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[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective
Julian Schwarz1,2, Kim Scheunemann1, Hannah Mundry1,2
1Klinik für Psychiatrie und Psychotherapie, Zentrum für Seelische Gesundheit, Immanuel Klinik Rüdersdorf, Universitätsklinikum der Medizinischen Hochschule Brandenburg, Rüdersdorf.
Aim:
Inpatient-Equivalent Home Treatment (IEHT) for mental health is new in Germany and therefore requires quality development. A best practice model (BPM) for IEHT is being developed from a service user perspective.
Methods:
1. Collection and organization of evidence (literature review; n=55 interviews with service users), 2. qualitative analysis and formulation of criteria; 3. consensus and grouping of criteria (Delphi process).
Results:
58 Best practice criteria were developed in 8 groups: 1. Information, access and crisis management; 2. Treatment framework, end of treatment and continuity; 3. Scheduling, organization of contacts and flexibility; 4. Practical support and activation; 5. Treatment and therapy services; 6. Treatment team and staff; 7. Relatives, caregivers and community; and 8. Privacy and behavior in the home environment.
Conclusion:
The BPM provides initial guidance for a user-centered assessment of the implementation of IEHT.
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