title: [Effectiveness of hometreatment in light of clinical elements, chances, and limitations].
abstract: OBJECTIVE
  The main objective was to evaluate two models of care for children and adolescents requiring hospitalization due to severe mental illness. Model 1: early discharge followed by a newly established home treatment service enhanced by clinical elements according to need (BeZuHG); Model 2: admission to an inpatient unit (TAU).
  
  
  METHODS
  100 children and adolescents admitted to inpatient care were randomized to either a control group (regular inpatient stay) or an intervention group (BeZuHG group). Sociodemographic data, ICD-10 and DSM-IV diagnoses, health and social functioning, psychopathology, clinical impairment, and service use were assessed pre- and posttreatment regarding effectiveness, outcome, contact time, and acceptance within the families.
  
  
  RESULTS
  Clinical outcome in BeZuHG treatment was as effective as inpatient care. There was a good acceptance within the families, family resources enhanced treatment outcome, and a significant reduction in length of inpatient stay could be shown.
  
  
  CONCLUSIONS
  The BeZuHG model should be a regular option in child and adolescent psychiatric care. Further rigorous evaluation of the model is required: A 1-year follow-up investigating the stability of the shown effects is planned.
authors.affiliation: Abteilung Psychiatrie und Psychotherapie des Kindes und Jugendalters, Weissenau, ZfP Südwürttemberg, <location>Ravensburg</location>
authors.forename: Isabel
authors.initials: I
authors.lastname: Boege
authors.affiliation: Abteilung Psychiatrie und Psychotherapie des Kindes und Jugendalters, Weissenau, ZfP Südwürttemberg, <location>Ravensburg</location>
authors.forename: Nicole
authors.initials: N
authors.lastname: Copus
authors.affiliation: Abteilung Psychiatrie und Psychotherapie des Kindes und Jugendalters, Weissenau, ZfP Südwürttemberg, <location>Ravensburg</location>
authors.forename: Renate
authors.initials: R
authors.lastname: Schepker
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003156:Community Mental Health Services; D003299:Cooperative Behavior; D005260:Female; D006699:Home Care Services; D006760:Hospitalization; D006801:Humans; D033183:Interdisciplinary Communication; D007406:Interview, Psychological; D007902:Length of Stay; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010348:Patient Care Team; D010351:Patient Discharge; D010552:Personality Assessment; D011619:Psychotropic Drugs / Q000009:adverse effects / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D011619:Psychotropic Drugs
keywords: Hometreatment; Kinder- und Jugendpsychiatrie; Versorgungsforschung; aufsuchende Behandlung; child and adolescent mental health; community programms; duration of inpatient stay; hometreatment; sektorenübergreifende Versorgung; service development