Systemic psychotherapy soon to be insured?

Systemic psychotherapy soon to be insured?

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G-BA lays the foundation for health insurance funded systemic psychotherapy

Systemic psychotherapy can provide relief for a variety of mental illnesses, but so far it has usually had to be paid out of one's own pocket. Because it is not part of the service catalog of statutory health insurance. However, that could change soon. The Federal Joint Committee (G-BA) has now confirmed the benefits and the medical necessity of systemic therapy for adults, according to the current announcement by the German Society for Systemic Therapy, Counseling and Family Therapy (DGSF).

With the recognition of the benefits and medical necessity of systemic therapy for adults, the G-BA laid the foundation for systemic psychotherapy to be covered by statutory health insurance companies in the future, reports the specialist society. The G-BA's subcommittee on psychotherapy now had to begin advising on extending the psychotherapy directive to include systemic therapy.

Good news for patients

"The G-BA's recognition of systemic therapy is good news for patients in Germany"; emphasizes Dr. Björn Enno Hermans, Chairman of the German Society for Systemic Therapy, Counseling and Family Therapy. The offer of a funded systemic therapy means an important improvement of the psychotherapeutic treatment offer.

Clear vote for systemic psychotherapy

According to the DGSF, the decision of the G-BA was made possible "with the votes of the National Association of Statutory Health Insurance Physicians, the German Hospital Society and the three impartial members, following a clear plea by G-BA Chairman Professor Josef Hecken for the recognition of systemic therapy."

Approval for various areas of application

With this vote, the benefits of systemic therapy in five areas of psychotherapy are identified, including the most common mental illnesses: anxiety and obsessive-compulsive disorder and mood disorders (depression). In order to be approved as a health service, the benefits must be proven for these indications.

Benefit assessment by the IQWiG

The decision was based on a benefit assessment by the Institute for Quality and Efficiency in Health Care (IQWiG), which on behalf of the G-BA examined the benefits in seven areas of disruption. “In 2013, the then impartial member Dr. Harald Deisler provided, ”reports the DGSF. Systemic therapy was recognized by the Scientific Advisory Board on Psychotherapy ten years ago.

Adjustment of the psychotherapy guideline required

"We welcome the fact that for the first time in 31 years, a highly effective psychotherapy procedure is once again to be included in the health insurance benefits catalog," emphasizes Dr. Ulrike Borst, Chair of the Systemic Society (SG). Mental illnesses have long become widespread diseases and those affected have to rely on every possibility of help. Until the systemic therapy becomes a health insurance benefit, the patient has to be patient a little longer, because in the next step the concrete adjustment of the psychotherapy guideline has to be carried out, according to the association.

Hope for an early implementation

According to a response from the Federal Ministry of Health to a small request from Bündnis 90 / Die Grünen in the Bundestag, the evaluation process for systemic therapy should be completed, reports the DGSF. "We are pleased that the G-BA has improved psychotherapeutic care in Germany and that based on today's decision on systemic therapy, it will soon be available to all patients," said Sebastian Baumann, Executive Vice President Psychotherapy the SG. (fp)

Author and source information

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