title: [A needs-oriented discharge planning intervention for high utilisers of psychiatric services: quality of the implementation and opportunities for improvement].
abstract: OBJECTIVE
  Process evaluation of a needs-oriented discharge planning and monitoring (NODPAM) intervention for patients with severe mental illness with high utilisation of inpatient psychiatric care (within a RCT showing lack of evidence of superiority over treatment as usual).
  
  
  METHODS
  Analysis of intervention drop-outs vs. intervention group patients participating in the intervention; analysis of the impact of intervention characteristics on unmet needs over time.
  
  
  RESULTS
  Patients with more severe forms of illness were more likely to be among intervention drop-outs, a relatively high proportion of unmet needs persisted in patients participating in the intervention. Good intervention implementation and high patient satisfaction with the intervention were associated with a reduction of unmet needs.
  
  
  CONCLUSIONS
  The NODPAM intervention failed to reach patients with high service use and more severe forms of illness; quality of intervention implementation might have contributed to the lack of superiority over treatment as usual. The intervention might not have been well integrated in routine treatment and was therefore experienced as extraneous to routine care.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Günzburg. susanne.baeuerle@bkhguenburg.de
authors.forename: Susanne
authors.initials: S
authors.lastname: Bäuerle
authors.forename: Sabine
authors.initials: S
authors.lastname: Loos
authors.forename: Julia
authors.initials: J
authors.lastname: Grempler
authors.forename: Harald
authors.initials: H
authors.lastname: Freyberger
authors.forename: Hermann
authors.initials: H
authors.lastname: Spießl
authors.forename: Birgit
authors.initials: B
authors.lastname: Janssen
authors.forename: Thomas
authors.initials: T
authors.lastname: Becker
mesh_terms: D000328:Adult; D003362:Cost-Benefit Analysis; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006284:Health Plan Implementation / Q000191:economics; D006300:Health Services Misuse / Q000191:economics; D006301:Health Services Needs and Demand / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning / Q000191:economics; D010351:Patient Discharge / Q000191:economics; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011567:Psychiatric Department, Hospital / Q000191:economics / Q000706:statistics & numerical data*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D058996:Quality Improvement / Q000191:economics; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D012565:Schizophrenic Psychology; D016896:Treatment Outcome