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RCT on discharge planning for high utilisers of psychiatric services II. Needs-oriented intervention

Published online by Cambridge University Press:  16 April 2020

S. Steffen ,
W. Gaebel ,
B. Janssen ,
H. Zimmer ,
H.E. Klein ,
C. Cording ,
H. Spiessl ,
A. Janner ,
H. Freyberger  and
C. Spitzer
...Show all authors
S. Steffen
Affiliation:
Department of Psychiatrie II, Ulm University, Bezirkskrankehaus Gunzburg, Gunzburg, Germany
W. Gaebel
Affiliation:
Department of Psychiatry and Psychotherapy, Duesseldorf University, Duesseldorf, Germany
B. Janssen
Affiliation:
Department of Psychiatry and Psychotherapy, Duesseldorf University, Duesseldorf, Germany
H. Zimmer
Affiliation:
Department of Psychiatry and Psychotherapy, Duesseldorf University, Duesseldorf, Germany
H.E. Klein
Affiliation:
Department of Psychiatry and Psychotherapy, Regensburg University, Regensburg, Germany
C. Cording
Affiliation:
Department of Psychiatry and Psychotherapy, Regensburg University, Regensburg, Germany
H. Spiessl
Affiliation:
Department of Psychiatry and Psychotherapy, Regensburg University, Regensburg, Germany
A. Janner
Affiliation:
Department of Psychiatry and Psychotherapy, Regensburg University, Regensburg, Germany
H. Freyberger
Affiliation:
Department of Psychiatry and Psychotherapy, Greifswald University, Greifswald, Germany
C. Spitzer
Affiliation:
Department of Psychiatry and Psychotherapy, Greifswald University, Greifswald, Germany
K. Friesicke
Affiliation:
Department of Psychiatry and Psychotherapy, Greifswald University, Greifswald, Germany
T. Steinert
Affiliation:
Department of Psychiatry I, Ulm University, Centre of Psychiatry Weissenau, Ravensburg, Germany
J. Bergk
Affiliation:
Department of Psychiatry I, Ulm University, Centre of Psychiatry Weissenau, Ravensburg, Germany
U. Scheck
Affiliation:
Department of Psychiatry I, Ulm University, Centre of Psychiatry Weissenau, Ravensburg, Germany
R. Kalkan
Affiliation:
Department of Psychiatrie II, Ulm University, Bezirkskrankehaus Gunzburg, Gunzburg, Germany
B. Puschner
Affiliation:
Department of Psychiatrie II, Ulm University, Bezirkskrankehaus Gunzburg, Gunzburg, Germany
T. Becker
Affiliation:
Department of Psychiatrie II, Ulm University, Bezirkskrankehaus Gunzburg, Gunzburg, Germany

Abstract

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Background

Aim of this contribution is to describe the intervention used in the study “Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of Psychiatric Services” (NODPAM). This intervention applies principles of needs-led care and focusses on the inpatient-outpatient transition. The NODPAM intervention manual includes a range of predefined standardised options based on number and type of needs.

Method

For the intervention group, a trained intervention worker provides a coherent package of needs-oriented discharge planning and monitoring focussing on the care process. He or she emphasises continuity of the care process vis-à-vis both patient and clinician (and carers if possible) via providing two manualised intervention sessions): (a) A discharge planning session takes place just before discharge with the patient and responsible clinician at the inpatient service; (b) A monitoring session takes place three months after discharge with the patient and outpatient clinician (office-based or public outpatient mental health service-based). A written treatment plan is signed by and forwarded to all participants after each session.

Results

Acceptance of the intervention by patients and clinicians has been high so far. Further results on duration, participant characteristics, and participants' appraisal of the NODPAM intervention will be presented.

Conclusion

These first results indicate that the NODPAM intervention is feasible in inpatient mental health services in Germany. Discussion will focus on its applicability in other service systems.

Type
S15. Symposium: Transition from Psychiatric in Patient to Community Care: A European Perspective (Organised By The AEP Section On Epidemiology And Social Psychiatry)
Information
European Psychiatry , Volume 22 , Issue S1: 15th AEP Congress - Abstract book - 15th AEP Congress , March 2007 , pp. S23
Copyright
Copyright © European Psychiatric Association 2007
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