Boege Isabel, Schepker Renate, Fegert Jörg M
ZfP Südwürttemberg, Akademisches Lehrkrankenhaus der Universität Ulm, Ravensburg, Deutschland.
KJPP Universität Ulm, Ulm, Deutschland.
Z Kinder Jugendpsychiatr Psychother. 2020 Sep;48(5):393-406. doi: 10.1024/1422-4917/a000710. Epub 2020 Feb 25.
From home treatment to psychiatric ward-equivalent treatment (StäB) - A systematic review of outpatient treatment in Germany In the past, home treatment was not available in Germany for children and adolescents with mental health problems. However, enactment of the PsychVVG law on 1 January 2017 has changed this, so that intensive home treatment (stationsäquivalente Behandlung, StäB) can now be offered as an alternative to inpatient treatment. This literature review a) analyzes existing German home treatment studies for effectiveness, b) determines from international reviews criteria for effective home treatment, and c) aligns these with the standardized StäB criteria. We performed a systematic literature search in PubMed, Scopus, PsycINFO, and Cochrane Library referencing "hometreatment AND children" as well as "hometreatment AND adolesc*. Flexibility, mobility, multiprofessionality, a wide spectrum of possible interventions, the option of inpatient admission, 24/7 availability as well as daily treatment sessions have been found to be factors for effective home treatment. In German studies, home treatment was shown to enhance psychosocial functioning, parental competences, long-term effectiveness, and acceptance by the families. The highest effect for home treatment was demonstrated in children and adolescents with externalizing disorders. Intensive home treatment (StäB) meets the criteria identified in the literature and is a good addition to existing treatment options for children and adolescents with mental health problems in Germany.
从家庭治疗到精神科病房等效治疗(StäB)——德国门诊治疗的系统评价 过去,德国没有为有心理健康问题的儿童和青少年提供家庭治疗。然而,2017年1月1日《精神卫生与心理治疗法》(PsychVVG)的颁布改变了这一状况,现在可以提供强化家庭治疗(stationsäquivalente Behandlung,StäB)作为住院治疗的替代方案。这篇文献综述a)分析德国现有的家庭治疗研究的有效性,b)从国际综述中确定有效家庭治疗的标准,c)将这些标准与标准化的StäB标准进行比对。我们在PubMed、Scopus、PsycINFO和Cochrane图书馆中进行了系统的文献检索,检索词为“家庭治疗 AND 儿童”以及“家庭治疗 AND 青少年*”。灵活性、可移动性、多专业性、广泛的可能干预措施、住院收治的选择、全天候可用性以及每日治疗课程已被发现是有效家庭治疗的因素。在德国的研究中,家庭治疗被证明可以增强心理社会功能、父母能力、长期有效性以及家庭的接受度。家庭治疗对患有外化性障碍的儿童和青少年效果最为显著。强化家庭治疗(StäB)符合文献中确定的标准,是德国有心理健康问题的儿童和青少年现有治疗选择的有益补充。
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