Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Boege, I; Corpus, N; Weichard, M; Schepker, R; Young, P; Fegert, JM.
Long-term outcome of intensive home treatment for children and adolescents with mental health problems - 4 years after a randomized controlled clinical trial.
Child Adolesc Ment Health. 2021; 26(4):310-319
Doi: 10.1111/camh.12500
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Böge Isabel
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- Abstract:
- BACKGROUND: Admission rates to child and adolescent mental health inpatient units in Germany are substantial (58.831 admissions in 2019). Historically, different treatment pathways have not been available. The evidence suggests that home treatment could be an alternative. The objective of this study was to assess the long-term stability of treatment gains among children and adolescents treated for serious mental health problems with home treatment (HT) as compared with inpatient treatment-as-usual (TAU). METHODS: Hundred patients were enrolled and randomized into an intervention (HT n = 54) and control group (TAU n = 46). Follow-up data were available after 8.4 months (n = 78) (T3) and after 4.3 years (n = 51) (T4). The primary outcome measured was overall level of functioning, for which the Children's Global Assessment Scale (CGAS) was used. Secondary outcomes included severity of patient impairment and parental competency in dealing with their child's symptoms, measured using the Health of the Nation Outcome Scales (HoNOSCA). A qualitative interview with parents was performed at T3 and T4. RESULTS: Treatment effects remained stable for both groups at T3 and T4 (p < .001). After 4.3 years 70% of the parents in the intervention group stated satisfaction with the treatment received, while only 36.8% of the parents within the control group rated themselves as satisfied. 43.7% of parents in the home treatment group reported that the most helpful aspect of this pathway was the prompt and intensive professional help and advice they received as primary caregivers at home. CONCLUSIONS: Home treatment may be considered a viable alternative to inpatient care.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent - administration & dosage
- Child - administration & dosage
- Germany - administration & dosage
- Hospitalization - administration & dosage
- Humans - administration & dosage
- Inpatients - administration & dosage
- Mental Health - administration & dosage
- Parents - administration & dosage
- Find related publications in this database (Keywords)
- Mental health problem
- adolescent
- child
- home treatment
- long-term outcome
- outreach team