scholarly journals Innovative digitale Versorgungsformen zur Personalisierung der stationsäquivalenten Behandlung in der alltäglichen Lebenswelt bei schweren psychischen Erkrankungen [Innovative digital forms of service delivery for personalized crisis resolution and home treatment for people with severe mental health problems]

2020 ◽  
Author(s):  
Christian Rauschenberg ◽  
Dusan Hirjak ◽  
Thomas Ganslandt ◽  
Anita Schick ◽  
Andreas Meyer-Lindenberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Delivery ◽  
Subjective Experience ◽  
Mental Health Problems ◽  
Home Treatment ◽  
Stationäre Behandlung ◽  
Crisis Resolution ◽  
Online Chat ◽  
Psychiatrische Behandlung ◽  
Ecological Momentary

Die stationsäquivalente psychiatrische Behandlung (StäB) wurde 2018 als neue Krankenhausleistung für Menschen eingeführt, die die Indikation für eine stationäre Behandlung erfüllen. Die rasanten Fortschritte im Bereich der Informations- und Kommunikationstechnologie bieten völlig neue Chancen für innovative digitale Versorgungsangebote wie telemedizinische, eHealth oder mHealth Verfahren. Ziel dieser Arbeit ist es einen umfassenden Überblick über neue digitale Versorgungsformen zu geben, die zur Personalisierung der StäB in der alltäglichen Lebenswelt bei schweren psychischen Erkrankungen beitragen und somit klinische und soziale Outcomes verbessern sowie direkte und indirekte Kosten reduzieren könnten. Es lassen sich vier primäre digitale Versorgungsformen identifizieren, die in diesem Sinne in der StäB gewinnbringend genutzt werden könnten: (1) Kommunikation, Behandlungskontinuität und -flexibilität durch Online-Chat und Videotelefonie; (2) Monitoring von Symptomen und Verhaltensweisen in Echtzeit durch Anwendung des ambulatorischen Assessments (Engl. Ecological Momentary Assessments (EMA)); (3) Nutzung von multimodalen EMA-Daten für die Generierung und Darbietung von personalisiertem Feedback über subjektives Erleben und Verhaltensmuster sowie (4) auf Person, Moment und Kontext zugeschnittene, adaptive ambulatorische Interventionen (Engl. Ecological Momentary Interventions (EMIs)). Neue digitale Versorgungsformen haben erhebliches Potential die Effektivität und Kosteneffektivität der aufsuchenden fachpsychiatrischen und psychotherapeutischen Behandlung zu steigern. Ein wichtiger nächster Schritt besteht nun darin, die Anwendung dieser Versorgungsformen im Bereich der StäB zu modellieren und deren Qualität aus Patientensicht, Sicherheit, und initiale Prozess- und Ergebnisqualität sowie Implementierungsbedingungen sorgfältig zu untersuchen. Abstract:Ward-equivalent treatment (StäB), a form of crisis resolution and home treatment in Germany, has been introduced in 2018 as a new model of mental health service delivery for people with an indication for inpatient care. The rapid progress in the field of information and communication technology offers entirely new opportunities for innovative digital mental health care such as telemedicine, eHealth, or mHealth interventions. This paper aims to provide a comprehensive overview of novel digital forms of service delivery in the daily lives of help-seeking individuals for personalized delivery of StäB that may contribute to improving clinical and social outcomes as well as reducing direct and indirect costs. Four primary digital forms of service delivery have been identified that can be used for personalized delivery of StäB: (1) communication, continuity of care, and flexibility through online chat and video call; (2) monitoring of symptoms and behaviour in real-time through ecological momentary assessment (EMA); (3) use of multimodal EMA data to generate and offer personalized feedback on subjective experience and behavioural patterns as well as (4) adaptive ecological momentary interventions (EMIs) tailored to the person, moment, and context in daily life. New digital forms of service delivery have considerable potential to increase the effectiveness and cost-effectiveness of crisis resolution, home treatment, and assertive outreach. An important next step is to model and initially evaluate these novel digital forms of service delivery in the context of StäB and carefully investigate their quality from the user perspective, safety, feasibility, initial process and outcome quality as well as barriers and facilitators of implementation.

scholarly journals “I Didn’t Know What They Wanted From Me”–the Perspective of Individuals with Mental Disorders on Police Interventions

2021 ◽  
Author(s):  
Linus Wittmann ◽  
Gunter Groen ◽  
Janusz Ogorka ◽  
Astrid Jörns-Presentati
Keyword(s):  
Mental Health ◽  
Mental Disorder ◽  
Police Officers ◽  
Subjective Experience ◽  
Mental Health Problems ◽  
Communication Strategies ◽  
Police Training ◽  
Signs And Symptoms ◽  
Personal Space ◽  
Police Encounters

