Behandelt zu Hause Gesund werden

Abstract

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.

Comparison of effectiveness and cost-effectiveness of an intensive community supported discharge service versus treatment as usual for adolescents with psychiatric emergencies: a randomised controlled trial

“…These treatment effects are in line with those noted in an RCT undertaken by an independent research group 30 who used the UK SDS model. 31 , 32 …”

“…The SDS model has now been shown effective in the largest number of adolescent patients (n=206) of any intensive community care model, across two different countries. 31 , 32 Our trial provides much-needed empirical evidence of the effectiveness of an intensive community treatment model of care by showing that SDS can lead to reduced hospital use and improve school reintegration and reduce self-harm. No routinely available data exist to show whether the care pathways investigated in this RCT are similar to those for other sites in the UK, but adolescents with psychiatric emergencies might not always receive care in adolescent psychiatric units or have access to intensive community mental health teams.…”

Cost-effectiveness of intensive home treatment enhanced by inpatient treatment elements in child and adolescent psychiatry in Germany: A randomised trial

“…Two recent pilot studies assessed a new model of care conjoining inpatient and outpatient elements in a home-treatment setting for children and adolescents with complex mental health problems presenting for inpatient admission: Supported discharge service (SDS; Kent, UK, n = 30; [20]) and Home-treatment brings inpatient-treatment outside (Hot-BITs, German acronym: Behandelt Zu Hause Gesund werden [BeZuHG], Ravensburg, Germany; n = 100 [3]).…”

Aufbruch zu einer patientenorientierten Psychotherapie des 21. Jahrhunderts

“…Die naheliegende Lösung der Schaffung aufsuchender Angebote wird in Deutschland kaum praktiziert. Demgegenüber wiesen Boege et al (2014) (Boege et al) wurden durch den Intervallansatz die Mühen der kontinuierlichen Motiva-tionsfindung teilweise in den ambulanten Bereich hinausverlagert. Beim Vorgehen von Corpus et al und Kirchmann et al wurde analog zu den Teams in Praxen niedergelassener Kinder-und Jugendpsychiater mit SPV die sonst nur stationär mögliche Multiprofessionalität eines psychotherapeutischen Vorgehens in den außerstationären Raum, in diesem Fall noch weitergehend in den Lebensraum transportiert unter Verkürzung des Aufenthalts und Stärkung des Elterneinbezugs.…”