Isabel Boege1, Nicole Copus1, Renate Schepker1. 1. Abteilung Psychiatrie und Psychotherapie des Kindes und Jugendalters, Weissenau, ZfP Südwürttemberg, <location>Ravensburg</location>
Abstract
OBJECTIVE: The main objective was to evaluate two models of care for children and adolescents requiring hospitalization due to severe mental illness. Model 1: early discharge followed by a newly established home treatment service enhanced by clinical elements according to need (BeZuHG); Model 2: admission to an inpatient unit (TAU). METHODS:100 children and adolescents admitted to inpatient care were randomized to either a control group (regular inpatient stay) or an intervention group (BeZuHG group). Sociodemographic data, ICD-10and DSM-IV diagnoses, health and social functioning, psychopathology, clinical impairment, and service use were assessed pre- and posttreatment regarding effectiveness, outcome, contact time, and acceptance within the families. RESULTS: Clinical outcome in BeZuHG treatment was as effective as inpatient care. There was a good acceptance within the families, family resources enhanced treatment outcome, and a significant reduction in length of inpatient stay could be shown. CONCLUSIONS: The BeZuHG model should be a regular option in child and adolescent psychiatric care. Further rigorous evaluation of the model is required: A 1-year follow-up investigating the stability of the shown effects is planned.
RCT Entities:
OBJECTIVE: The main objective was to evaluate two models of care for children and adolescents requiring hospitalization due to severe mental illness. Model 1: early discharge followed by a newly established home treatment service enhanced by clinical elements according to need (BeZuHG); Model 2: admission to an inpatient unit (TAU). METHODS: 100 children and adolescents admitted to inpatient care were randomized to either a control group (regular inpatient stay) or an intervention group (BeZuHG group). Sociodemographic data, ICD-10 and DSM-IV diagnoses, health and social functioning, psychopathology, clinical impairment, and service use were assessed pre- and posttreatment regarding effectiveness, outcome, contact time, and acceptance within the families. RESULTS: Clinical outcome in BeZuHG treatment was as effective as inpatient care. There was a good acceptance within the families, family resources enhanced treatment outcome, and a significant reduction in length of inpatient stay could be shown. CONCLUSIONS: The BeZuHG model should be a regular option in child and adolescent psychiatric care. Further rigorous evaluation of the model is required: A 1-year follow-up investigating the stability of the shown effects is planned.
Entities:
Keywords:
Hometreatment; Kinder- und Jugendpsychiatrie; Versorgungsforschung; aufsuchende Behandlung; child and adolescent mental health; community programms; duration of inpatient stay; hometreatment; sektorenübergreifende Versorgung; service development
Authors: Dennis Ougrin; Richard Corrigall; Jason Poole; Toby Zundel; Mandy Sarhane; Victoria Slater; Daniel Stahl; Paula Reavey; Sarah Byford; Margaret Heslin; John Ivens; Maarten Crommelin; Zahra Abdulla; Daniel Hayes; Kerry Middleton; Benita Nnadi; Eric Taylor Journal: Lancet Psychiatry Date: 2018-05-03 Impact factor: 27.083
Authors: Dennis Ougrin; Richard Corrigall; Daniel Stahl; Jason Poole; Toby Zundel; Mandy Wait; Victoria Slater; Paula Reavey; Sarah Byford; John Ivens; Maarten Crommelin; Daniel Hayes; Kerry Middleton; Paul Young; Eric Taylor Journal: Eur Child Adolesc Psychiatry Date: 2020-09-03 Impact factor: 4.785