Die standardisierte Erfassung des Behandlungs- und Unterstützungsbedarfs bei schweren psychischen Erkrankungen - Entwicklung und Erprobung der deutschsprachigen Version des Camberwell Assessment of Need-EU -

Kilian, Reinhold; Bernert, Sebastian; Matschinger, Herbert; Mory, Claudia; Roick, Christiane; Angermeyer, Matthias C.

doi:10.1055/s-2001-17789

Cited by 24 publications

(14 citation statements)

References 9 publications

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“…The secondary outcome measures include 1) reduction in psychosocial and clinical impairment using HoNos [Health of the Nation outcome scale] [15-18], 2) improvement of subjective quality of life using WHO-QoL-BREF [World Health Organisation Quality of Life-short version] [19], 3) reduction of unmet needs for psychiatric and psychosocial services using CAN-EU [Camberwell Assessment of Need-European Version] [20,21], 4) increase in satisfaction with psychiatric treatment using ZuF8 [questionnaire to treatment satisfaction] [22,23], 5) reduction of utilisation of stationary and simultaneous increase in utilisation of ambulatory medical and psychosocial services using CSSRI [Client Socio-Demographic and Service Receipt Inventory] [24], 6) reduction of direct and indirect healthcare costs using CSSRI [24], 7) reduction of costs of recovering a “healthy” year of life (QALY) using EQ-5D [Euro Quality of Life – 5 dimensions] [25]. …”

Section: Methodsmentioning

confidence: 99%

Effectiveness and efficiency of integrated mental health care programmes in Germany: study protocol of an observational controlled trial

et al. 2014

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BackgroundSince 2009 some German health insurance companies have implemented integrated mental health care services along the principles of assertive community treatment in collaboration with local mental health service providers across Germany. Focus of this study is the analysis of effectiveness and cost-effectiveness of this integrated care programme compared to care as usual in routine care surroundings in five regions in Germany.MethodsIn this 18-month multi-centre observational trial 250 patients enrolled in an integrated mental health care programme and 250 patients who receive treatment as usual from five catchment areas will be included. In addition, in each group about 125 relatives of the participating patients will be included. The primary outcome criterion is the improvement of empowerment; secondary outcomes are subjective quality of life, functional impairment and costs of illness. Data will be collected at baseline and three follow-ups after 6, 12 and 18 months. Data will be analysed by means of mixed effects regression models. Propensity score methods are used for selection bias control.DiscussionStudy results are expected to provide information about how integrated care programmes in their present form contribute to the improvement of mental health care. In addition, the study will provide hints to weaknesses of the current integrated care programme and options to overcome them. The major strengths of this study are the real-world character of the study intervention with a simultaneous high level of academic rigour. However, the fact that patients are not randomised to study groups and that there is no blinding might limit the study.Trial registrationGerman Clinical Trial Register DRKS00005111.

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Section: Methodsmentioning

confidence: 99%

Effectiveness and efficiency of integrated mental health care programmes in Germany: study protocol of an observational controlled trial

et al. 2014

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“…Die aktuelle Symptombelastung wurde mit der 24-Item-Version der Brief Psychiatric Rating Scale beurteilt [24], der psychosoziale Unterstützungsbedarf wurde mit dem Camberwell Assessment of Need eingeschätzt [25,26] und die Zufriedenheit mit der vom psychiatrischen Versorgungssystem geleisteten Hilfe wurde anhand der Dimension ,efficacy der Verona Service Satisfaction Scale bewertet [27,28]. Darüber hinaus wurde die Inanspruchnahme stationär-psychiatrischer Versorgung durch die Probanden prospektiv über einen 30-monatigen Beobachtungszeitraum erfasst.…”

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“…Der psychosoziale Unterstützungsbedarf der Probanden war in der Voruntersuchung mit der deutschen Version des Camberwell Assessment of Need eingeschätzt worden, die insgesamt 23 Bereiche potenziellen individuellen Unterstützungsbedarfs umfasst [25,26]. Ausgehend von der Hypothese, dass Schwierigkeiten bei einer befriedigenden Strukturierung des Tagesablaufes [12].…”

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Entwicklung eines Screening-Instruments zur Identifikation von Patienten mit starker Inanspruchnahme stationär-psychiatrischer Versorgung

Roick

Heider²,

Mc³

2003

Fortschr Neurol Psychiatr

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Patients who show an above-average utilization of medical care are described as "heavy users". Heavy utilization of psychiatric inpatient care could be reduced by well directed community based services. Heavy users should, therefore, be identified at the beginning of a period of heavy service consumption. For this reason, a screening instrument (SPSI) was developed. Six predictors of heavy utilization of inpatient care were included as items in the SPSI. Weighting of items and examination of the instrument were carried out with a sample of 184 schizophrenia patients, whose utilization of inpatient care was recorded prospectively over a period of 30 months. 83 percent of heavy users and 85 percent of ordinary users were correctly identified with the SPSI test at a cutoff score of - 6.7. The SPSI is a short questionnaire which could be used without special rater training in psychiatric care in order to offer identified heavy users well directed community based services, which are less costly than inpatient care, but at least just as appropriate for the special needs of these patients.

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“…3. Changes in patient treatment needs and coverage of needs (see objective 5) will be assessed by using the German version of the 'Camberwell Assessment of Need' (CAN-EU)[16,17]. The CAN-EU assesses 22 domains of potential individual care needs.…”

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Implementation of the patient version of the evidence-based (S3) guideline for psychosocial interventions for patients with severe mental illness (IMPPETUS): study protocol for a cluster randomised controlled trial

Breilmann

Kilian

Riedel‐Heller

et al. 2020

Trials

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Background: The German guideline on psychosocial interventions for people with severe mental disorders recommends a broad spectrum of evidence-based treatments. Structured implementation of the associated patient version of the guideline is missing to date. The study aims to assess whether structured implementation of a patient guideline improves the empowerment of patients with severe mental disorders, as well as knowledge, attitudes and experiences regarding psychosocial interventions, service use, treatment satisfaction, treatment needs, quality of life and burden of care.

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Die standardisierte Erfassung des Behandlungs- und Unterstützungsbedarfs bei schweren psychischen Erkrankungen - Entwicklung und Erprobung der deutschsprachigen Version des Camberwell Assessment of Need-EU -

Cited by 24 publications

References 9 publications

Effectiveness and efficiency of integrated mental health care programmes in Germany: study protocol of an observational controlled trial

Effectiveness and efficiency of integrated mental health care programmes in Germany: study protocol of an observational controlled trial

Entwicklung eines Screening-Instruments zur Identifikation von Patienten mit starker Inanspruchnahme stationär-psychiatrischer Versorgung

Implementation of the patient version of the evidence-based (S3) guideline for psychosocial interventions for patients with severe mental illness (IMPPETUS): study protocol for a cluster randomised controlled trial

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