held 14 focus groups and 12 interviews with patients and health care providers, item-pool generation, content validation by a scientific expert panel, and face validation …
Exploring embodied perspectives of change within a psychiatric context
Agency, materiality and mental illness
Chronic' identities in mental illness
The term 'chronicity' is still widely used in psychiatric discourse and practice. A category employed in political, administrative and therapeutic contexts, it guides practitioners' beliefs and actions. This paper attempts a review of the attitudes and procedures that result as a consequence of identifying 'chronically' disturbed identities in clinical practice. An essentially social, relational and materialist understanding of mental illness is …
Cultivating vagueness to treat the severely mentally ill
The Temporality of “Chronic” Mental Illness
The concept of 'mental trauma' and its transcultural application
Impaired 'traumatic' memory of disaster-affected populations has come to the forefront of humanitarian work. In this article, the application of the notion of 'mental trauma' by psychosocial intervention programmes, relating to the tsunami disaster, will be critically examined. It will be shown in which type of theoretical structure the guidelines' notion of 'mental trauma' is rooted, presenting 'traumatic' experience as a division of the self, w…
Chronic' identities in mental illness
The term 'chronicity' is still widely used in psychiatric discourse and practice. A category employed in political, administrative and therapeutic contexts, it guides practitioners' beliefs and actions. This paper attempts a review of the attitudes and procedures that result as a consequence of identifying 'chronically' disturbed identities in clinical practice. An essentially social, relational and materialist understanding of mental illness is …
Ethnography in Health Services Research
The well-known divergence between what policy and protocol look like on paper, and what happens in the actual practice of daily life remains a central challenge in health services provision and research. This disparity is usually referred to as the theory-practice gap and contributes to concerns that scientific evidence fails to make substantial impacts on the processes of service delivery. In this article, we present an argument for the inclusio…
The concept of 'mental trauma' and its transcultural application
Impaired 'traumatic' memory of disaster-affected populations has come to the forefront of humanitarian work. In this article, the application of the notion of 'mental trauma' by psychosocial intervention programmes, relating to the tsunami disaster, will be critically examined. It will be shown in which type of theoretical structure the guidelines' notion of 'mental trauma' is rooted, presenting 'traumatic' experience as a division of the self, w…
Attitudes of Peer Support Workers towards the Medical Model
Attitudes of Peer Support Workers are generally expected to be grounded in recovery philosophy. They may encounter resistance from Mental Health Workers, which tend to be more closely aligned with the medical model. We aim to investigate how PSWs relate in clinical contexts to some main aspects of medical model-based attitudes. This research is part of the larger ImpPeer-Psy5 project, involving 57 interviews with PSWs, MHWs, and service users. Th…
Participatory Process Evaluation of Flexible and Integrative Treatment (FIT) Models in German Psychiatry – A Mixed Method Study
Flexible and integrative treatment (FIT) services in Germany make it possible to shift mental health inpatient care to day- and outpatient care. This paper presents the results of the mixed methods, participatory process evaluation (= PE) of the PsychCare clinical trial, which compares the outcomes of nine FIT departments to those of eight standard mental health care services. This PE integrates diverse data using a program theory and data transf…
Exploring the Relationship Needs of Service Users During Crisis Interventions
People in crisis sometimes seek professional support, and the relationship between service users and professionals is crucial in overcoming the crisis. To understand the relationship needs of people in crisis, 29 semi-structured interviews with service users were conducted and analyzed using a grounded-theory approach. The findings reveal that people in crisis seek a professional who is there for them, recognizes the crisis as an emergency and a …
The Experience of `Mental Trauma' and its Transcultural Application
Approaches to the mental health care of refugees and disaster survivors have recently been subject to sustained critique. This article critically examines the notion of `mental trauma' as it has been used by psychosocial intervention programmes addressing the aftermath of the 2004 Asian tsunami. The objective is to shed light on the guidelines' implicit and explicit assumptions about how people are expected to act and feel after a disaster, there…
The concept of 'mental trauma' and its transcultural application
