title: ["Home treatment" for mental illness. Concept definition and effectiveness].
abstract: A number of projects have used home treatment (HT) for severely mentally ill people in recent years. This paper intends to define HT and show the main differences between it and other forms of psychiatric community service, present the existing evidence for HT, and discuss eligibility criteria. Studies about HT's efficacy in treating severely mentally ill adults were identified by electronic (MEDLINE, PsycLIT) and manual search. Six studies met these inclusion criteria. Compared to inpatient treatment, HT was equally or more efficacious in respect to reduction of symptom distress, social (re-)integration, and patient and carer satisfaction. Furthermore, direct costs for HT were often lower than for inpatient care. However, the number of relevant studies is limited and knowledge on the long-term effects of HT is sparse.
authors.affiliation: Abteilung Psychiatrie II, Universität Ulm, BKH Günzburg, Ludwig-Heilmeyer-Strasse.
authors.forename: T
authors.initials: T
authors.lastname: Berhe
authors.forename: B
authors.initials: B
authors.lastname: Puschner
authors.forename: R
authors.initials: R
authors.lastname: Kilian
authors.forename: T
authors.initials: T
authors.lastname: Becker
mesh_terms: D002986:Clinical Trials as Topic; D003158:Community Psychiatry / Q000379:methods* / Q000458:organization & administration*; D019317:Evidence-Based Medicine / Q000379:methods*; D005858:Germany; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy*; D010818:Practice Patterns, Physicians'; D011570:Psychiatry / Q000379:methods / Q000458:organization & administration; D012720:Severity of Illness Index
references.citation: BMJ. 2000 Jan 29;320(7230):305-8
references.pmid: 10650032
references.citation: Can J Psychiatry. 1982 Apr;27(3):177-87
references.pmid: 6807524
references.citation: Psychol Med. 2002 Apr;32(3):383-401
references.pmid: 11989985
references.citation: BMJ. 1990 Nov 3;301(6759):1021-3
references.pmid: 2249049
references.citation: Acta Psychiatr Scand Suppl. 2001;(410):8-14
references.pmid: 11863056
references.citation: Arch Gen Psychiatry. 1980 Apr;37(4):392-7
references.pmid: 7362425
references.citation: Arch Gen Psychiatry. 1979 Sep;36(10):1073-9
references.pmid: 475542
references.citation: JAMA. 1964 Jan 18;187:177-81
references.pmid: 14071885
references.citation: Cochrane Database Syst Rev. 2011 Apr 13;(4):CD000050
references.pmid: 21491375
references.citation: Cochrane Database Syst Rev. 2000;(2):CD000270
references.pmid: 10796336
references.citation: Eur Child Adolesc Psychiatry. 2001;10 Suppl 1:I80-90
references.pmid: 11794559
references.citation: Br J Psychiatry. 2002 Nov;181:375-82
references.pmid: 12411261
references.citation: Br J Psychiatry. 1986 Aug;149:137-44
references.pmid: 3779274
references.citation: Acta Psychiatr Scand. 1985 Jul;72(1):20-8
references.pmid: 4036656
references.citation: Int J Soc Psychiatry. 2001 Autumn;47(3):55-66
references.pmid: 11589336
references.citation: Lancet. 1999 Oct 16;354(9187):1385-6; author reply 1385-6
references.pmid: 10533887
references.citation: Community Ment Health J. 1997 Apr;33(2):151-62; discussion 163-5
references.pmid: 9145257
references.citation: Soc Sci Med. 1984;18(11):1005-10
references.pmid: 6740335
references.citation: Br J Psychiatry. 1985 Jan;146:1-4
references.pmid: 3978324
references.citation: Acta Psychiatr Scand. 1992 Dec;86(6):445-9
references.pmid: 1471537
references.citation: Am J Psychiatry. 1971 Apr;127(10):1391-4
references.pmid: 5549932
references.citation: Br J Psychiatry. 2000 Nov;177:386-7
references.pmid: 11059987
references.citation: Nervenarzt. 2000 Sep;71(9):691-9
references.pmid: 11042863
references.citation: Acta Psychiatr Scand. 1983 Feb;67(2):80-8
references.pmid: 6846041
references.citation: Can J Psychiatry. 1984 Apr;29(3):205-11
references.pmid: 6442211
references.citation: BMJ. 1993 Aug 21;307(6902):473-6
references.pmid: 8400929
references.citation: Br J Psychiatry. 1992 Mar;160:379-84
references.pmid: 1562865