[Assessment-Based Home Treatment for People with Severe Psychotic Disorders].

Abstract:

OBJECTIVE:Although there is growing evidence for clinical effectiveness of crisis resolution teams (also called Home Treatment Teams) for patients with severe psychotic disorders, a lot of studies suffer from poor model fidelity, which leads to an ignorance of specific effective factors. METHODS:Here we present the implementation of an assessment-based Home Treatment in Germany. Assessment-derived therapeutic tasks are shared between team members by a manualized process. RESULTS:We visited 32 patients almost 600 times in 15 months. The median was 15.5 visits per patient. Adherence to Home Treatment intervention was significantly stronger (unplanned discharge 16 %) compared to prior hospitalization (unplanned discharge 50 %) (Chi-square test, p = 0.003). CONCLUSION:Applying this model, a detailed definition of specific tasks for team members leads to a high model fidelity and increases patients' compliance to therapy.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Sturm D,Arends S,Henke T,Reichmann C,Janssen B,Görtz P

doi

10.1055/s-0034-1387633

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

333-8

issue

6

eissn

0303-4259

issn

1439-0876

journal_volume

43

pub_type

杂志文章
  • [Involuntary hospital admissions of mentally ill patients--how specific are differences among the German Federal States?].

    abstract:OBJECTIVE:Estimates for the proportion of involuntary admissions and coercive measures applied in general mental health care and in residential care for the elderly were developed. Sector-specific rates and quotas for Germany as a whole and for the sixteen Federal States were calculated, and the change of these indicat...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2006-952010

    authors: Salize HJ,Spengler A,Dressing H

    更新日期:2007-04-01 00:00:00

  • [Comparative effectiveness of flupenthixol and risperidone on negative symptoms of schizophrenia].

    abstract::The efficacy of flupentixol and risperidone were compared in a randomized double-blind study in 153 chronic schizophrenic patients. Flupentixol showed to be not inferior to risperidone concerning schizophrenic negative symptoms at week 8, 16 and 24. Positive symptoms and general psychopathology improved comparably, to...

    journal_title:Psychiatrische Praxis

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Philipp M,Lesch OM,Schmauss M,Dose M,Glaser T

    更新日期:2003-05-01 00:00:00

  • [Influences of second generation antipsychotics on the course of schizophrenia].

    abstract::Although there were multiple initiatives to modify course and outcome of schizophrenia by optimizing present psychopharmacologic strategies many unsolved problems still exist. There is no doubt that first generation antipsychotics reduce positive symptoms of psychosis but the impact on negative symptoms or disturbance...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2004-828473

    authors: Messer T

    更新日期:2004-11-01 00:00:00

  • [Obstacles to innovation].

    abstract::Three publications by K.P. Kisker that appeared in the 'sixties of the present century are milestones along an important path of panoramic changes in the recent history of psychiatry. They are model reflections of the steps or stages towards a new approach to understanding the social system represented by the hospital...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Veltin A

    更新日期:1987-08-01 00:00:00

  • [Management of drug dependent patients in Offenbach/Main and experiences with after-care at the psychiatric department of urban clinics].

    abstract::The report describes the inpatient and out-patient treatment facilities for alcoholics in a defined catchment area and the experience gathered by the initiation of out-patient group therapy for a group of alcoholics at the general community hospital in Offenbach/Main. The goal of the group therapy at the hospital was ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Fiedler D

    更新日期:1994-01-01 00:00:00

  • [Computer-assisted training in genetically-induced neuropsychological deficits. A case report of a patient with de Grouchy syndrome I (chromosome 18 p syndrome)].

    abstract::The present case study is a report on computer-based training approach in a male patient suffering from the de-Grouchy syndrome I (with a characteristic chromosomal deletion pattern), who along with psychotic symptoms displayed neuropsychological deficits. Participating in a well-established intervention programme aim...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Olbrich R,Wöhrle C,Cohen S