AbstractEncounters between individuals with a mental disorder and police forces can be harmful and dangerous for both parties involved. Previous research explored mostly police officers’ subjective experience of these encounters and focused on their recommendations. The present study takes the perspective of individuals with a mental disorder and investigates their subjective experience of dealing with the police. Thirteen semi-structural interviews were conducted with individuals with a history of mental health problems who have had encounters with the police and experienced contact-based anti-stigmatization interventions as consultants. Interviews revolved around the subjective experience of these police encounters. Questionnaires were used to inquire about context factors, individuals’ perceptions of police officers, and their sense of security during these encounters. Furthermore, individuals were asked to rate police officers’ ability to recognize signs and symptoms of ill mental health and give recommendations in regard to adequate communication strategies, interventions, and police training. The results indicate that encounters were experienced predominantly as positive and non-threatening. Participants emphasized the importance of communication strategies with a focus on empathy and respect. Keeping personal space and satisfying basic needs was recommended. Contact-based anti-stigmatization interventions were regarded as an effective approach to reduce stigma. Empathy and respect are perceived as key strategies for police officers when dealing with individuals with a mental disorder. To promote these strategies, trialogical anti-stigmatization interventions and crisis intervention training, including communication skills and face-to-face contact, are promising approaches.

scholarly journals Digitale Versorgungsformen zur Personalisierung der stationsäquivalenten Behandlung

2021 ◽  
Author(s):  
Christian Rauschenberg ◽  
Dusan Hirjak ◽  
Thomas Ganslandt ◽  
Julia C. C. Schulte-Strathaus ◽  
Anita Schick ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Online Chat ◽  
Psychiatrische Behandlung ◽  
Indirekte Kosten ◽  
Direkte Und Indirekte Kosten ◽  
Ecological Momentary ◽  
Momentary Assessment

Zusammenfassung Hintergrund Die stationsäquivalente psychiatrische Behandlung (StäB) wurde 2018 als Krankenhausleistung für Menschen eingeführt, die die Kriterien einer stationären Behandlung erfüllen. Die rasanten Fortschritte im Bereich der Informations- und Kommunikationstechnologie bieten neue Chancen für innovative digitale Versorgungsangebote wie telemedizinische, eHealth- oder mHealth-Verfahren. Ziel der Arbeit Diese Übersichtsarbeit soll einen umfassenden Überblick über neue digitale Versorgungsformen geben, die zur Personalisierung der StäB bei schweren psychischen Erkrankungen beitragen und somit klinische und soziale Outcomes verbessern sowie direkte und indirekte Kosten reduzieren könnten. Methode Diese Arbeit basiert auf einer selektiven Literaturrecherche (Narratives Review). Ergebnisse Es wurden vier primäre digitale Versorgungsformen identifiziert, die in der StäB gewinnbringend genutzt werden könnten: (1) Kommunikation, Behandlungskontinuität und -flexibilität durch Online-Chat und Videotelefonie, (2) Monitoring von Symptomen und Verhaltensweisen in Echtzeit durch Anwendung des ambulatorischen Assessments („ecological momentary assessment“ [EMA]), (3) Nutzung multimodaler EMA-Daten für die Generierung von personalisiertem Feedback über subjektives Erleben und Verhaltensmuster sowie (4) auf Person, Moment und Kontext zugeschnittene, adaptive ambulatorische Interventionen („ecological momentary interventions“ [EMIs]). Diskussion Digitale Versorgungsformen haben erhebliches Potenzial die Effektivität und Kosteneffektivität der StäB zu steigern. Ein wichtiger nächster Schritt besteht darin, die Anwendung dieser Versorgungsformen im Bereich der StäB zu modellieren und deren Qualität aus Sicht der Patient*innen, Sicherheit und initiale Prozess- und Ergebnisqualität sowie Implementierungsbedingungen sorgfältig zu untersuchen.

