Outreach Crisis Intervention with a team-based and integrative model of treatment (AKtiV Study): Evaluation of the Inpatient Equivalent Home Treatment (IEHT according to the German Social Code Book §115d SGB V)

• Conditions: F00; F10; F20; F30; F40; F50; F60; Dementia in Alzheimer disease; Mental and behavioural disorders due to use of alcohol; Schizophrenia

• Registration Number: DRKS00022476
• Lead Sponsor: Medizinische Hochschule Brandenburg (MHB) Campus GmBH

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2020-12-03
• Study Completion: 2023-05-31
• Results First Posted: 2023-09-08
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 827

Inclusion Criteria

For C1 and C2:

- IEHT inclusion criteria
o acute mental health crisis that requires inpatient treatment;
o social and living surrounding allowing for home visits and private conversations;
o informed consent of all adults living in the service user’s place of residency;
- ability to provide informed consent
- sufficient German language skills
- permanent residence in the catchment area of the IEHT delivering Hospital
- main diagnosis within the ICD codes F0X, F1X, F2X, F3X, F4X, F5X, or F6X
- informed consent regarding study participation

For C3: Close relative or informal caregiver living in the same household of the participating patient

- informed consent regarding study participation

For C4: IEHT staff member of participating study cite OR local or political stakeholder engaged with IEHT

- informed consent regarding study participation

Exclusion Criteria

For C1 and C2:

- IEHT exclusion criteria
o in case of children living in the same household, presence of child welfare risk
- acute suicidality or aggressiveness towards others requiring hospital admission
- Being under order of commitment
- participation in an interventional study during the recruitment
- presence of substantial cognitive deficits as indicated by severe organic brain disease
- diagnosis of intellectual impairment
- admission longer ago than 7 days

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The hospital re-admission rate within 12 months of the index crisis that originally led to the need for immediate admission either to IEHT or inpatient treatment serves as primary outcome. This outcome has been used in most international home treatment studies. The re-admission rate is by no means a perfect quality indicator of psychiatry care. Nevertheless, it is an indicator of successful acute treatment, recovery and met needs within community mental health care.