    更新日期:1998-05-01 00:00:00

  • [Dimensions of Luck and Happiness in Psychiatric Nursing].

    abstract:OBJECTIVE:The purpose of this article is to discuss various aspects of the concepts of luck and happiness within the field of psychiatric nursing. METHODS:Personal factors, work characteristics and work environment were included and combined with case studies from a local hospital. RESULTS:Fortune and happiness of ps...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0044-102189

    authors: Hahn B,Nienaber A,Schulz M

    更新日期:2018-07-01 00:00:00

  • [Architecture and design of mental health institutions].

    abstract:BACKGROUND:The physical environment of mental health institutions is regarded as a therapeutic agent within the treatment. There is only little scientific evidence on the consequences of architecture and design on psychiatric patients available. METHODS:A systematic review was conducted on studies from adult mental he...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1360032

    authors: Richter D,Hoffmann H

    更新日期:2014-04-01 00:00:00

  • [Treatment of delirium tremens--a comparison between clomethiazole and clorazepate with reference to effectiveness and rate of side effects].

    abstract::In an open clinical trial patients with full-developed delirium tremens were treated either by controlled infusion of clomethiazol (n = 21) or by intravenous injections of clorazepate (n = 20). Acute symptomatic quickly decreased after a few days and medication could be reduced. By adding haloperidol a further stabili...

    journal_title:Psychiatrische Praxis

    pub_type: 临床试验,杂志文章

    doi:

    authors: Caspari D,Wappler M,Bellaire W

    更新日期:1992-01-01 00:00:00

  • [Criterion Validity of the German Version of the CES-D in the General Population].

    abstract:OBJECTIVE:The "Center of Epidemiologic Studies - Depression scale" (CES-D) is a well-known screening tool for depression. Until now the criterion validity of the German version of the CES-D was not investigated in a sample of the adult general population. METHODS:508 study participants of the Austrian general populati...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-0584-9803

    authors: Jahn R,Baumgartner JS,van den Nest M,Friedrich F,Alexandrowicz RW,Wancata J

    更新日期:2018-11-01 00:00:00

  • [Does early use of ECT reduce the hospital stay period in major depressive episodes?].

    abstract:OBJECTIVE:ECT is an effective and safe therapy with fast response for depressive disorders. Nevertheless it's mostly used for therapy resistance. In antidepressive treatments fast response may be related with antidepressive efficacy. We studied, if earlier ECT could result in a shorter hospital stay period after the tr...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0030-1248600

    authors: Schwerthöffer D,Wolf F,Pitschel-Walz G,Bäuml J

    更新日期:2011-02-01 00:00:00

  • [Perspectives and Opportunities for Psychotherapeutic Interventions in Inpatient Psychiatric Treatment Delivered by Nurses].

    abstract:BACKGROUND:Psychotherapy is an essential part of treating people with mental illness. However, the implementation of psychotherapeutic interventions in the field of inpatient psychiatric treatment remains well behind demand. At the same time, the use of psychotherapeutic interventions by other professional groups - suc...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-0801-3847

    authors: Wabnitz P,Löhr M,Schulz M,Nienaber A,Oppermann G,Sauter D,Schreiber W,Gouzoulis-Mayfrank E,Claus S,Hohl-Radke F,Jordan W,Pollmächer T

    更新日期:2019-04-01 00:00:00

  • [Delusional "pseudotranssexualism" in schizophrenic psychosis].

    abstract::The case of a 32-year old man suffering from a 10-year course of schizophrenia is presented. The man's delusions include the conviction of being of the opposite sex and thus, he applied for an operational correction of his gender according to the law of transsexualism. Based on the evident problems arising from this c...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Brüne M

    更新日期:1996-09-01 00:00:00

  • [Patient-centered group therapy--an indirect form of managing gerontopsychiatric patients].

