Home Treatment

from Wikipedia, the free encyclopedia

Home Treatment ( English for home treatment is a treatment in which a treatment team acute) psychiatric care patients in a familiar environment. The team consists of nurses, social workers and psychiatrists . Home treatment (HT) should lead to a reduction in the length of stay in inpatient care.

HT is offered in Berlin , Detmold , Frankfurt am Main , Gießen (Lahn), Günzburg , Geesthacht , Hamburg , Krefeld , Nauen , Itzehoe and Heidenheim. Corresponding crisis apartments are available in Bremen , Berlin and Solingen .

Treatment process

There are different focuses depending on the clinic. Typical organization is: at least three home visits per patient per week, at least one of them with a doctor. If necessary, several visits are possible, up to three daily. The scope and type of contact (house calls, telephone calls) is determined on a case-by-case basis. Once a week there is a senior physician visit to certain patients in the clinic . In addition, there is a weekly case discussion about each patient with the senior physician, doctor, nursing staff , social worker , in which the previous course of therapy and other treatment goals are reflected , determined or modified if necessary.

development

Around 1960 they wanted community-based therapeutic care and the closed psychiatric institutions to open up. From this, the "Crisi Theory" Caplan developed in 1964 and the ACT model "Stone and Test" in 1980, in Denver in 1971 ; from there, the distribution is documented mainly in English- speaking countries. But also in Pai and Lapur in 1983 and later in the Scandinavian region. There have been pilot projects in Germany since 2002 .

Treatment outcome

First results suggest the effectiveness of a more humane form of treatment. According to this, HT is either equivalent or slightly superior to inpatient treatment. The social functioning level of the HT patients also turned out to be better. The relatives were more satisfied with this treatment alternative and felt more relieved than with an inpatient stay. These results can also be seen in other pilot projects and institutions in the Federal Republic of Germany and in other countries such as Great Britain , where the general switch to mobile crisis intervention teams was carried out most strongly.

See also

Individual evidence

  1. ↑ a b MS: Home Treatment: Alternative to the Hospital In: aerzteblatt. February 2006.
  2. ↑ Home Treatment: Alternative to the Hospital ( Memento of the original dated December 7, 2015 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. In: Umbrella Association of Community Psychiatry eV. 2008.  @1@ 2Template: Webachiv / IABot / www.psychiatrie.de
  3. ↑ a b Target treatment offer ( memento of the original dated August 14, 2012 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. In: Homepage BKH Günzburg. March 15, 2012.  @1@ 2Template: Webachiv / IABot / www.bkh-guenzburg.de
  4. ↑ a b c Treatment of mental illnesses In: taz. June 16, 2010.
  5. ↑ a b c d e f g Hannes Müller, Karel Frasch: Home Treatment or Mobile Crisis Team Bavarian Swabia February 8, 2012.
  6. ↑ http://www.impuls-psychiatrie.net/ Innovative supply networks for mentally ill people In: impuls. 2010.
  7. ^ A b Thomas Becker, Holger Hoffmann, Bernd Puschner, Stefan Weinmann Page 127: Care models in psychiatry and psychotherapy In: Kohlhammer. December 2007.
  8. ^ Mathias Berger: Mental Illnesses , p. 214, Elsevier 2012

literature

  • Sonia Johnson, Justin Needle, Jonathan P. Bindman, Graham Thornicroft (Eds.): Crisis Resolution and Home Treatment in Mental Health Cambridge University Press, August 11, 2008, ISBN 978-0521678759
  • David S. Heath (Ed.): Home Treatment for Acute Mental Disorders: An Alternative to Hospitalization Routledge, November 3, 2004, ISBN 978-0415934084
  • Neil Brimblecombe (Ed.): Acute Care in the Community: Intensive Home Treatment (IHT) as an Alternative to Psychiatric Admission Wiley, 2001, ISBN 978-1861561893