[Comparison of "home treatment" with traditional inpatient treatment in a mental hospital in rural southern Germany]

Psychiatr Prax. 2011 Apr;38(3):123-8. doi: 10.1055/s-0030-1248591. Epub 2010 Sep 16.
[Article in German]

Abstract

Objective: To investigate the clinical effectiveness of "Home Treatment" (HT) in comparison to the usual inpatient treatment in patients with acute psychiatric illness.

Methods: In a prospective observational study we compared 60 of our HT patients to 18 patients receiving inpatient treatment as usual (TAU) with regard to psychopathological symptoms (PANSS, HAM-D 21), global functioning (GAF), symptom severity (HoNOS-D) and sociodemographic parameters at admission and discharge.

Results: HT was a feasible alternative in patients with several different psychiatric diagnoses and appeared to be similar to TAU in view of clinical effectiveness.

Conclusions: In potentially suitable patients fulfilling criteria of hospital admission, the alternative of HT can be actively considered.

Publication types

  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Combined Modality Therapy
  • Crisis Intervention
  • Feasibility Studies
  • Female
  • Germany
  • Home Care Services*
  • Hospitalization*
  • Hospitals, Psychiatric*
  • Hospitals, Rural*
  • Humans
  • Male
  • Mental Disorders / psychology
  • Mental Disorders / rehabilitation*
  • Middle Aged
  • Mood Disorders / psychology
  • Mood Disorders / rehabilitation
  • Outcome and Process Assessment, Health Care
  • Patient Care Team / organization & administration
  • Patient Satisfaction
  • Prospective Studies
  • Psychopathology
  • Quality of Life / psychology
  • Rehabilitation, Vocational
  • Schizophrenia / rehabilitation
  • Schizophrenic Psychology
  • Social Environment