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Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: a randomized controlled trial (RECOVER)

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Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: a randomized controlled trial (RECOVER). / Lambert, Martin; König, Hannah; Karow, Anne; König, Hans-Helmut; Rohenkohl, Anja; Luedecke, Daniel; Schröter, Romy; Finter, Constanze; Tlach, Lisa; Schindler, Andreas; Peter, Helmut; Scherer, Martin; Mews, Claudia; Härter, Martin; Bindt, Carola; Löwe, Bernd; Briken, Peer; Peper, Heike; Schweiger, Michael; Mösko, Mike; Bock, Thomas; Deister, Arno; Correll, Christoph U.; Ozga, Ann-Kathrin; Pepić, Amra; Zapf, Antonia; Gallinat, Jürgen; Peth, Judith; Konnopka, Alexander; Schulz, Holger.

in: PSYCHIAT RES, Jahrgang 339, 09.2024, S. 116007.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Lambert, M, König, H, Karow, A, König, H-H, Rohenkohl, A, Luedecke, D, Schröter, R, Finter, C, Tlach, L, Schindler, A, Peter, H, Scherer, M, Mews, C, Härter, M, Bindt, C, Löwe, B, Briken, P, Peper, H, Schweiger, M, Mösko, M, Bock, T, Deister, A, Correll, CU, Ozga, A-K, Pepić, A, Zapf, A, Gallinat, J, Peth, J, Konnopka, A & Schulz, H 2024, 'Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: a randomized controlled trial (RECOVER)', PSYCHIAT RES, Jg. 339, S. 116007. https://doi.org/10.1016/j.psychres.2024.116007

APA

Lambert, M., König, H., Karow, A., König, H-H., Rohenkohl, A., Luedecke, D., Schröter, R., Finter, C., Tlach, L., Schindler, A., Peter, H., Scherer, M., Mews, C., Härter, M., Bindt, C., Löwe, B., Briken, P., Peper, H., Schweiger, M., ... Schulz, H. (2024). Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: a randomized controlled trial (RECOVER). PSYCHIAT RES, 339, 116007. https://doi.org/10.1016/j.psychres.2024.116007

Vancouver

Lambert M, König H, Karow A, König H-H, Rohenkohl A, Luedecke D et al. Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: a randomized controlled trial (RECOVER). PSYCHIAT RES. 2024 Sep;339:116007. https://doi.org/10.1016/j.psychres.2024.116007

Bibtex

@article{94b90f70bec143319863b74fe7e56a08,
title = "Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: a randomized controlled trial (RECOVER)",
abstract = "Stepped, evidence-based and integrated care service models have the potential to be used as a reference for mental health services. RECOVER aimed to evaluate cost savings, effectiveness, and cost-effectiveness of such a model within a two arm, assessor- and data analysist-blinded RCT in Hamburg, Germany. Participants aged 16-79 years with mental disorders were randomly assigned either to RECOVER or treatment as usual (TAU). Primary outcomes comprised costs, effectiveness (combined symptoms, functioning, quality of life), and cost-effectiveness, hierarchically ordered. Outcomes were evaluated according to the ITT principle, group differences regarding costs with adjusted generalized linear models, effectiveness with ANCOVA models, and cost-effectiveness with the incremental cost-effectiveness ratio (ICER) and cost-effectiveness acceptability curves (CEACs). Between 1/1/2018 and 12/31/2020, n = 891 were finally included (n = 477 in RECOVER, n = 444 in TAU). RECOVER was associated with significantly lower annual total costs (-22 %), health and social care costs (-25 %) and hospital costs (-50 %). Effectiveness analyses showed a significantly better outcome for RECOVER with the fully imputed data . The CEACs descriptively demonstrated that RECOVER was cost-effective with a probability of >95 %. Treatment in RECOVER resulted in substantial cost reductions with better cost-effectiveness. RECOVER can be recommended as a reference model for comprehensive and integrated mental health services.",
keywords = "Community mental health service, stepped care, coordinated care, mental disorders, severe mental illness, e-mental-health",
author = "Martin Lambert and Hannah K{\"o}nig and Anne Karow and Hans-Helmut K{\"o}nig and Anja Rohenkohl and Daniel Luedecke and Romy Schr{\"o}ter and Constanze Finter and Lisa Tlach and Andreas Schindler and Helmut Peter and Martin Scherer and Claudia Mews and Martin H{\"a}rter and Carola Bindt and Bernd L{\"o}we and Peer Briken and Heike Peper and Michael Schweiger and Mike M{\"o}sko and Thomas Bock and Arno Deister and Correll, {Christoph U.} and Ann-Kathrin Ozga and Amra Pepi{\'c} and Antonia Zapf and J{\"u}rgen Gallinat and Judith Peth and Alexander Konnopka and Holger Schulz",
year = "2024",
month = sep,
doi = "10.1016/j.psychres.2024.116007",
language = "English",
volume = "339",
pages = "116007",
journal = "PSYCHIAT RES",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: a randomized controlled trial (RECOVER)

