Klocke Luisa, Brieger Peter, Menzel Susanne, Ketisch Eva, Hamann Johannes
kbo-Isar-Amper-Klinikum Region München, Akademisches Lehrkrankenhaus der LMU München, Vockestr. 72, 85540, Haar, Deutschland.
Klinik für Psychiatrie und Psychotherapie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Nervenarzt. 2022 May;93(5):520-528. doi: 10.1007/s00115-022-01272-8. Epub 2022 Mar 16.
Inpatient equivalent home-treatment (IEHT) was implemented in Germany in 2018. Persons with a mental disorder can be admitted to acute multiprofessional IEHT to avoid or shorten inpatient hospital treatment. Exclusion criteria are amongst others lack of consent of cohabitants or endangerment of self and others. Advantages of IEHT include normalization and reduction of stigma. Nevertheless, administrative requirements are high. While there is international evidence for home treatment and crisis resolution teams, there is still a lack of evidence for the concept of IEHT, although specific studies are currently being carried out (e.g. AktiV study financed by the Innovation Fund). Overall, IEHT is important for mental health services and should be further developed.
2018年，德国实施了住院等效家庭治疗（IEHT）。患有精神障碍的人可以入住急性多专业IEHT，以避免或缩短住院治疗。排除标准包括同居者不同意或对自身及他人构成危险等。IEHT的优势包括正常化和减少污名化。然而，行政要求很高。虽然有关于家庭治疗和危机解决团队的国际证据，但对于IEHT概念仍缺乏证据，尽管目前正在进行具体研究（例如由创新基金资助的AktiV研究）。总体而言，IEHT对心理健康服务很重要，应进一步发展。