    abstract::Indirect care for gerontopsychiatric patients by means of patient-centered group discussions under the heading "How to deal with Difficult Patients" is presented as a succession of case reports concerning the progress and course of the first year of a team counselling project in a home for aged persons. The theoretica...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Wetzikon AE

    更新日期:1987-11-01 00:00:00

  • ["Acquired Psychopathy" and the Neurobiology of Emotion and Violence]

    abstract::"Psychopathy" describes a type of personality disorder characterized by a dysregulation of emotion processing. Social behaviour, emotion regulation and competency are of particular relevance in forensic psychiatry. Structural-morphological and functional imaging studies prove that emotion regulation, aggressive-impuls...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-39769

    authors: Müller JL,Schuierer G,Marienhagen J,Putzhammer A,Klein HE

    更新日期:2003-05-01 00:00:00

  • [Admission of elderly patients in psychiatry: a study on the topic of "misplacement"].

    abstract::Misplacement of the old in psychiatry gains in special importance based on the absolute and relative increase of this population. 117 patients have been announced for admission to the psychogeriatric department of the Zwiefalten State Mental Hospital within six months. Admission of 47 patients did not happen mostly as...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Wagner H

    更新日期:1991-07-01 00:00:00

  • [Men and Depression: Illness Theories and Coping - A Biographical Narrative Study].

    abstract:OBJECTIVE:In order to develop gender-sensitive services, there is a need to better understand coping among men with depression. The study aims to analyze the meaning of gender- and work-related roles for illness theories and coping among men with depression. METHODS:Based on a latent class analysis of three types of m...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-1043-8126

    authors: Staiger T,Stiawa M,Mueller-Stierlin AS,Kilian R,Beschoner P,Gündel H,Becker T,Frasch K,Panzirsch M,Schmauß M,Krumm S

    更新日期:2020-03-01 00:00:00

  • [Pseudopheochromocytoma in Parkinson disease and depression].

    abstract::We report the case of a 62-year-old woman with parkinson's disease and depression. Her symptoms included episodes of flushing, palpitations and hypertension, giving rise to the suspicion of the existence of a phaeochromocytoma. The levels of adrenaline and vanillymandelic acid in the urine were moderately elevated, th...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Jähnel M

    更新日期:2003-05-01 00:00:00

  • [Hawaiian baby rose wood: case report of an argyreia nervosa induced toxic psychosis].

    abstract::An increase of intoxications in persons using psychoactive plants and mushrooms can be observed. Mainly adolescents are experimenting with this group of plants for its hallucinogenic effects and easy and cheap availability. A case of a toxic psychosis with hallucinations, disturbances of orientation and psychomotoric ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-39490

    authors: Göpel C,Maras A,Schmidt MH

    更新日期:2003-05-01 00:00:00

  • [Deficits in Facial Expression Recognition in Adult Attention-Deficit Hyperactivity Disorder].

    abstract:OBJECTIVE:General and specific deficits in the recognition of facial expressed emotions of ADHD and controls were examined. METHODS:Affect recognition abilities were assessed with the FEEL-Test in a sample of 138 adults with ADHD and 40 healthy controls. RESULTS:Adults with ADHD showed deficits in recognition of the ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0034-1387570

    authors: Retz-Junginger P,Giesen L,Rösler M,Retz W

    更新日期:2016-05-01 00:00:00

  • [Decisions of the psychiatric court of appeal of basle-city in the year 2000--procedure on appeal against compulsory admission in a Swiss canton].

    abstract::We present the legislation of the compulsory admission and treatment of mentally ill persons in the Swiss canton of Basle-City. We inquired retrospectively the requests of the clinic and the appointed time given by the psychiatric court of appeal in the year 2000. With 320 compulsory admissions there were 118 appeals....

