Sustainable, multi-professional, psychiatric/psychotherapeutic home treatment of children and adolescents/families in everyday life
- Conditions
- school absenteeism are prefered, but also other mental disorders are included
- Registration Number
- DRKS00020762
- Lead Sponsor
- Karl Immanuel Küpper-Stiftung
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 150
The following are criteria must be fulfilled to be able taking part in the study:
Children and adolescents, who have been admitted by a psychiatrists to the clinic for child and adolescent psychiatry, psychosomatics and psychotherapy of the University Hospital Cologne, which means they have a chronic problem.
Patients, who have a school refusal, are preferred to be included in the study, because of their high relapse rate.
Only children and adolescent with thea need for support by the youth welfare services, which is decided by clinicians in the psychiatry, are included. While the home treatment, no other therapy or youth welfare services should be carried out.
Patients will be excluded from the study if they meet one or more of the following criteria:
Continued drug use without willingness to abstinence or controlled reduction while home treatment.
A BMI below 12 and/or the need for a diet via a probe.
Acute psychosis is an exclusion criterion.
Emergency admission to the psychiatry are not included.
If the youth welfare office wants to carry out a clearing in the family or the child welfare is at risk in the domestic setting.
An exclusion criterion represents the risk of endangerment of self and others.
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The Health of the Nation Outcome Scals for Children and Adolescents (HoNOSCA,Gowers et al., Al. 1999) is used to measure the severity and social functioning of the mentally ill as an assessment scale. The measure is made up of two sections. Part A consists of 13 clinical items, which are addressing questions on areas of (1) behavioural problems, (2) impairments of language/scholastic skills; physical disability, (3) symptomatic problems and (4) social problems and are assessed on a 5-point severity scale. Part B is composed of two questions which are covering parental knowledge of the nature of the patient's difficulties and their information about the services available. Since the evaluation is carried out by the clinician, this is done blindly in our study. Measure points are: in the first weeks after admission (T1), at the end of inpatient therapy (T2), after home treatment about 3-4 months (T3) and after another 3 months (T4).
- Secondary Outcome Measures
Name Time Method CGI (Guy, 1976), <br>Kinder-Dips-OS (Schneider, Pflug, In-Albon & Margraf, 2017), <br>CGAS (Shaffer et al., 1983),<br>GAF (American Psychiatric Association, 1989), <br>KIDSCREEN (Ravens-Sieberer et al., 2005), <br>CBCL, YSR, TRF (CBCL; Achenbach, 1991; YSR, Achenbach, 1991; TRF, Achenbach & Rescorla, 2001), <br>SF-12 (Bullinger & Kirchberger, 1998)<br>CSSRI-DE (Roick, Kilian, Matschinger, Bernert, Mory & An-germeyer, 2001), <br>CAMHSRI-DE, (Kilian et al., 2007), <br>FBB (Fragebogen zur Beurteilung der Behandlung, Mattejat & Remschmidt, 1998)<br><br>If the patient has one of the following diagnosis, the specific questionnaires will be handed out: <br>FBB-ADHS/SBB-ADHS, FBB-ANG/SBB-ANG, FBB-ASKS, FBB-BIST, FBB-DES/SBB-DES, FBB-SSV/SBB-SSV, FBB-TIC/SBB-TIC, FBB-TBS/SBB-TBS, FBB-ZWA (Döpfner & Görzt-Dorten, 2017), <br>BDI-II (Beck, Steer & Brown, 2006),<br>EDI-2 (Paul & Thiel, 2005), BMI Control, <br>SRAS-R (Kearney, 2002), school missing days