Innovative Versorgungsmodelle für Menschen mit schizophrenen Erkrankungen
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Innovative Versorgungsmodelle für Menschen mit schizophrenen Erkrankungen. / Lambert, Martin; Kraft, Vivien; Rohenkohl, Anja; Ruppelt, Friederike; Schröter, Romy; Lüdecke, Daniel; Linschmann, Birgit; Eich, Simon; Tlach, Lisa; Lion, Despina; Bargel, Susann; Hoff, Martin; Ohm, Gunda; Schulte-Markwort, Michael; Schöttle, Daniel; König, Hans-Helmut; Schulz, Holger; Peth, Judith; Gallinat, Jürgen; Karow, Anne.
In: BUNDESGESUNDHEITSBLA, Vol. 62, No. 2, 02.2019, p. 163-172.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Innovative Versorgungsmodelle für Menschen mit schizophrenen Erkrankungen
AU - Lambert, Martin
AU - Kraft, Vivien
AU - Rohenkohl, Anja
AU - Ruppelt, Friederike
AU - Schröter, Romy
AU - Lüdecke, Daniel
AU - Linschmann, Birgit
AU - Eich, Simon
AU - Tlach, Lisa
AU - Lion, Despina
AU - Bargel, Susann
AU - Hoff, Martin
AU - Ohm, Gunda
AU - Schulte-Markwort, Michael
AU - Schöttle, Daniel
AU - König, Hans-Helmut
AU - Schulz, Holger
AU - Peth, Judith
AU - Gallinat, Jürgen
AU - Karow, Anne
PY - 2019/2
Y1 - 2019/2
N2 - Schizophrenia is a complex mental disorder. Hence, the mental health system faces enormous structural, therapeutic, and health-economic challenges. Innovative models of healthcare can facilitate making treatment more efficient and effective.This paper aims to give an overview of evidence-based and innovative models of care and treatment for schizophrenia and severe mental illnesses. For this purpose, we performed a literature search covering the last 10 years of publications regarding "care or treatment models" and "schizophrenia," "psychosis," or "severe mental illness."Many publications do not provide details about the tested care model. Innovative care models for schizophrenia comprise early psychosis services (EPSs) or models for severe mental illnesses (SMI) integrating, combining and/or developing the treatment models crisis resolution team (CRT), assertive community treatment (ACT), and/or (intensive) case management (ICM). For illustration, the innovative models Early Psychosis Prevention and Intervention Centre (EPPIC) in Australia, the Flexible Assertive Community Treatment model in the Netherlands, and the Therapeutic Assertive Community Treatment model in Hamburg are explained. All three models regularly offer integrated, specialized, and assertive care.In Germany, innovative models of care have not been implemented sufficiently: neither EPS nor ACT are part of standard care; CRT can now be funded by health insurances via "ward-equivalent treatment" as defined by a new German law (§§ 39 und 115d SGB V). Regarding the implementation of CRT and ACT in Germany, a clinical study evaluating the RECOVER model is underway. This is a stepped-care, trans-sectorally coordinated and evidence-based treatment model, the evaluation of which is supported by the innovation fund of the Joint Federal Committee (Gemeinsamen Bundesausschuss, G‑BA) from 2017 to 2020.
AB - Schizophrenia is a complex mental disorder. Hence, the mental health system faces enormous structural, therapeutic, and health-economic challenges. Innovative models of healthcare can facilitate making treatment more efficient and effective.This paper aims to give an overview of evidence-based and innovative models of care and treatment for schizophrenia and severe mental illnesses. For this purpose, we performed a literature search covering the last 10 years of publications regarding "care or treatment models" and "schizophrenia," "psychosis," or "severe mental illness."Many publications do not provide details about the tested care model. Innovative care models for schizophrenia comprise early psychosis services (EPSs) or models for severe mental illnesses (SMI) integrating, combining and/or developing the treatment models crisis resolution team (CRT), assertive community treatment (ACT), and/or (intensive) case management (ICM). For illustration, the innovative models Early Psychosis Prevention and Intervention Centre (EPPIC) in Australia, the Flexible Assertive Community Treatment model in the Netherlands, and the Therapeutic Assertive Community Treatment model in Hamburg are explained. All three models regularly offer integrated, specialized, and assertive care.In Germany, innovative models of care have not been implemented sufficiently: neither EPS nor ACT are part of standard care; CRT can now be funded by health insurances via "ward-equivalent treatment" as defined by a new German law (§§ 39 und 115d SGB V). Regarding the implementation of CRT and ACT in Germany, a clinical study evaluating the RECOVER model is underway. This is a stepped-care, trans-sectorally coordinated and evidence-based treatment model, the evaluation of which is supported by the innovation fund of the Joint Federal Committee (Gemeinsamen Bundesausschuss, G‑BA) from 2017 to 2020.
KW - English Abstract
KW - Journal Article
KW - Review
U2 - 10.1007/s00103-018-2868-y
DO - 10.1007/s00103-018-2868-y
M3 - SCORING: Review
C2 - 30623205
VL - 62
SP - 163
EP - 172
JO - BUNDESGESUNDHEITSBLA
JF - BUNDESGESUNDHEITSBLA
SN - 1436-9990
IS - 2
ER -