Evaluation of Home Treatment for Acute Psychiatric Care of the Psychiatric University Hospital Zurich (Switzerland)
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 700
- 试验地点
- 2
- 主要终点
- Inpatient days
研究概览
简要总结
The study's goal is to evaluate whether home treatment is an effective and efficient alternative to inpatient care for people with acute mental illness. Patients who meet the study's inclusion criteria are randomly assigned to either the condition home treatment or inpatient care (treatment-as-usual), during one year. Following two years, the two treatment modalities will be analyzed in terms of inpatient days, cost effectiveness, rehospitalization rate, severity of symptoms and sociodemographics.
详细描述
The study's goal is to evaluate whether home treatment is an effective and efficient alternative to inpatient care for people with acute mental illness. Therefore, psychiatric patients in need of hospitalization who meet the study's inclusion criteria are randomly assigned to either the condition home treatment or inpatient care (treatment-as-usual) during one year. Home treatment patients are visited by a mobile and multiprofessional care team at their homes. Additionally, patients without a health insurance for home treatment and patients who are directly assigned to home treatment are included in separate study groups. Following two years, it will be checked whether home treatment leads to a reduction of inpatient days as a primary outcome. Further outcomes such as cost effectiveness, rehospitalization rate, severity of symptoms and sociodemographics will be also analyzed.
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 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Need for acute psychiatric inpatient care
- •Residence in Zurich city
- •Health insurance for Home Treatment
排除标准
- 未提供
研究组 & 干预措施
Home Treatment
Patients with acute mental illness are treated at their houses by a mobile and multiprofessional care team instead of being treated as inpatients if their medical condition permits.
干预措施: Home Treatment (Other)
Treatment-as-usual
Patients with acute mental illness are treated as inpatients in a psychiatric clinic.
干预措施: Treatment-as-usual (Other)
结局指标
主要结局
Inpatient days
时间窗: 2 years follow-up
Number of inpatient days per patient
次要结局
- Total days in treatment(2 years follow-up)
- Treatment costs(2 years follow-up)
- Rehospitalization rate(2 years follow-up)
- Adverse events(2 years follow-up)
- Global Assessment of Functioning Scale (GAF)(2 years follow-up)
- Health of the Nation Outcome Scale (HoNOS)(2 years follow-up)
- Clinical Global Impression Scale (CGI)(2 years follow-up)
- Patients' satisfaction(2 years follow-up)
研究者
Matthias Jäger
PD Dr. med.
Psychiatric University Hospital, Zurich