Impaired 'traumatic' memory of disaster-affected populations has come to the forefront of humanitarian work. In this article, the application of the notion of 'mental trauma' by psychosocial intervention programmes, relating to the tsunami disaster, will be critically examined. It will be shown in which type of theoretical structure the guidelines' notion of 'mental trauma' is rooted, presenting 'traumatic' experience as a division of the self, w…
The Temporality of “Chronic” Mental Illness
Cultivating vagueness to treat the severely mentally ill
Exploring embodied perspectives of change within a psychiatric context
Agency, materiality and mental illness
Chronic' identities in mental illness
The term 'chronicity' is still widely used in psychiatric discourse and practice. A category employed in political, administrative and therapeutic contexts, it guides practitioners' beliefs and actions. This paper attempts a review of the attitudes and procedures that result as a consequence of identifying 'chronically' disturbed identities in clinical practice. An essentially social, relational and materialist understanding of mental illness is …
Development and Preliminary Validation of the Scale for Evaluation of Psychiatric Integrative and Continuous Care—Patient’s Version
This pilot study aimed to evaluate and examine an instrument that integrates relevant aspects of cross-sectoral (in- and outpatients) mental health care, is simply to use and shows satisfactory psychometric properties. The development of the scale comprised literature research, held 14 focus groups and 12 interviews with patients and health care providers, item-pool generation, content validation by a scientific expert panel, and face validation …
Evaluation of Flexible and Integrative Psychiatric Treatment Models in Germany—A Mixed-Method Patient and Staff-Oriented Exploratory Study
Contrary to the practice in some countries, access to flexible and integrated forms of psychiatric care (FIT models) is limited in Germany. Several legislations have been introduced to improve this situation, notably the recent §64b (flexible and integrative treatment model; FIT64b) of the German Social Code, which allows for a capitation-based accounting of fees for services. The aim of this study was to explore the effects of FIT64b implementat…
Implementation of a Global Treatment Budget in Psychiatric Departments in Germany—Results and Critical Factors for Success From the Staff Perspective
Results point to the importance of new forms of multi-professional cooperation, training programs, improvement of work conditions, and guidance of the implementation process by systematic Change Management for future implementations of FIT. Our exploratory findings require further validation to guide practical improvements in FIT implementation. Longitudinal observations and a multilevel analysis should yield a better understanding of the relevan…
Changes in German Mental Health Care by Implementing a Global Treatment Budget—A Mixed-Method Process Evaluation Study
Based on the results, we developed 3 core mechanisms of change of FIT64b models: (1) Need-adaptedness and flexibility; (2) Continuity of care; (3) Maintaining everyday life. Our findings outline and emphasize the potential a GTB approach may have for improving psychiatric hospital services
Distributing Reflexivity through Co-laborative Ethnography
In ethnographic research and analysis, reflexivity is vital to achieving constant coordination between field and concept work. However, it has been conceptualized predominantly as an ethnographer’s individual mental capacity. In this article, we draw on ten years of experience in conducting research together with partners from social psychiatry and mental health care across different research projects. We unfold three modes of achieving reflexivi…
Dialogue as a Response to the Psychiatrization of Society? Potentials of the Open Dialogue Approach
In recent decades, the use of psychosocial and psychiatric care systems has increased worldwide. A recent article proposed the concept of psychiatrization as an explanatory framework, describing multiple processes responsible for the spread of psychiatric concepts and forms of treatment. This article aims to explore the potentials of the Open Dialogue (OD) approach for engaging in less psychiatrizing forms of psychosocial support. While OD may no…
Supported Employment, Participation at Work, and Peer Support
Background: For people who have experienced mental health crises or psychosocial disabilities, it is considerably more difficult to receive support to participate in work on an equal basis with others. In the town of Geesthacht, in Northern Germany, an integrative care network was implemented that allows for acute psychiatric treatment as well as participation in work and activities. This paper aims to explore the principles, advantages, and chal…
Multiperspective and Multimethod Evaluation of Flexible and Integrative Psychiatric Care Models in Germany
Background: New cross-sectoral mental health care models have been initiated in Germany to overcome the fragmentation of the German health care system. Starting in 2013, flexible and integrative psychiatric care model projects according to §64b SGB V German Social Law (FIT64b) have been implemented. The study "PsychCare" combines quantitative and qualitative primary data with routine health insurance data for the evaluation of these models. Effec…
Ethnography in Health Services Research
