[Randomised controlled multicenter trial on discharge planning in high utilisers of mental health care]

Psychiatr Prax. 2010 May;37(4):191-5. doi: 10.1055/s-0029-1223518. Epub 2010 Apr 22.
[Article in German]

Abstract

Objective: A simple, systematic and targeted manualised intervention was developed and applied in the German multicentre randomised controlled trial "Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of Psychiatric Services" (NODPAM).

Background: Rational of the intervention is outlined. Similarities and differences in comparison with other approaches (Care Programme Approach, "Integrierter Behandlungs- und Rehabilitations plan", Critical Time Intervention) are delineated.

Intervention: The intervention consists of two sessions led by an intervention worker with patient, keyworkers (at inpatient and outpatient services), and - optionally - carer(s) participating. During each intervention session needs identified by the patient are discussed, a treatment plan is developed and subsequently circulated to all participants.

Conclusions: Strengths (high structure, simplicity, compatibility with routine care) and disadvantages (e. g. shortness, insufficient dispersion of time, lack of integration with clinical process) of the intervention are discussed.

Publication types

  • English Abstract
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Ambulatory Care / economics
  • Cooperative Behavior*
  • Cost-Benefit Analysis / statistics & numerical data
  • Germany
  • Health Services Misuse* / economics
  • Humans
  • Interdisciplinary Communication*
  • Manuals as Topic
  • Mental Disorders / economics
  • Mental Disorders / epidemiology
  • Mental Disorders / rehabilitation*
  • Needs Assessment / economics
  • Patient Care Team* / economics
  • Patient Discharge* / economics
  • Treatment Outcome