Stulz Niklaus, Wyder Lea, Grosse Holtforth Martin, Hepp Urs
Integrated Psychiatric Services Winterthur - Zurcher Unterland, Wieshofstrasse 102, P.O. Box 144, CH-8408, Winterthur, Switzerland.
Psychiatric Services Aargau, P.O. Box 432, CH-5201, Brugg, Switzerland.
Community Ment Health J. 2022 Feb;58(2):231-239. doi: 10.1007/s10597-021-00814-9. Epub 2021 Mar 18.
We aimed at determining differential characteristics of patients treated by a home treatment (HT) team compared to patients treated on hospital wards. Of 412 consecutively admitted patients, 194 (47.1%) were at least partially treated at home, whereas 218 (52.9%) received inpatient treatment only during an episode of acute illness. A multivariate logistic regression model identified current employment to increase the odds of HT (p < 0.001). A primary diagnosis of anxiety or stress-related disorder (p < 0.001), other rare primary diagnoses such as personality disorders (p < 0.001), and more pronounced clinician-rated social problems (p = 0.041) decreased the odds of HT. Overall, it remained difficult to clearly specify suitability for HT based on available sociodemographic and clinical characteristics. This might indicate that responsible clinicians consider HT to be a viable alternative to hospital care and hence initiate HT for a relatively broad spectrum of patients.
我们旨在确定接受家庭治疗（HT）团队治疗的患者与在医院病房接受治疗的患者的不同特征。在412例连续入院的患者中，194例（47.1%）至少部分在家中接受治疗，而218例（52.9%）仅在急性病发作期间接受住院治疗。多因素逻辑回归模型确定当前就业会增加接受家庭治疗的几率（p < 0.001）。焦虑或应激相关障碍的初步诊断（p < 0.001）、人格障碍等其他罕见的初步诊断（p < 0.001）以及更明显的临床医生评定的社会问题（p = 0.041）会降低接受家庭治疗的几率。总体而言，基于现有的社会人口统计学和临床特征，仍难以明确确定适合家庭治疗的情况。这可能表明，负责的临床医生认为家庭治疗是医院护理的可行替代方案，因此为相对广泛的患者群体启动家庭治疗。
