[Randomised controlled multicenter trial on discharge planning in high utilisers of mental health care]

A simple, systematic and targeted manualised intervention was developed and applied in the German multicentre randomised controlled trial "Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of Psychiatric Services" (NODPAM).

Rational of the intervention is outlined. Similarities and differences in comparison with other approaches (Care Programme Approach, "Integrierter Behandlungs- und Rehabilitations plan", Critical Time Intervention) are delineated.

The intervention consists of two sessions led by an intervention worker with patient, keyworkers (at inpatient and outpatient services), and - optionally - carer(s) participating. During each intervention session needs identified by the patient are discussed, a treatment plan is developed and subsequently circulated to all participants.

Strengths (high structure, simplicity, compatibility with routine care) and disadvantages (e. g. shortness, insufficient dispersion of time, lack of integration with clinical process) of the intervention are discussed.