The well-known divergence between what policy and protocol look like on paper, and what happens in the actual practice of daily life remains a central challenge in health services provision and research. This disparity is usually referred to as the theory-practice gap and contributes to concerns that scientific evidence fails to make substantial impacts on the processes of service delivery. In this article, we present an argument for the inclusio…
Needs and Experiences in Psychiatric Treatment (Nept)- Piloting a Collaboratively Generated, Initial Research Tool to Evaluate Cross-Sectoral Mental Health Services
The NEPT tool seems to be promising for further development to assess the experiences with and fulfillment of needs of psychiatric care models from the perspective of users. This paper demonstrates that it is possible to use a participatory-collaborative approach within the methodologically rigorous confines of a prospective, controlled research design
Flexible and Integrative Psychiatric Care Based on a Global Treatment Budget
Background: The past decade has witnessed the establishment of flexible and integrative treatment (FIT) models in 55 German and Polish psychiatric catchment areas. FIT is based on a global treatment budget (GTB), which integrates funding of all acute psychiatric hospital services for a regional population. Prior research has identified 11 specific program components of FIT in Germany. In this paper we aim at assessing the applicability of these c…
Physicians’ Perspectives on the Implementation of the Second Opinion Directive in Germany—An Exploratory Sequential Mixed-Methods Study
A new Second Opinion Directive (SOD) was introduced in Germany in December 2018 for hysterectomy, tonsillotomy, and tonsillectomy to support shared decision making and to avoid unnecessary surgeries. Owing to its recent implementation, evidence and insights regarding outcomes and challenges encountered with the SOD are lacking, notably from the physicians' perspective. To assess this, we undertook an exploratory sequential mixed-methods design wi…
Internalized stigma in mental health staff with lived experience of mental crises–Does the professional role protect against self-stigmatization
The relationship between self-stigma, workplace stigma, and vulnerability should be investigated in terms of mutual causality in order to derive possible strategies of reducing self-stigma along with its detrimental effects. Possible reasons for the low levels of self-stigma are discussed in the light of limitations, including processes of self-selection, with highly self-stigmatizing individuals being possibly discouraged from participating. Str…
Lived experiences matter
Mental health professionals are not external to the clinical situation. Their lived experiences do matter, shaping their beliefs and concepts and, thus, possibly also their actions toward patients
How to measure staff continuity in intensive psychiatric home treatment
Our results suggest that a high number of different staff in the early period of IOC episodes correlates with an extended LOS. Future research must clarify the exact mechanisms of this correlation. Furthermore, it should be investigated how the multiple professions within IOC teams influence the LOS and the quality of treatment and what quality indicators may be suitable to ensure treatment processes
Implementing peer support work in mental health care in Germany
BACKGROUND: Starting in the 1990s in the United States, individuals with lived experience of mental health crises and recovery have been employed as peer support workers (PSWs) internationally. However, the implementation of PSW in clinical contexts remains challenging. METHODS: This manuscript presents and discusses the methodological framework of the ImpPeer-Psy5 study on the PSW implementation in the German mental healthcare sector. This study…
Participatory Process Evaluation of Flexible and Integrative Treatment (FIT) Models in German Psychiatry – A Mixed Method Study
Flexible and integrative treatment (FIT) services in Germany make it possible to shift mental health inpatient care to day- and outpatient care. This paper presents the results of the mixed methods, participatory process evaluation (= PE) of the PsychCare clinical trial, which compares the outcomes of nine FIT departments to those of eight standard mental health care services. This PE integrates diverse data using a program theory and data transf…
Exploring the Relationship Needs of Service Users During Crisis Interventions
People in crisis sometimes seek professional support, and the relationship between service users and professionals is crucial in overcoming the crisis. To understand the relationship needs of people in crisis, 29 semi-structured interviews with service users were conducted and analyzed using a grounded-theory approach. The findings reveal that people in crisis seek a professional who is there for them, recognizes the crisis as an emergency and a …
Psychology (22 obras) · Mental health (18 obras) · Medicine (15 obras) · Psychiatric care and mental health services (14 obras) · Psychiatry (14 obras) · Sociology (13 obras) · Computer Science (10 obras) · Epistemology (10 obras) · Mental Health Treatment and Access (10 obras) · Political science (10 obras)