[The Hamburg-model of integrated care for patients with psychosis: Part 2. Results of the clinical course over 2- and 4-years of treatment]

Psychiatr Prax. 2014 Jul;41(5):266-73. doi: 10.1055/s-0033-1349496. Epub 2013 Sep 23.
[Article in German]


Objective: Since the beginning of the integrated care model for severely ill patients with psychotic disorders ("Hamburg model") in 2007 different clinical parameters have been consecutively assessed within a naturalistic, observational, prospective study.

Methods: Clinical outcome of the 2-year and 4-year follow-ups of n = 158 patients.

Results: A significant and ongoing improvement of psychopathology, severity of illness, functional outcome, quality of life and satisfaction with care in this sample of severely ill and merely chronic patients with psychosis was shown. Moreover, medication adherence improved and quality and quantity of outpatient treatment increased.

Conclusion: The ongoing psychosocial stabilisation of the patients most likely result from a combination of various factors: continuity of care, multimodal and individualized care, therapeutic specialisation and the multidisciplinary ACT team. RESULTS provide clinical and scientific evidence for future implementations of the integrated care model "Hamburg Model" for the treatment of psychosis.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Ambulatory Care
  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / psychology
  • Bipolar Disorder / therapy
  • Commitment of Mentally Ill
  • Community Mental Health Services*
  • Day Care, Medical
  • Delivery of Health Care, Integrated*
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy
  • Evidence-Based Medicine
  • Female
  • Follow-Up Studies
  • Germany
  • Humans
  • Interdisciplinary Communication
  • Long-Term Care
  • Male
  • Middle Aged
  • Models, Psychological*
  • National Health Programs*
  • Patient Admission
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*
  • Quality Assurance, Health Care
  • Schizophrenia / diagnosis
  • Schizophrenia / therapy
  • Schizophrenic Psychology