Widmann F, Bachhuber G, Riedelsheimer A, Schiele A, Ullrich S, Kilian R, Becker T, Frasch K
Fortschr Neurol Psychiatr. 2016 Jan;84(1):42-8; quiz 49. doi: 10.1055/s-0041-110887. Epub 2016 Feb 15.
Home Treatment (HT) means acute psychiatric treatment in the patient's usual environment. Conceptually, HT is to be differentiated from other home-based services: It is limited with regard to duration and multiprofessional (e. g. psychiatrist plus psychiatric nursing staff plus social worker); the "24/7"-accessibility is frequently provided by the corresponding background hospital infrastructure. Target group are acutely mentally ill persons with an indication to inpatient treatment, who are willing to cooperate, and absence of endangerment to self and others. In contrast to the Scandinavian and many Anglophone countries where nationwide HT services are delivered, there are not many HT sites in Germany so far. Consequently, empirical data concerning HT in Germany is scarce. In summary, international studies show equivalent effects on psychopathological measures compared to inpatient treatment, reductions with regard to inpatient days, higher patient satisfaction and a trend towards cost-effectivity.
居家治疗（HT）是指在患者的日常环境中进行的急性精神科治疗。从概念上讲，居家治疗与其他居家服务有所不同：它在持续时间和多专业方面（例如精神科医生加精神科护理人员加社会工作者）受到限制；“全天候”可及性通常由相应的背景医院基础设施提供。目标群体是有住院治疗指征、愿意合作且对自身和他人无危害的急性精神疾病患者。与提供全国性居家治疗服务的斯堪的纳维亚和许多英语国家不同，德国目前的居家治疗场所并不多。因此，德国关于居家治疗的实证数据很少。总之，国际研究表明，与住院治疗相比，居家治疗在精神病理学指标上有同等效果，住院天数减少，患者满意度更高，且有成本效益的趋势。
