Heidelberg Federal Congress of the German Association for Drug Abuse e.V. "Analogue – Digital: a challenge for the treatment of drug addiction"

26th – 28. June 2019, Stadthalle Heidelberg

Digitization is transforming core sectors of our society at incredible speed. German healthcare – and with them the treatment and treatment of drug addiction – faces great challenges, with considerable opportunities but also risks. Digitization is on the one hand seen as a vector of hope through which

  • unpredictable opportunities for diagnosis, care and treatment are open,
  • open up new opportunities to address the medical and therapeutic shortage of skilled workers, particularly in underserved areas,
  • Health and well-being, for example in the case of mental health problems and mental disorders, can be supported by low-level information and advice portals tailored to the target group.

Such digital offerings can not only be used in the field of prevention and early intervention, but can also be networked with existing analog processing offerings and structures.

In addition, digitization poses many problems. This raises the question of ensuring the quality and effectiveness of appropriate online services related to health and addiction, including in the context of the removal of national borders associated with the Internet. In addition, a central question is how delineation and networking of online advice and analog processing can be usefully done. To this end, there are different approaches and perspectives in the international field in which technical, ethical, economic and supply-side aspects play a role.

Scanning opportunities are currently being used, particularly by companies other than the health sector, such as Google and Microsoft. In addition, there is the question of whether, given the growing desire to disclose more and more intimate data, particularly those related to wellbeing and mental health, new rules and ethical frameworks for the virtual world must be defined.

The treatment and treatment system for addiction is facing enormous challenges.

The Fachverband Sucht eV wants to contribute to the following fundamental objectives on the theme "Digitization of the health system and treatment / treatment of drug addiction" to ensure that the corresponding developments are used in the interest of the population and that additional opportunities s & # 39; open.

After all, the use of online media in this field is only another way to improve the health and physical, mental and spiritual well-being of people.

Objective 1

Digitization should be used to promote patient self-determination and the sustainability of interventions and opportunities for participation.

The right to informational self-determination regarding one's own data must be preserved as a fundamental right to privacy. In particular, policymakers, developers and users of digital media are encouraged to create the appropriate framework conditions to ensure compliance with the necessary ethical and data protection principles and the prevention of data processing abuses. personal character. Because who has the data, has the power.

Digitization, on the other hand, directly provides relevant health information, readily available screening and diagnostic procedures, direct contact and patient-clinician communication, and links care and treatment, as well as Link between prevention, counseling, therapy and follow-up services. In addition, it can strengthen the awareness and self-determination of patients and promote the sustainability of interventions.

Objective 2

Digitization should be used in a way that strengthens the relationship between the physician and the therapist and actually improves the patient's health.

Internet-based interventions have the potential to help improve the mental health of large segments of the population and reach populations in underserved areas. Online media allow people to access health information with a low threshold and no time.

Given the large number of health-related online offerings, however, there is an urgent need to ensure quality assurance of information platforms and, hence, offers of information. prevention, intervention, counseling and treatment on the Internet. For example, it is necessary to check the use of Internet-based self-management programs in the prevention and treatment of mental disorders on the basis of appropriate quality and quality criteria.

Trusted sites should be designated as a guide for the user by an authorized agency.

Objective 3

Digitization should help promote evidence-based treatment for interprofessional and interprofessional processing.

It is possible to develop online support systems that always use the current state of scientific knowledge. In addition, external experts may also be consulted as part of treatment or evidence-based early detection applications (such as skin cancer, alcohol-related disorders) may be used.

By linking the results of scientific studies to the data of everyday life, it is possible to study the systematic relationships concerning the benefits of treatment, its risks, interactions (for example, drugs) or relations between quality of life, health mental health and social / professional participation. In the field of drug treatment and treatment, for example, this opens up new opportunities for relapse prevention in daily life.

Objective 4

Quality assured digital offerings should be introduced in the context of prevention and diagnosis as well as medical and therapeutic care. Increasing mechanization, on the other hand, requires a return to the healing power of human proximity and affection, as well as an immediate personal encounter.

Interactive applications, smartphone-based services, etc. can help strengthen the physician-patient relationship and promote a participatory treatment process based on appropriate patient health literacy. However, the man is based on his basic needs and his senses on direct contact with other people and is therefore a social being. Digital media do not replace the direct human encounter, for example, direct contact physical contact is possible or all senses (including smell) and our emotional world are addressed in a comprehensive way.

The future is a combination of different forms of offer. Thus, combined interventions offer the potential to combine Internet-based interventions with direct personal contact treatment (eg, psychiatric, psycho / addictive). Different intensities are possible depending on the respective personal participation of therapists and doctors. Given the multiple possibilities offered by digitization, the intelligent inclusion of digital offerings in existing analog treatment strategies, especially in mental and substance abuse disorders, is the decisive challenge for the future. Therefore, it should be scientifically examined whether the use of independent or additional online services also ultimately contributes to improved care and value creation for the patient.

Evidence-based online or analog and digital combinations (eg for the prevention, treatment of depression, anxiety disorders) should be made available to the individuals concerned if the appropriate quality requirements for the appropriate target groups are met ( eg age) and proven studies (eg severity of a disorder) and be paid as part of standard care.

In the case of a mental disorder in its own right, the overall responsibility for treatment must rest with a licensed psychotherapist or specialist in the future. Effective therapeutic approaches to medical rehabilitation (addiction) as a complex treatment with various modules are needed in the future. Online offers include opportunities to help improve transitions (preparation, follow-up, etc.) before and after treatment.

Mailing address:
Dr. Monika sings birds
Member of the board of directors of the professional association addiction e.V.
Chefärztin
MEDIAN Clinic Münchwies
Tower Street 50-58
66540 Neunkirchen / Saar
monika.vogelgesang@median-kliniken.de

Dr. Volker Weissinger
General manager
Association Sucht e.V.
Walramstraße 3
53175 Bonn
v.weissinger@sucht.de

Sucht e.V. (FVS) is an active national association of institutions dedicated to the treatment, care and counseling of drug addicts (see www.sucht.de). It was founded in 1976 and now represents about 95 member institutions, with more than 6,800 hospital treatment centers and numerous outpatient treatment centers.

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