P02-08 - Mental health crisis resolution and home treatment teams: a qualitative evaluation

2010 ◽  
Vol 25 ◽  
pp. 626
Author(s):  
B. Ferguson ◽  
H. Middleton ◽  
R. Shaw ◽  
R. Collier ◽  
A. Purser
Keyword(s):  
Mental Health ◽  
Qualitative Evaluation ◽  
Home Treatment ◽  
Mental Health Crisis ◽  
Crisis Resolution ◽  
Health Crisis

Emotion work in a mental health service setting

2015 ◽  
Vol 16 (3) ◽  
pp. 317-332 ◽  
Author(s):  
Hege Sjølie ◽  
Per-Einar Binder ◽  
Ingrid Dundas
Keyword(s):  
Mental Health ◽  
Emotional Expression ◽  
Current Knowledge ◽  
Home Treatment ◽  
Working Environment ◽  
Emotion Work ◽  
Treatment Team ◽  
Crisis Resolution ◽  
Team Members ◽  
Daily Work

The purpose of this article is to describe emotion work within a crisis resolution home treatment team in Norway. As defined by Hochschild, “emotion work” refers to managing one’s emotions according to what is culturally acceptable within a particular situation. A crisis resolution home treatment team is of particular interest when studying emotion work, because it represents a working environment where mental health crises and suicidal threat are common and where managing emotions is necessary for the team to function well. We aimed to expand current knowledge of the particular ways in which emotion work may be done by observing and describing the daily work of such a team. Our analyses showed that team members’ emotion work had five main features: (1) emotional expression was common and there seemed to be an informal rule that “vulnerable” emotions could be expressed; (2) emotional expression was most commonly observed in post-event discussions of challenging events or service users; (3) emotional expression facilitated digesting or processing of the event with the help of a fellow team member; (4) emotional expression was met with validation and support; and (5) this support seemed to increase mentalization and understanding of the situation and could be offered only by other team members. An implication of these findings is that informal exchanges of emotion are a necessary part of the work and cannot occur outside of the work context.

scholarly journals International differences in home treatment for mental health problems

2002 ◽  
Vol 181 (5) ◽  
pp. 375-382 ◽  
Author(s):  
Tom Burns ◽  
Jocelyn Catty ◽  
Hilary Watt ◽  
Christine Wright ◽  
Martin Knapp ◽  
...  
Keyword(s):  
Mental Health ◽  
North American ◽  
American Studies ◽  
Mental Health Problems ◽  
Home Treatment ◽  
European Studies ◽  
Location Service ◽  
The Usa ◽  
Meta Analyses

BackgroundIt is perceived that North American home treatment studies reveal greater success in reducing days in hospital than do European studies. There are difficulties in extrapolating findings internationally.AimsWe aimed to determine whether North American studies find greater reductions in days in hospital and whether experimental service patients in North American studies spend less time in hospital.MethodThe results of a systematic review were analysed with respect to study location. Service components ascertained through follow-up were utilised to interpret the meta-analyses conducted.ResultsMost of the 91 studies found were from the USA and UK. North American studies found a difference of one hospital day (per patient per month) more than European studies but there was no difference in experimental data between the two locations.ConclusionsNorth American studies demonstrate greater differences in days in hospital but patients in their experimental services seem to spend no fewer days in hospital, implying a disparity in control services.

Home treatment for mental health problems: a systematic review

2002 ◽  
Vol 32 (3) ◽  
pp. 383-401 ◽  
Author(s):  
J. CATTY ◽  
T. BURNS ◽  
M. KNAPP ◽  
H. WATT ◽  
C. WRIGHT ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Health Problems ◽  
Home Treatment ◽  
Randomized Studies ◽  
Service Components ◽  
And Control ◽  
At Home

Background. Concerns have been raised about the scope and generalizability of much community mental health research. In particular, both experimental and control services are poorly characterized.Methods. To review the effectiveness of ‘home treatment’ for mental health problems in terms of hospitalization, we conducted a systematic review, using Cochrane methodology but with a wider remit. Non-randomized studies were included in response to concerns about RCTs’ generalizability. All authors were followed up for data on service components. ‘Home treatment’ was defined broadly for the purposes of the literature search, but included studies were then assessed against service components specifically focused on delivering treatment at home. The study tested components and other features for associations with days in hospital, as well as conducting a conventional meta-analysis of data on days in hospital.Results. We found 91 studies, 18 comparing home to in-patient treatment. Sixty per cent of authors responded to follow-up. The vast majority of the services studied had a ‘home treatment function’ and regularly visited patients at home. The heterogeneity of control services made meta-analysis problematical as did the limited availability of data. There was some evidence that ‘regular’ home visiting and combined responsibility for health and social care were associated with reduced hospitalization. The inclusion of non-randomized studies rarely affected the findings.Conclusions. Evidence concerning the effectiveness of home treatment remains inconclusive. A centrally coordinated research strategy is recommended, with attention to study design. Experimental and control service components should be prospectively recorded and reported to enable meaningful analysis.

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