Who Benefits from Acute Psychiatric Home Treatment? A Systematic Review.

IF 1.8 4区医学 Q3 HEALTH POLICY & SERVICES

Community Mental Health Journal Pub Date : 2024-10-01 Epub Date: 2024-06-28 DOI:10.1007/s10597-024-01297-0

Vera Bergamaschi, Felix Baumann, Ingeborg Warnke, Salvatore Corbisiero, Fabian Ludwig, Andreas Riedel, Kerstin Gabriel-Felleiter, Stefanie J Schmidt

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引用次数: 0

Abstract

Home treatment (HT) treats patients in an acute crisis through an interdisciplinary team with daily appointments for a short treatment period. The effectiveness of HT has already been confirmed. However, only few studies addressed specific patient characteristics associated outcome of treatment. This study aimed to identify patient characteristics associated with successful outcomes of HT. A systematic literature search was conducted according to the PRISMA guidelines. A total of 13 studies were included in the systematic review. Being employed, having a regular income, having an anxiety disorder and family involvement were associated with a successful treatment outcome in HT. High symptom severity and former hospital admissions were associated with unsuccessful treatment outcome in HT in the selected studies. HT seems to be especially beneficial for patients with paid employment or regular income, patients with anxiety disorders, and patients with familial or other social support.

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谁能从急性精神病家庭治疗中受益？系统回顾。

家庭治疗（HT）通过一个跨学科小组，在短时间内每天预约，对处于急性危机中的患者进行治疗。家庭治疗的有效性已得到证实。然而，只有少数研究探讨了与治疗结果相关的特定患者特征。本研究旨在确定与 HT 成功结果相关的患者特征。根据 PRISMA 指南进行了系统性文献检索。共有 13 项研究被纳入系统综述。有工作、有固定收入、有焦虑症和家庭参与与 HT 的成功治疗结果相关。在所选研究中，症状严重程度高和曾入院治疗与 HT 治疗结果不成功有关。高温热疗似乎对有有偿工作或固定收入的患者、焦虑症患者以及有家庭或其他社会支持的患者特别有益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community Mental Health Journal Multiple-

CiteScore

5.30

自引率

3.70%

发文量

133

期刊介绍： Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.