Is Home Treatment for Everyone? Characteristics of Patients Receiving Intensive Mental Health Care at Home

被引:0
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作者
Niklaus Stulz
Lea Wyder
Martin grosse Holtforth
Urs Hepp
机构
[1] Integrated Psychiatric Services Winterthur – Zurcher Unterland,Department of Psychology
[2] Psychiatric Services Aargau,Psychosomatic Competence Center
[3] University of Berne,undefined
[4] University Hospital of Psychiatry Zurich,undefined
[5] Inselspital,undefined
[6] Haus C.L. Lory,undefined
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关键词
Crisis resolution; Hospital admission; Community mental health; Psychiatric emergencies; Patient characteristics;
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摘要
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.
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页码:231 / 239
页数:8
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