F00 F10 F20 F30 F40 F50 F60
Conditions
Interventions
Group 1: This cohort (C1) consists of 180 patients who receive IEHT in the recruiting sites, fullfill inclusion criteria as outlined below and gave informed consent regarding their study participation
Sponsors
Medizinische Hochschule Brandenburg (MHB) Campus GmBH
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: For C1 and C2: - IEHT inclusion criteria o acute mental health crisis that requires inpatient treatment; o social and living surrounding allowing for home visits and private conversations; o informed consent of all adults living in the service user’s place of residency; - ability to provide informed consent - sufficient German language skills - permanent residence in the catchment area of the IEHT delivering Hospital - main diagnosis within the ICD codes F0X, F1X, F2X, F3X, F4X, F5X, or F6X - informed consent regarding study participation For C3: Close relative or informal caregiver living in the same household of the participating patient Inclusion criteria: - informed consent regarding study participation For C4: IEHT staff member of participating study cite OR local or political stakeholder engaged with IEHT Inclusion criteria: - informed consent regarding study participation
Exclusion criteria
Exclusion criteria: For C1 and C2: - IEHT exclusion criteria o in case of children living in the same household, presence of child welfare risk - acute suicidality or aggressiveness towards others requiring hospital admission - Being under order of commitment - participation in an interventional study during the recruitment - presence of substantial cognitive deficits as indicated by severe organic brain disease - diagnosis of intellectual impairment - admission longer ago than 7 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The hospital re-admission rate within 12 months of the index crisis that originally led to the need for immediate admission either to IEHT or inpatient treatment serves as primary outcome. This outcome has been used in most international home treatment studies. The re-admission rate is by no means a perfect quality indicator of psychiatry care. Nevertheless, it is an indicator of successful acute treatment, recovery and met needs within community mental health care. | — |
Secondary
| Measure | Time frame |
|---|---|
| In the course of our outcomes research approach, we assess different outcomes in several sub cohorts. Among patients we assess the following: combined readmission rate (day clinic, IEHT or hospital) (CSSRI-D), continuity of care (CSSRI-D), the total number of inpatient days (CSSRI-D), the generic health Status (EQ-5D-5L)), psychosocial functioning (HoNOS, PSP Scale), professional reintegration (CSSRI-D), treatment satisfaction (self developed questionaire), personal Recovery (RAS-G), shared decision making (SDM-Q-9), cost-utility and disease related costs (CSSRI-D). Among close relatives or informal care givers living in the same household we assess treatment satisfaction (self developed questionaire) and burden of care (IEQ-EU) Within the scope of qualitative research methods, we assess subjective experiencing and perceived benefit of IEHT among patients and their close relatives or rather informal care givers. Within the course of process research, we analyze which target/user group benefits most of IEHT, influencing factors or rather factors associated with successful treatment, and if and under what circumstances admission to IEHT should occur directly or rather from inpatient treatment. Within the course of implementation research, we assess development, organization, and satisfaction of IEHT teams. Furthermore, we analyze system effects of the IEHT team on the primary outcome as well as on the care region (system effects). | — |
Countries
Germany
Contacts
Public ContactKonstantinos Nikolaidis
Vivantes Klinikum Am Urban; Klinik für Psychiatrie, Psychotherapie und Psychosomatik
Outcome results
None listed