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[从服务使用者角度制定住院等效精神科居家治疗的初始最佳实践模型:具有参与性特征的共识过程]

[Developing An Initial Best Practice Model For Inpatient Equivalent Psychiatric Home Treatment From The Perspective Of Service Users: Consensus Process With Participatory Features].

作者信息

Schwarz Julian, Scheunemann Kim, Mundry Hannah, Kula Emma, Randzio Nadine, Salzmann Marie, Längle Gerhard, Raschmann Svenja, Holzke Martin, Brieger Peter, Hamann Johannes, Hardt Olaf, Rout Sandeep, Hirschmeier Constance, Herwig Uwe, Senner Simon, Richter Janina, Timm Jürgen, Kilian Reinhold, Nikolaidis Konstantinos, Weinmann Stefan, Bechdolf Andreas, von Peter Sebastian

机构信息

Klinik für Psychiatrie und Psychotherapie, Zentrum für Seelische Gesundheit, Immanuel Klinik Rüdersdorf, Universitätsklinikum der Medizinischen Hochschule Brandenburg, Rüdersdorf.

Fakultät für Gesundheitswissenschaften, Medizinische Hochschule Brandenburg, Neuruppin.

出版信息

Psychiatr Prax. 2025 Jan;52(1):26-34. doi: 10.1055/a-2406-9128. Epub 2024 Oct 9.

DOI:10.1055/a-2406-9128
PMID:39384318
Abstract

AIM

Inpatient-Equivalent Home Treatment (IEHT) for mental health is new in Germany and therefore requires quality development. A best practice model (BPM) for IEHT is being developed from a service user perspective.

METHODS

  1. Collection and organization of evidence (literature review; n=55 interviews with service users), 2. qualitative analysis and formulation of criteria; 3. consensus and grouping of criteria (Delphi process).

RESULTS

58 Best practice criteria were developed in 8 groups: 1. Information, access and crisis management; 2. Treatment framework, end of treatment and continuity; 3. Scheduling, organization of contacts and flexibility; 4. Practical support and activation; 5. Treatment and therapy services; 6. Treatment team and staff; 7. Relatives, caregivers and community; and 8. Privacy and behavior in the home environment.

CONCLUSION

The BPM provides initial guidance for a user-centered assessment of the implementation of IEHT.

摘要

目的

心理健康的住院等效居家治疗(IEHT)在德国尚属新生事物,因此需要进行质量改进。目前正从服务使用者的角度开发一种IEHT最佳实践模式(BPM)。

方法

  1. 证据收集与整理(文献综述;对55名服务使用者进行访谈),2. 定性分析与标准制定;3. 标准的共识与分组(德尔菲法)。

结果

共制定了58条最佳实践标准,分为8组:1. 信息、获取与危机管理;2. 治疗框架、治疗结束与连续性;3. 日程安排、联系组织与灵活性;4. 实际支持与激励;5. 治疗与疗法服务;6. 治疗团队与工作人员;7. 亲属、照料者与社区;8. 家庭环境中的隐私与行为。

结论

该最佳实践模式为以用户为中心评估住院等效居家治疗的实施情况提供了初步指导。

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