Bechdolf, Andreas, Buehling-Schindowski, Felix, Nikolaidis, Konstantinos, Kleinschmidt, Martin, Weinmann, Stefan and Baumgardt, Johanna . Evidence on the effects of crisis resolution teams, home treatment and assertive outreach for people with mental disorders in Germany, Austria and Switzerland - a systematic review. Nervenarzt. NEW YORK: SPRINGER. ISSN 1433-0407

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Abstract

Background Based on international randomized controlled trials (RCT) the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) recommends acute treatment in the domestic environment (AHU) and intensive outreach treatment (IAB) with the highest level of evidence; however, due to large differences in national healthcare systems the transference of results from international studies to the healthcare systems in Germany, Austria and Switzerland could be limited. Objective Evaluation of studies on outreach psychiatric treatment forms in Germany, Austria and Switzerland and discussion of the results in the light of international evidence. Material and methods A systematic literature search for clinical trials on outreach community treatment from Germany, Austria and Switzerland was conducted in the PubMed database. Results A total of 19 publications were identified which could be assigned to 5 publications on 4 studies with 2857 patients on AHU and 14 publications on 10 studies with 3207 patients on IAB. The studies on AHU showed this treatment form to be superior regarding the duration of inpatient stay and healthcare costs. The studies on IAB showed more positive outcomes in comparison to controls regarding symptoms, severity of illness, substance abuse, functioning level, remission, satisfaction with treatment, quality of life, healthcare costs, work and housing situations. Conclusion The studies from Germany, Austria, and Switzerland suggest that outreach community treatment is superior regarding several outcome parameters. Thus, there are no indications suggesting that international evidence could not be valid for these countries. Additionally, with one RCT for AHU and one for IAB the requirements for an evidence level of 1b for outreach community treatment in the healthcare systems in question are fulfilled.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bechdolf, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buehling-Schindowski, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nikolaidis, KonstantinosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kleinschmidt, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weinmann, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baumgardt, JohannaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-593186
DOI: 10.1007/s00115-021-01143-8
Journal or Publication Title: Nervenarzt
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1433-0407
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
COMMUNITY TREATMENT; INTEGRATED CARE; INPATIENT TREATMENT; MODEL; ILLNESS; PROGRAMMultiple languages
Clinical Neurology; PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/59318

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