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Z Kinder Jugendpsychiatr Psychother. 2014 Jan;42(1):27-37. doi: 10.1024/1422-4917/a000267.

[Effectiveness of hometreatment in light of clinical elements, chances, and limitations].

[Article in German; Abstract available in German from the publisher]

Author information

1
Abteilung Psychiatrie und Psychotherapie des Kindes und Jugendalters, Weissenau, ZfP Südwürttemberg, <location>Ravensburg</location>

Abstract

in English, German

OBJECTIVE:

The main objective was to evaluate two models of care for children and adolescents requiring hospitalization due to severe mental illness. Model 1: early discharge followed by a newly established home treatment service enhanced by clinical elements according to need (BeZuHG); Model 2: admission to an inpatient unit (TAU).

METHODS:

100 children and adolescents admitted to inpatient care were randomized to either a control group (regular inpatient stay) or an intervention group (BeZuHG group). Sociodemographic data, ICD-10 and DSM-IV diagnoses, health and social functioning, psychopathology, clinical impairment, and service use were assessed pre- and posttreatment regarding effectiveness, outcome, contact time, and acceptance within the families.

RESULTS:

Clinical outcome in BeZuHG treatment was as effective as inpatient care. There was a good acceptance within the families, family resources enhanced treatment outcome, and a significant reduction in length of inpatient stay could be shown.

CONCLUSIONS:

The BeZuHG model should be a regular option in child and adolescent psychiatric care. Further rigorous evaluation of the model is required: A 1-year follow-up investigating the stability of the shown effects is planned.

KEYWORDS:

Hometreatment; Kinder- und Jugendpsychiatrie; Versorgungsforschung; aufsuchende Behandlung; child and adolescent mental health; community programms; duration of inpatient stay; hometreatment; sektorenübergreifende Versorgung; service development

PMID:
24365961
DOI:
10.1024/1422-4917/a000267
[Indexed for MEDLINE]
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