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-38606

    authors: Eichhorn M,Zimmermann R,Kräuchi K,Finzen A

    更新日期:2003-04-01 00:00:00

  • [Endangerment by the environment--on the origin and psychopathology of environmental anxiety].

    abstract::Characteristics of the present ecological threat concerning the mind of men are described. Some psychiatric cases are given describing on one hand psychotic patients whose concern about the endangered natural environment is more accidental, whereas in other patients the feeling to be threatened has been resulted in ps...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Lübeck HD

    更新日期:1993-03-01 00:00:00

  • [The fate of Polish psychiatry under German occupation during World War II].

    abstract::Polish psychiatry was since its origin deeply influenced by German (Austrian) and Russian psychiatry. After the German assault Polish psychiatric patients were the first victims of mass executions, and the first to be killed by new developed "gassing" technology. Especially cruel was the fate of Jewish patients. Germa...

    journal_title:Psychiatrische Praxis

    pub_type: 历史文章,杂志文章

    doi:10.1055/s-0034-1370066

    authors: Leidinger F

    更新日期:2014-07-01 00:00:00

  • [Stigma, stigma management, destigmatization].

    abstract::WHO and WPA recently inaugurated worldwide "anti-stigma-campaigns". On this background the exploration discrimination of against the mentally ill of the term stigma and its meaning is useful. Stigma dates from ancient Greece and was meant to be a visible sign of disgrace. Today stigma and stigma management are sociolo...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Finzen A

    更新日期:2000-10-01 00:00:00

  • [Attitude of family to clozapine].

    abstract:AIM:Evaluations of clozapine treatment by relatives of schizophrenic patients were assessed as part of an exploratory study and compared with the patients' own assessment. METHOD:46 relatives of individuals suffering from schizophrenia were questioned by means of a problem-centred interview. RESULTS:In addition to th...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Angermeyer MC,Boitz K,Löffler W,Müller P,Priebe S

    更新日期:1999-07-01 00:00:00

  • [Some practical aspects of the "new Italian psychiatry" demonstrated with Trieste as an example (author's transl)].

    abstract::Based on personal experience, the new Italian law on psychiatric hospitals and its practical application is reported. The political aspect of "new" psychiatry is critically mentioned. ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Mann M

    更新日期:1981-05-01 00:00:00

  • [German language psychiatry journals in Germany - a quantitative analysis].

    abstract:OBJECTIVE:Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. METHODS:Journals were identified by the standard handbook "Fachmedien Gesund...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0031-1276955

    authors: Heidenreich U,Baethge C

    更新日期:2012-01-01 00:00:00

  • [Prevention -- a topic in social-psychiatric research?].

    abstract:OBJECTIVE:Currently, substantial effort is made to establish prevention as one of the main parts of the German health care system. In this context we investigated the current role of prevention in social-psychiatric research. METHODS:We analysed original papers published in the journal Psychiatrische Praxis in the yea...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-2005-915232

    authors: Schmidt CK,Angermeyer MC,Riedel-Heller SG

    更新日期:2005-10-01 00:00:00

  • [Frontal dysfunctions in Huntington's disease -- neuropsychology and therapy].

    abstract::Huntington's disease is a hereditary and progressive disease of the central nervous system. Sudden and irregular hyperkinesias are prominent. Psychopathological findings are very frequent and often proceed the decline of motor functions for years. Almost all the patients develop a dementia in later stages of the illne...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-36624

    authors: Weimer E,Ries S,Tost H,Braus DF

    更新日期:2003-01-01 00:00:00

  • [Structure and contents of online counselor's responses in the field of eating disorders].

    abstract:OBJECTIVE:The importance of online counselling for many areas of health care has been increasing over the last years. Nevertheless, there is a lack of systematic research on the quality and specifics of the therapeutic intervention. METHODS:n = 1056 responses written by online counsellors between 12 / 2007 and 11 / 20...

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    pub_type: 杂志文章

    doi:10.1055/s-0030-1248481

    authors: Wesemann D,Fritsch S,Kündiger C,Grunwald M

    更新日期:2010-11-01 00:00:00