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[Innovative care models for people with schizophrenia]
Martin Lambert1, Vivien Kraft2, Anja Rohenkohl2
1Kompetenzzentrum für Integrierte Versorgung psychischer Erkrankungen, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland. lambert@uke.de.
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|January 10, 2019
Summary
Innovative care models, including early psychosis services and assertive community treatment, can improve schizophrenia treatment efficiency. However, implementation in Germany remains limited, with ongoing studies evaluating new models like RECOVER.
Area of Science:
- Psychiatry and Mental Health
- Healthcare Management
- Public Health Policy
Background:
- Schizophrenia presents complex challenges to mental healthcare systems.
- Innovative healthcare models are crucial for enhancing treatment efficiency and effectiveness.
- A significant gap exists in the implementation of advanced care models for severe mental illnesses.
Purpose of the Study:
- To provide an overview of evidence-based and innovative care and treatment models for schizophrenia and severe mental illnesses.
- To identify and describe successful international models of care.
- To assess the current status and challenges of implementing these models in Germany.
Main Methods:
- Conducted a literature search of publications from the last 10 years.
- Focused on keywords: "care or treatment models," "schizophrenia," "psychosis," and "severe mental illness."
- Analyzed and synthesized findings on various innovative care models, including case studies.
Main Results:
- Innovative models include Early Psychosis Services (EPSs), Crisis Resolution Teams (CRTs), Assertive Community Treatment (ACT), and Intensive Case Management (ICM).
- Examples of successful integrated, specialized, and assertive care models include EPPIC (Australia), Flexible ACT (Netherlands), and Therapeutic ACT (Hamburg).
- Implementation of EPS and ACT is insufficient in Germany; CRT is now fundable, and the RECOVER model is under evaluation.
Conclusions:
- Integrated and assertive care models show promise for improving schizophrenia treatment.
- Significant barriers to the widespread adoption of innovative mental health care models persist in Germany.
- Further research and policy support are needed to facilitate the implementation of effective treatment strategies for severe mental illness.
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