The Hamburg-Model of Integrated Care for Patients with Psychosis: Part 1 Rationale, Treatment Concept and Results of the Pre-Study

被引：30

作者：

Lambert, Martin ^{[1
]}

Bock, Thomas ^{[1
]}

Daubmann, Anne ^{[5
]}

Meigel-Schleiff, Christina ^{[2
]}

Lange, Benjamin ^{[2
]}

Lange, Matthias ^{[1
]}

Ohm, Gunda ^{[3
]}

Bussopulos, Alexandra ^{[1
]}

Frieling, Marietta ^{[1
]}

Golks, Dietmar ^{[1
]}

Kerstan, Andrea ^{[1
]}

Koenig, Hans-Helmut ^{[4
]}

Nika, Lia ^{[1
]}

Ruppelt, Friederike ^{[1
]}

Schoedlbauer, Michael ^{[1
]}

Schoettle, Daniel ^{[1
]}

Sauerbier, Anne-Lena ^{[1
]}

Rietschel, Liz ^{[1
]}

Wegscheider, Karl ^{[5
]}

Wiedemann, Klaus ^{[5
]}

Schimmelmann, Benno G. ^{[6
]}

Naber, Dieter ^{[2
]}

Karow, Anne ^{[1
]}

机构：

[1] Univ Klinikum Hamburg Eppendorf, Klin Psychiat & Psychotherapie, Zentrum Psychosoziale Med, Arbeitsbereiches Psychosen, D-20246 Hamburg, Germany

[2] Univ Klinikum Hamburg Eppendorf, Klin Psychiat & Psychotherapie, Zentrum Psychosoziale Med, D-20246 Hamburg, Germany

[3] Schon Klin, Neustadt, Germany

[4] Univ Klinikum Hamburg Eppendorf, Inst Med Soziol Sozialmed & Gesundheitsokon IMSG, D-20246 Hamburg, Germany

[5] Univ Klin Hamburg Eppendorf, Inst Med Biometrie & Epidemiol, Hamburg, Germany

[6] Univ Bern, Univ Klin Kinder & Jugendpsychiat & Psychotherapi, CH-3012 Bern, Switzerland

来源：

PSYCHIATRISCHE PRAXIS | 2014年 / 41卷 / 05期

关键词：

integrated care; Assertive Community Treatment (ACT); hometreatment; psychosis; schizophrenia; bipolar disorder; outcome; ASSERTIVE COMMUNITY TREATMENT; QUALITY-OF-LIFE; 1ST-EPISODE PSYCHOSIS; MENTAL-DISORDERS; BASE-LINE; EPIDEMIOLOGIC COHORT; 12-MONTH PREVALENCE; UNTREATED PSYCHOSIS; STANDARD CARE; EARLY-ONSET;

D O I：

10.1055/s-0033-1349497

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: The "Hamburg model" designates an integrated care model for severely ill patients with psychotic disorders financed by the health insurance system in accordance with 140 SGB V. Methods: It comprises comprehensive and long-term treatment within a regional network of the psychosis center of the University Medical Center Hamburg-Eppendorf (UKE) and private psychiatrists. The treatment model consists of therapeutic assertive community treatment (ACT) provided by a highly specialized treatment team and need-adapted in- and outpatient care. Results and conclusions: The present article summarizes the disease-and treatment-specific rationales for the model development as well as the model structure and treatment contents. The article further summarizes the effectiveness and efficiency results of a study comparing the Hamburg model and treatment as usual (without ACT) within a 12-month follow-up study (ACCESS trial).

引用

页码：257 / 265

页数：9

共 59 条

[1] Prediction of a single psychotic episode: A 7.5-year, prospective study in first-episode psychosis [J].

Alvarez-Jimenez, M. ;

Gleeson, J. F. ;

Henry, L. P. ;

Harrigan, S. M. ;

Harris, M. G. ;

Amminger, G. P. ;

Killackey, E. ;

Yung, A. R. ;

Herrman, H. ;

Jackson, H. J. ;

McGorry, P. D. .

SCHIZOPHRENIA RESEARCH, 2011, 125 (2-3) :236-246

[2] Predictors of Adherence to Cognitive-Behavioural Therapy in First-Episode Psychosis [J].

Alvarez-Jimenez, Mario ;

Gleeson, John F. ;

Cotton, Sue ;

Wade, Darryl ;

Gee, Donna ;

Pearce, Tracey ;

Crisp, Kingsley ;

Spiliotacopoulos, Daniela ;

Newman, Belinda ;

McGorry, Patrick D. .

CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 2009, 54 (10) :710-718

[3] Treated incidence of first-episode psychosis in the catchment area of EPPIC between 1997 and 2000 [J].

Amminger, G. P. ;

Harris, M. G. ;

Conus, P. ;

Lambert, M. ;

Elkins, K. S. ;

Yuen, H. -P. ;

McGorry, P. D. .

ACTA PSYCHIATRICA SCANDINAVICA, 2006, 114 (05) :337-345

[4]

[Anonymous], HLTH POLICY

[5]

[Anonymous], 1994, DSM 4

[6]

[Anonymous], 2007, ROT LIST ARZN DEUTSC

[7]

[Anonymous], COCHRANE DATABASE SY

[8] Twelve-Month Prevalence of and Risk Factors for Suicide Attempts in the World Health Organization World Mental Health Surveys [J].

Borges, Guilherme ;

Nock, Matthew K. ;

Haro Abad, Josep M. ;

Hwang, Irving ;

Sampson, Nancy A. ;

Alonso, Jordi ;

Andrade, Laura Helena ;

Angermeyer, Matthias C. ;

Beautrais, Annette ;

Bromet, Evelyn ;

Bruffaerts, Ronny ;

de Girolamo, Giovanni ;

Florescu, Silvia ;

Gureje, Oye ;

Hu, Chiyi ;

Karam, Elie G. ;

Kovess-Masfety, Viviane ;

Lee, Sing ;

Levinson, Daphna ;

Elena Medina-Mora, Maria ;

Ormel, Johan ;

Posada-Villa, Jose ;

Sagar, Rajesh ;

Tomov, Toma ;

Uda, Hidenori ;

Williams, David R. ;

Kessler, Ronald C. .

JOURNAL OF CLINICAL PSYCHIATRY, 2010, 71 (12) :1617-1628

[9]

Brooks R., 2003, MEASUREMENT VALUATIO

[10] Psychosocial interventions for people with both severe mental illness and substance misuse [J].

Cleary, M. ;

Hunt, G. ;

Matheson, S. ;

Siegfried, N. ;

Walter, G. .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2008, (01)

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