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[Home treatment: systematic review and implementation in Germany]
Uta Gühne1, Stefan Weinmann, Katrin Arnold
1Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Universität Leipzig, Leipzig, Germany. Uta.Guehne@medizin.uni-leipzig.de
Psychiatrische Praxis
|January 6, 2011
Summary
Home treatment for severely mentally ill adults shows equal or greater effectiveness than standard care for health and mental health outcomes. Despite proven benefits, its implementation in Germany remains limited.
Area of Science:
- Psychiatry and Mental Health Services Research
- Evidence-Based Practice in Healthcare
Background:
- Severely mentally ill adults often require intensive support.
- Traditional inpatient care has limitations in accessibility and cost-effectiveness.
- Home treatment models offer an alternative to institutionalization.
Purpose of the Study:
- To synthesize evidence on the effectiveness of home treatment for severe mental illness.
- To examine the current status of home treatment implementation in Germany.
- To identify barriers to wider adoption of home treatment services.
Main Methods:
- Conducted a systematic literature search using both electronic and manual methods.
- Focused on studies evaluating home treatment interventions for adults with severe mental illness.
Main Results:
- Home treatment demonstrated comparable or superior efficacy to standard care regarding general health and mental health status.
- Significant advantages were observed for home treatment in other outcome domains.
- Current implementation of home treatment in Germany is notably restricted.
Conclusions:
- Home treatment represents a valuable and effective adjunct to conventional psychiatric care.
- Potential cost-effectiveness of home treatment in the German context is suggested.
- Analysis of factors hindering routine implementation is crucial for service expansion.
