[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
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    doi:

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    doi:

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    更新日期:1999-05-01 00:00:00

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    更新日期:2009-10-01 00:00:00

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    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Steinert T,Vogel WD,Beck M,Kehlmann S

    更新日期:1991-09-01 00:00:00

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    doi:10.1055/s-0043-117049

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    pub_type: 杂志文章,评审

    doi:

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    pub_type: 杂志文章

    doi:

    authors: Jarka M,Brosig B,Richter HE

    更新日期:1996-05-01 00:00:00

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    更新日期:1998-03-01 00:00:00

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    abstract:PURPOSE:Contrary to in-patient psychiatric care, quality assurance in the area of psychiatrists in outpatient practice is hardly in use. METHODS:Neuroleptic therapy regarding the following quality criteria was examined for 6 months in an outpatient psychiatric practice: choice of neuroleptics, dosage and combination o...

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    更新日期:1998-11-01 00:00:00

  • [Obstacles to innovation].

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    authors: Veltin A

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    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

  • [Differential diagnosis of psychotic disorders in immigrants].

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    更新日期:1998-07-01 00:00:00

  • [Dyslipidemia and schizophrenia].

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  • ["If I were the department head in this case..."--interventional interview with patients and co-workers of a psychiatric department].

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  • [Munchhausen patients in general hospitals--Clinical features and treatment approaches in C-L psychiatry settings].

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    更新日期:2002-10-01 00:00:00

  • [Trial employment: a provisional work setting for psychiatric patients].

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    pub_type: 杂志文章

    doi:

    authors: Längle G,Köster M,Mayenberger M,Günthner A

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  • [Design of psychiatric-psychotherapeutic institute ambulatory care: survey to determine need].

    abstract:OBJECTIVE:In Germany, outpatient care is provided exclusively by physicians in private practice. This privilege is very strictly observed, with only a few exceptions. While psychiatric hospitals are routinely permitted to establish outpatient clinics, psychiatric departments of general hospitals, even if they serve a c...

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    doi:

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    更新日期:1999-11-01 00:00:00

  • [Community management needs a community that cares--the attitude of the population to psychiatric management and psychiatric patients].

    abstract::Since community mental health care started public attitudes towards mentally ill and mental health care had been development to an important influencing factor in planning mental health care and in rehabilitation of patients. This paper describes the historical development of research in public attitudes in psychiatry...

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    pub_type: 杂志文章,评审

    doi:

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

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