AU - Lambert, Martin

AU - König, Hannah

AU - Karow, Anne

AU - König, Hans-Helmut

AU - Rohenkohl, Anja

AU - Luedecke, Daniel

AU - Schröter, Romy

AU - Finter, Constanze

AU - Tlach, Lisa

AU - Schindler, Andreas

AU - Peter, Helmut

AU - Scherer, Martin

AU - Mews, Claudia

AU - Härter, Martin

AU - Bindt, Carola

AU - Löwe, Bernd

AU - Briken, Peer

AU - Peper, Heike

AU - Schweiger, Michael

AU - Mösko, Mike

AU - Bock, Thomas

AU - Deister, Arno

AU - Correll, Christoph U.

AU - Ozga, Ann-Kathrin

AU - Pepić, Amra

AU - Zapf, Antonia

AU - Gallinat, Jürgen

AU - Peth, Judith

AU - Konnopka, Alexander

AU - Schulz, Holger

PY - 2024/9

Y1 - 2024/9

N2 - Stepped, evidence-based and integrated care service models have the potential to be used as a reference for mental health services. RECOVER aimed to evaluate cost savings, effectiveness, and cost-effectiveness of such a model within a two arm, assessor- and data analysist-blinded RCT in Hamburg, Germany. Participants aged 16-79 years with mental disorders were randomly assigned either to RECOVER or treatment as usual (TAU). Primary outcomes comprised costs, effectiveness (combined symptoms, functioning, quality of life), and cost-effectiveness, hierarchically ordered. Outcomes were evaluated according to the ITT principle, group differences regarding costs with adjusted generalized linear models, effectiveness with ANCOVA models, and cost-effectiveness with the incremental cost-effectiveness ratio (ICER) and cost-effectiveness acceptability curves (CEACs). Between 1/1/2018 and 12/31/2020, n = 891 were finally included (n = 477 in RECOVER, n = 444 in TAU). RECOVER was associated with significantly lower annual total costs (-22 %), health and social care costs (-25 %) and hospital costs (-50 %). Effectiveness analyses showed a significantly better outcome for RECOVER with the fully imputed data . The CEACs descriptively demonstrated that RECOVER was cost-effective with a probability of >95 %. Treatment in RECOVER resulted in substantial cost reductions with better cost-effectiveness. RECOVER can be recommended as a reference model for comprehensive and integrated mental health services.

AB - Stepped, evidence-based and integrated care service models have the potential to be used as a reference for mental health services. RECOVER aimed to evaluate cost savings, effectiveness, and cost-effectiveness of such a model within a two arm, assessor- and data analysist-blinded RCT in Hamburg, Germany. Participants aged 16-79 years with mental disorders were randomly assigned either to RECOVER or treatment as usual (TAU). Primary outcomes comprised costs, effectiveness (combined symptoms, functioning, quality of life), and cost-effectiveness, hierarchically ordered. Outcomes were evaluated according to the ITT principle, group differences regarding costs with adjusted generalized linear models, effectiveness with ANCOVA models, and cost-effectiveness with the incremental cost-effectiveness ratio (ICER) and cost-effectiveness acceptability curves (CEACs). Between 1/1/2018 and 12/31/2020, n = 891 were finally included (n = 477 in RECOVER, n = 444 in TAU). RECOVER was associated with significantly lower annual total costs (-22 %), health and social care costs (-25 %) and hospital costs (-50 %). Effectiveness analyses showed a significantly better outcome for RECOVER with the fully imputed data . The CEACs descriptively demonstrated that RECOVER was cost-effective with a probability of >95 %. Treatment in RECOVER resulted in substantial cost reductions with better cost-effectiveness. RECOVER can be recommended as a reference model for comprehensive and integrated mental health services.

KW - Community mental health service

KW - stepped care

KW - coordinated care

KW - mental disorders

KW - severe mental illness

KW - e-mental-health

U2 - 10.1016/j.psychres.2024.116007

DO - 10.1016/j.psychres.2024.116007

M3 - SCORING: Journal article

C2 - 38865905

VL - 339

SP - 116007

JO - PSYCHIAT RES

JF - PSYCHIAT RES

SN - 0165-1781

ER -