Mental disorders in children and adolescents requiring inpatient care Mental and Behavioural Disorders
Conditions
Interventions
Control: 146 adolescents will receive usual inpatient care
Intervention: 96 patients will be discharged early with intensive community support in combination with clinical elements pro
Sponsors
University of Ulm
ZfP-Suedwuerttemberg
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Part one and two: Hospital inpatient stay for more than 72 hours All parts: 1. Age: Between 5 and 18 years 2. Psychiatric diagnosis (DSM IV/ICD10) 3. Child/adolescent lives in a family setting 4. Youth and family live within the catchment area in a reasonable distance (max 1 hour travel) to allow home treatment on a regular basis 5. IQ> 70
Exclusion criteria
Exclusion criteria: 1. Youth lives in a youth welfare setting 2. Absence of consent of parents or child/youth 3. Limited language skills in families whose first language is not German
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Generally there are 3 timepoints for both primary and secondary outcomes at which data is collected: T1 - within 14 days after inclusion into the study T2 - after completion of treatment (control group: discharge from inpatient stay, intervention group: completion of BeZuHG treatment) T3 - 6 month follow up 1. Duration of psychiatric inpatient stay during treatment and a 6 month follow-up period (i.e. T2 and T3) 2. CGAS (Childrens global assessment Scale) This is a paediatric measure of general functioning (T1, T2 and T3) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. SDQ (strengths and difficulties questionnaire, childrens and parents version) This is a broad measure of psychopathology in children and adolescents (T1, T2 and T3) 2. HoNOSCA (Health of the Nation Outcome Scales for Children and Adolescents). It is a clinician rated tool, that assesses symptom severity and function across a range of psychosocial domains (T1, T2 and T3) 3. ZUF 8 (Fragebogen zur Patientenzufriedenheit - Questionnaire for service satisfaction) (T2 and T3) 4. Qualitative semi-structured interview regarding patient satisfaction (T3) 5. Cost: Information on the use of inpatient hospital services, community services, out-patient services, social services, school support will be collected over the study period (T2 and T3) 6. Clinical diagnosis: K-SADS-PL (schedule for affective disorders and Schizophrenia for school-age children, Present and Lifetime Version) (T1) 7. Columbia Impairment Scale (T1, T2 and T3) | — |
Countries
Germany
Outcome results
None listed