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Boege, I; Copus, N; Schepker, R.
[Effectiveness of hometreatment in light of clinical elements, chances, and limitations].
Z Kinder Jugendpsychiatr Psychother. 2014; 42(1):27-37
Doi: 10.1024/1422-4917/a000267
Web of Science
PubMed
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- Leading authors Med Uni Graz
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Böge Isabel
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- Abstract:
- OBJECTIVE: The main objective was to evaluate two models of care for children and adolescents requiring hospitalization due to severe mental illness. Model 1: early discharge followed by a newly established home treatment service enhanced by clinical elements according to need (BeZuHG); Model 2: admission to an inpatient unit (TAU). METHODS: 100 children and adolescents admitted to inpatient care were randomized to either a control group (regular inpatient stay) or an intervention group (BeZuHG group). Sociodemographic data, ICD-10 and DSM-IV diagnoses, health and social functioning, psychopathology, clinical impairment, and service use were assessed pre- and posttreatment regarding effectiveness, outcome, contact time, and acceptance within the families. RESULTS: Clinical outcome in BeZuHG treatment was as effective as inpatient care. There was a good acceptance within the families, family resources enhanced treatment outcome, and a significant reduction in length of inpatient stay could be shown. CONCLUSIONS: The BeZuHG model should be a regular option in child and adolescent psychiatric care. Further rigorous evaluation of the model is required: A 1-year follow-up investigating the stability of the shown effects is planned.
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Adolescent - administration & dosage
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Child - administration & dosage
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Child, Preschool - administration & dosage
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Combined Modality Therapy - administration & dosage
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Community Mental Health Services - administration & dosage
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Cooperative Behavior - administration & dosage
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Female - administration & dosage
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Home Care Services - administration & dosage
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Hospitalization - administration & dosage
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Humans - administration & dosage
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Interdisciplinary Communication - administration & dosage
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Interview, Psychological - administration & dosage
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Length of Stay - administration & dosage
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Male - administration & dosage
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Mental Disorders - psychology, therapy
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Patient Care Team - administration & dosage
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Patient Discharge - administration & dosage
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Personality Assessment - administration & dosage
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Psychotropic Drugs - adverse effects, therapeutic use
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Treatment Outcome - administration & dosage
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hometreatment
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service development
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duration of inpatient stay
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community programms
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child and adolescent mental health