Evaluation of the "Platform Model" for Staffing in Psychiatric and Psychosomatic Clinics

• Conditions: Psychosomatic Medicine
• Interventions: Other: no intervention, purely observational

• Registration Number: NCT05240105
• Lead Sponsor: University Hospital Heidelberg

Brief Summary

This study aims to evaluate the so-called platform model and its suitability to determine staffing in hospitals for psychosomatic medicine and psychotherapy.

Detailed Description

The aim of the study is to test the suitability of a structural model (so-called platform model) developed by a working group of various scientific societies and professional associations for staffing in psychosomatic medicine and psychotherapy. For this purpose, in three steps (1.) the four treatment clusters developed in the platform model will be quantified and empirically validated on the basis of the therapeutic services provided in health care practice; (2.) the current staffing for the four treatment clusters will be described ("as-is analysis"); and (3.) prototypical therapy plans will be developed as a basis for estimating the target staffing requirements. On this basis, a target staffing estimate will be made for all professional groups.

For the study, a total of 80 psychosomatic clinics from Germany will be randomly selected, belonging in equal parts to the groups of psychosomatic university clinics, psychosomatic specialist hospitals, and psychosomatic departments in somatic or in psychiatric hospitals. In addition, 20 day clinics are included. In these clinics, the structural framework conditions including staffing will be surveyed and the routine documentation of therapy units will be evaluated by cluster analysis in order to empirically validate the presumed treatment clusters and to describe the necessary staffing requirements.

The empirical examination and validation of the platform model, including the four assumed treatment clusters, has the potential to positively influence care practice in the long term by adjusting staffing levels in psychosomatic clinics to actual care requirements.

Study Timeline

• Study Start: 2021-06-11
• Study First Submitted: 2022-01-31
• Status Verified: 2022-02
• Study First Submitted QC: 2022-02-10
• Last Update Submitted: 2022-02-10
• Study First Posted: 2022-02-15
• Last Update Posted: 2022-02-15
• Primary Completion: 2023-05-31
• Study Completion: 2023-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 5961

Inclusion Criteria

Not provided

Exclusion Criteria

• none

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Departments for Psychosomatic Medicine at psychiatric hospitals	no intervention, purely observational	no study interventions, observational group
Departments for Psychosomatic Medicine at general hospitals	no intervention, purely observational	no study interventions, observational group
Departments for Psychosomatic Medicine at University Clinics	no intervention, purely observational	no study interventions, observational group
Clinics specialized in Psychosomatic Medicine	no intervention, purely observational	no study interventions, observational group

Primary Outcome Measures

Name	Time	Method
Administered Treatments	Week eight of treatment: assessment of administered treatment units	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists

Secondary Outcome Measures

Name	Time	Method
HONOS - Health of the Nation Outcome Scales	administered once per patient at week one of treatment	measure of severity of mental illness

Trial Locations

Locations (1)

Simone University Jennissen; 🇩🇪 Heidelberg, Baden-Württemberg, Germany