Home Treatment for Acute Psychiatric Care in the Canton of Aargau (Switzerland): A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 707
- 试验地点
- 2
- 主要终点
- Number of inpatient days
研究概览
简要总结
This study aims to evaluate whether psychiatric home treatment is an effective and efficient alternative to acute inpatient care in mental hospitals. A one-year prevalence cohort of psychiatric patients in need of hospitalization are randomly assigned to either treatment at inpatient wards (treatment as usual) or a new care model with the additional option of treating patients at their homes by mobile care teams. The primary focus is on checking whether optional home treatment leads to a reduction of inpatient days during a two-year follow-up period. In addition, the two service models will be compared regarding treatment cost and outcomes as well as satisfaction of patients and their relatives with psychiatric care.
Furthermore, a sub-cohort of randomly chosen patients from the prevalence-cohort will be examined by a highly trained clinical assessor to test and verify the diagnoses and the clinical ratings made by the staff members of the mental hospital under routine everyday conditions.
详细描述
This study aims to evaluate whether psychiatric home treatment is an effective and efficient alternative to acute inpatient care in mental hospitals. A one-year prevalence cohort of psychiatric patients in need of hospitalization are randomly assigned to either treatment at inpatient wards (treatment as usual) or a new care model with the additional option of treating patients at their homes by mobile care teams. The primary focus is on checking whether optional home treatment for crisis intervention leads to a reduction of inpatient days during a two-year follow-up period. In addition, the two service models will be compared regarding treatment cost and outcomes as well as satisfaction of patients and their relatives with psychiatric care.
Furthermore, a sub-cohort of randomly chosen patients from the prevalence-cohort will be examined by a highly trained clinical assessor to test and verify the diagnoses (SCID-I and SCID-II) and the clinical ratings (HoNOS) made by the staff members of the mental hospital under routine everyday conditions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Need for acute psychiatric inpatient care
- •Residence in the canton of Aargau
- •Living within 30 minutes (by car) from the headquarters of the home treatment team
- •Health insurance with tarifsuisse
排除标准
- •Insufficient proficiency in German
- •Main diagnosis F0 or F1 (ICD-10)
- •Patients of the forencic departement
- •Patients of the child and adolescent department
研究组 & 干预措施
Home treatment
Patients in need of acute psychiatric inpatient care are treated at their houses by mobile treatment teams instead of treatment at mental hospitals whenever home treatment is possible and appropriate.
干预措施: Home treatment (Other)
Treatment as usual
Patients in need of acute psychiatric inpatient care are treated at a mental hospital.
干预措施: Treatment As Usual (Other)
结局指标
主要结局
Number of inpatient days
时间窗: 2 years follow-up
次要结局
- Total days in treatment (inpatient + home treatment)(2 years follow-up)
- Direct treatment costs(2 years follow-up)
- Health of the Nation Outcome Scales (HoNOS)(Intake and discharge from treatment episode (expected average of 4 weeks))
- Brief Symptom Checklist (BSCL)(Intake and discharge from treatment episode (expected average of 4 weeks))
- Perceptions of Care-18(Discharge from treatment episode (expected average of 4 weeks))
- Satisfaction of patients' relatives(Discharge from treatment episode (expected average of 4 weeks))
- Number of rehospitalizations per patient(2 years follow-up)
- Number of patients with adverse events(2 years follow-up)
研究者
Niklaus Stulz
PhD
Psychiatric Services Aargau AG