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[Implementation and Stakeholders' Experiences with Home Treatment in Germany's Integrative and Flexible Psychiatric
Julian Schwarz1, Manfred Zeipert1,2, Yuriy Ignatyev1
1Hochschulklinik für Psychiatrie und Psychotherapie, Medizinische Hochschule Brandenburg Theodor Fontane, Immanuel Klinik, Rüdersdorf bei Berlin.
Objective:
This paper seeks to illustrate current implementation of and the stakeholders' experiences with Home Treatment (=HT) according to §64b of the German Social Code Book V (=SGB V).
Methods:
381 Patients from 8 hospitals were questioned about their experiences and evaluation of HT using a standardized questionnaire (SEPICC-Scale). Further interviews and focus groups with 37 participants (including users, carers and employees) were thematically analysed. In addition, structural and performance data were collected from participating hospitals and HT teams.
Results:
HT according to §64b SGB V is implemented quite heterogeneously, especially between rural and urban catchment areas. It provides a long-term, cross-sectoral care, which seems to strengthen the integration of patients' everyday life, treatment flexibility and continuity of care. After having experienced HT once, it is generally rated better.
Conclusion:
An important strength of HT (§64b SGB V) is its adaption to the users' needs and to regional distinctions. Implications for the implementation of outreach services on a larger scale in Germany can be drawn.