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[Intensive home treatment (IHT): indication criteria for children and adolescents]
Insights
Intensive home treatment (IHT) for children and adolescents now has clear indication criteria. This Delphi method study established 33 key statements to improve patient assessment and triage for psychiatric crisis care.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Services Research
Background:
- Intensive home treatment (IHT) offers psychiatric crisis care within the home.
- This intervention aims to provide specialized support in a familiar environment.
Purpose of the Study:
- To develop standardized indication criteria for IHT in pediatric and adolescent populations.
- To enhance patient assessment processes and expedite triage for IHT services.
Main Methods:
- The Delphi method was employed, involving multiple rounds of expert consensus building.
- Initial criteria were generated by IHT professionals and refined through iterative rating.
Main Results:
- A consensus was reached on 33 important statements for IHT indication.
- Key areas covered include treatment goals, patient eligibility, service delivery, referral responsibilities, and logistics.
Conclusions:
- The developed list of assessment indicators offers a valuable tool for IHT teams.
- It supports improved and standardized triage for children and adolescents receiving intensive psychiatric home care.
Background:
Intensive home treatment (IHT) is an intervention that provides intensive psychiatric (crisis) care in the home environment.
Aim:
To formulate indication criteria for IHT in children and adolescents, to improve assessment and to reduce the time needed for triage.
Method:
The Delphi method was used to assess the opinion of experts on the indication for IHT in children and adolescents. In round 1, 18 employees of the IHT team of Levvel (Academic Centre for Child and Adolescent Psychiatry) list the indication criteria that they thought should be used to determine whether a patient belonged to the IHT target group. Open coding was used to analyze the responses and to derive statements that, in the following three rounds, were rated by the participants on their importance.
Results:
33 statements were deemed important enough (> 80% consensus) to include in the final list. These statements concerned the aim, target group, treatment services, the role and responsibilities of the referrer and logistical issues.
Conclusion:
The list with assessment indicators is a promising tool to help IHT teams working with children and adolescents improve and standardize their triage.
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