Stulz, Niklaus; Wyder, Lea; grosse Holtforth, Martin; Hepp, Urs (2022). Is Home Treatment for Everyone? Characteristics of Patients Receiving Intensive Mental Health Care at Home. Community mental health journal, 58(2), pp. 231-239. Springer 10.1007/s10597-021-00814-9
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We aimed at determining differential characteristics of patients treated by a home treatment (HT) team compared to patients treated on hospital wards. Of 412 consecutively admitted patients, 194 (47.1%) were at least partially treated at home, whereas 218 (52.9%) received inpatient treatment only during an episode of acute illness. A multivariate logistic regression model identified current employment to increase the odds of HT (p < 0.001). A primary diagnosis of anxiety or stress-related disorder (p < 0.001), other rare primary diagnoses such as personality disorders (p < 0.001), and more pronounced clinician-rated social problems (p = 0.041) decreased the odds of HT. Overall, it remained difficult to clearly specify suitability for HT based on available sociodemographic and clinical characteristics. This might indicate that responsible clinicians consider HT to be a viable alternative to hospital care and hence initiate HT for a relatively broad spectrum of patients.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine 07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy |
UniBE Contributor: |
Grosse Holtforth, Martin |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0010-3853 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Annette Barbara Kocher |
Date Deposited: |
11 Nov 2021 11:25 |
Last Modified: |
05 Dec 2022 15:54 |
Publisher DOI: |
10.1007/s10597-021-00814-9 |
PubMed ID: |
33735397 |
Uncontrolled Keywords: |
Community mental health; Crisis resolution; Hospital admission; Patient characteristics; Psychiatric emergencies. |
BORIS DOI: |
10.48350/160427 |
URI: |
https://boris.unibe.ch/id/eprint/160427 |
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