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[从理论到实践——德国慕尼黑家庭治疗的早期经验]

[From Theory into Practice - Early Experiences with Home Treatment in Munich, Germany].

作者信息

Boyens Josefine, Hamann Johannes, Ketisch Eva, Brieger Peter

机构信息

Klinik für Psychiatrie und Psychotherapie, Klinikum rechts der Isar, Technische Universität München.

kbo-Isar-Amper-Klinikum, Akademisches Lehrkrankenhaus der LMU München.

出版信息

Psychiatr Prax. 2021 Jul;48(5):269-272. doi: 10.1055/a-1276-6637. Epub 2020 Nov 24.

DOI:10.1055/a-1276-6637
PMID:33232976
Abstract

OBJECTIVE

Stationsäquivalente Behandlung (StäB), a treatment for crisis-resolution and home-treatment has been established in the greater Munich area since 2018, after it was established by a federal law. Our aim was to characterise the patients treated and analyse how treatment was carried out, as well as determine future target groups.

METHODS

Quantitative data was gathered through examination of records from all patients included in StäB from 01.10.18-31.10.19. For analysis we used descriptive statistics.

RESULTS

We report data from 164 treatment cases. 50 % of the patients were admitted to StäB directly from the community, the other 50 % were transferred from inpatient units. More than 75 % had affective or schizophrenic disorders, with many patients in the puerperium. There were few emergencies during StäB-treatment, and the therapy was usually ended on a regular basis. When discharged, most of the patients were in improved condition according to clinicians' judgement. Severity of illness was comparable to inpatients.

CONCLUSION

Its successful implementation in Munich StäB offers an alternative and addition to inpatient treatment. There are certain needs which are specifically met such as mother-child treatment.

摘要

目的

自2018年一项联邦法律确立后,危机解决与家庭治疗的等效站点治疗(StäB)在大慕尼黑地区得以开展。我们的目的是对接受治疗的患者进行特征描述,分析治疗的实施方式,并确定未来的目标群体。

方法

通过检查2018年10月1日至2019年10月31日期间所有纳入等效站点治疗(StäB)的患者记录来收集定量数据。分析时我们使用描述性统计。

结果

我们报告了164例治疗病例的数据。50%的患者直接从社区入院接受等效站点治疗(StäB),另外50%是从住院病房转来的。超过75%的患者患有情感障碍或精神分裂症,其中许多患者处于产褥期。在等效站点治疗(StäB)期间急诊情况较少,治疗通常按常规结束。出院时,根据临床医生的判断,大多数患者病情有所改善。疾病严重程度与住院患者相当。

结论

等效站点治疗(StäB)在慕尼黑的成功实施为住院治疗提供了一种替代方案和补充。它满足了某些特定需求,如母婴治疗。

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Premature termination, satisfaction with care, and shared decision-making during home treatment compared to inpatient treatment: A quasi-experimental trial.提前终止治疗、对治疗的满意度以及家庭治疗与住院治疗相比的决策共享:一项准实验研究。
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