Anne Karow 1 , Thomas Bock 1 , Anne Daubmann 2 , Christina Meigel-Schleiff 3 , Benjamin Lange 3 , Matthias Lange 1 , Gunda Ohm 4 , Alexandra Bussopulos 1 , Marietta Frieling 1 , Dietmar Golks 1 , Andrea Kerstan 1 , Hans-Helmut König 5 , Lia Nika 1 , Matthias Lange 1 , Friederike Ruppelt 1 , Michael Schödlbauer 1 , Daniel Schöttle 1 , Anne-Lena Sauerbier 1 , Liz Rietschel 1 , Karl Wegscheider 2 , Klaus Wiedemann 2 , Benno G Schimmelmann 6 , Dieter Naber 3 , Martin Lambert 1 Show Affiliations »
Abstract
OBJECTIVE: Since the beginning of the integrated care model for severely ill patients with psychotic disorders ("Hamburg model") in 2007 different clinical parameters have been consecutively assessed within a naturalistic, observational, prospective study. METHODS: Clinical outcome of the 2-year and 4-year follow-ups of n = 158 patients. RESULTS: A significant and ongoing improvement of psychopathology, severity of illness, functional outcome, quality of life and satisfaction with care in this sample of severely ill and merely chronic patients with psychosis was shown. Moreover, medication adherence improved and quality and quantity of outpatient treatment increased. CONCLUSION: The ongoing psychosocial stabilisation of the patients most likely result from a combination of various factors: continuity of care, multimodal and individualized care, therapeutic specialisation and the multidisciplinary ACT team. RESULTS provide clinical and scientific evidence for future implementations of the integrated care model "Hamburg Model" for the treatment of psychosis. © Georg Thieme Verlag KG Stuttgart · New York.
OBJECTIVE: Since the beginning of the integrated care model for severely ill patients with psychotic disorders ("Hamburg model") in 2007 different clinical parameters have been consecutively assessed within a naturalistic, observational, prospective study. METHODS: Clinical outcome of the 2-year and 4-year follow-ups of n = 158 patients . RESULTS: A significant and ongoing improvement of psychopathology, severity of illness, functional outcome, quality of life and satisfaction with care in this sample of severely ill and merely chronic patients with psychosis was shown. Moreover, medication adherence improved and quality and quantity of outpatient treatment increased. CONCLUSION: The ongoing psychosocial stabilisation of the patients most likely result from a combination of various factors: continuity of care, multimodal and individualized care, therapeutic specialisation and the multidisciplinary ACT team. RESULTS provide clinical and scientific evidence for future implementations of the integrated care model "Hamburg Model" for the treatment of psychosis . © Georg Thieme Verlag KG Stuttgart · New York.
Entities: Disease
Species
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Year: 2013
PMID： 24062154 DOI： 10.1055/s-0033-1349496
Source DB: PubMed Journal: Psychiatr Prax ISSN： 0303-4259