[The Hamburg-model of integrated care for patients with psychosis: Part 1. Rationale, treatment concept and results of the pre-study]

Psychiatr Prax. 2014 Jul;41(5):257-65. doi: 10.1055/s-0033-1349497. Epub 2013 Sep 23.
[Article in German]


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).

Publication types

  • English Abstract
  • Review

MeSH terms

  • Adult
  • Ambulatory Care
  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / psychology
  • Bipolar Disorder / therapy
  • Combined Modality Therapy
  • Commitment of Mentally Ill
  • Community Mental Health Services*
  • Cooperative Behavior
  • Day Care, Medical
  • Delivery of Health Care, Integrated*
  • Evidence-Based Medicine
  • Germany
  • Humans
  • Interdisciplinary Communication
  • Long-Term Care
  • Models, Psychological*
  • National Health Programs*
  • Patient Admission
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*
  • Schizophrenia / diagnosis
  • Schizophrenia / therapy
  • Schizophrenic Psychology