Treatment outcome of an intensive psychiatric home treatment for children and adolescents: a non-randomized controlled pilot evaluation

Graf, Daniel; Lerch, Stefan; Böhnke, Ulrich; Reichl, Corinna; Kindler, Jochen; Koenig, Julian; Kaess, Michael (2021). Treatment outcome of an intensive psychiatric home treatment for children and adolescents: a non-randomized controlled pilot evaluation (In Press). European child & adolescent psychiatry Springer 10.1007/s00787-021-01919-y

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Home treatment (HT) may offer an effective and cost-efficient alternative to inpatient treatment for children and adolescents with acute mental disorders. This study introduces and evaluates a pilot HT project from Bern, Switzerland, with HT completely replacing an inpatient treatment. A total of n = 133 children and adolescents with acute mental disorders and inpatient treatment needs were treated either in the new HT program (n = 37) or in an active control group with inpatient treatment as usual (I-TAU, n = 96). Psychopathological burden was assessed by the Health of the Nation Outcome Scale for Children and Adolescents clinician-rated (HoNOSCA) and self-rated (HoNOSCA-SR) at the time of admission and at discharge. Treatment effects were assessed and compared using Augmented Inverse Probability Weights to adjust for baseline differences and to control for treatment duration. Participants ranged in age from 6 to 17 years (M = 13.71 years, SD = 2.93), 54% were female. HT resulted in significant improvements in the HoNOSCA (d = 0.79, p < .001) and HoNOSCA-SR (d = 0.63, p = .006). No significant differences on treatment effects were observed between HT and the reference group I-TAU in the HoNOSCA (d = 0.01, p = .96) or the HoNOSCA-SR (d = 0.11, p = .63). Overall, results indicate HT to be an effective alternative for children and adolescents with acute mental health disorders instead of hospitalization. Further evaluation with random group allocation and long-term follow-up should attempt to replicate and extend the current findings.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy > Research Division

UniBE Contributor:

Graf, Daniel; Lerch, Stefan; Böhnke, Ulrich; Reichl, Corinna; Kindler, Jochen; Koenig, Julian and Kaess, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1018-8827

Publisher:

Springer

Language:

English

Submitter:

Chantal Michel

Date Deposited:

09 Dec 2021 09:29

Last Modified:

10 Dec 2021 00:15

Publisher DOI:

10.1007/s00787-021-01919-y

PubMed ID:

34853908

BORIS DOI:

10.48350/161939

URI:

https://boris.unibe.ch/id/eprint/161939

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