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Psychotherapy: Systemic therapy now benefits from statutory health insurance

Psychotherapy: Systemic therapy now benefits from statutory health insurance


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Systemic therapy is a new achievement of the statutory health insurance companies

In the future, systemic therapy as a benefit of the statutory health insurance (GKV) will also be available for the psychotherapeutic treatment of adults. On Friday, the Federal Joint Committee (G-BA) finally discussed the details of the use and decided to change the psychotherapy directive.

The Federal Joint Committee (G-BA) unanimously passed an amendment to its psychotherapy guideline on Friday. Systemic therapy as a psychotherapy procedure for adults is now a compulsory benefit of the statutory health insurance funds - in addition to the previously approved psychoanalytically based procedures and behavioral therapy.

Systemic therapy for adults

"In outpatient psychotherapy, psychoanalytically based procedures and behavioral therapy can already be used as so-called guideline procedures," explains Dr. Monika Lelgemann, impartial member and chair of the G-BA's subcommittee on psychotherapy, said in a statement.

“In the future, systemic therapy will also be available for adults, the details of the range of services are now regulated. We are currently preparing an application for a benefit assessment for the use of the method in children and adolescents, "said Dr. Lelgemann.

Therapy does not focus on the individual

As explained in the communication, systemic therapy is a psychotherapy procedure that attaches particular importance to the social relationships within a family or group for the development of a mental illness.

The therapy accordingly does not focus on the individual, but on the interactions between members of the family and the wider social environment. One of the attempts is to change symptom-promoting relationships or to counter them with a more functional self-organization of the patient.

According to the information, systemic therapy - like the other psychotherapeutic methods - can be offered as individual or group therapy or as a combination between individual and group therapy. "Multi-person setting" will also be possible as a specific application of systemic therapy.

Relevant caregivers of the patient are included in the treatment. If necessary, the use of systemic therapy in multi-person setting can also be combined with the use of individual or group therapy.

Trade associations have been advocating "cash register recognition" for years

According to a joint press release from the German Society for Systemic Therapy, Counseling and Family Therapy (DGSF) and the Systemic Society (SG), systemic therapy covers the entire area of ​​mental disorders, and the framework regulations that have now been adopted are expected to give it comparatively short treatment times.

“A lot of people in Germany have been waiting for this moment. A highly effective and innovative offer has been added to the psychotherapeutic range of statutory health insurance today, ”Dr. Ulrike Borst, chairwoman of the SG, made the decision of the G-BA.

The two systemic specialist associations DGSF and SG have for years called for the “health insurance” of systemic therapy. The current adaptation of the directive was quickly implemented within one year.

Proven effectiveness

The effectiveness of systemic therapy has been proven for common ailments such as depression and anxiety disorders, but it has also been shown, for example, in the treatment of people with psychosis or patients with multiple limitations.

The Systemic Society (SG) explains the benefits and effectiveness of systemic therapy. It works:

  • quickly because it focuses on strengths, resources and solutions
  • sustainable because it demonstrably has a long-term effect
  • also in the case of severe disorders in childhood and adolescence (severe disorders in social behavior, drug consumption disorders, eating disorders) and in adults (substance disorders, depression, schizophrenia, psychological disorders in somatic disorders, e.g. cancer, diabetes, pain)
  • this also applies to the “stepchildren of psychotherapeutic care”, such as migrants, chronically mentally ill people, the elderly and multi-problem families

It also saves healthcare costs by reducing the number of sessions, even over longer periods.

Private health insurance companies have been covering costs for a year

The decision was made possible by the application for the benefit assessment of the then impartial member of the G-BA, Dr. Harald Deisler, it says in the press release. It has ramifications for the insured beyond the area of ​​statutory health insurance.

Official insured persons can now also apply to the state aid agency for reimbursement of costs. Private health insurance companies have been covering the costs of systemic therapy for a year. (ad)

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.


Video: Intro to Health Care (October 2022).