title: ["Treatment at Home" in Lengerich (Westfalia) - A Model of Community-Based Mental Health Care].
abstract: We examined the effectiveness of a new homebased integrated care intervention model for patients with multiple-episode psychosis in a rural area in Germany, which combines elements of 2 other well-defined interventions: Assertive Community Treatment and Home Treatment. The pilot evaluation was conducted in 2 steps, using a quantitative and a qualitative design. In a 24-month follow-up period, patients showed significant improvement in symptoms, illness severity, global functioning and quality of life, as well as larger reduction in the number of days of inpatient treatment needed. The results of the qualitative survey indicate a high level of satisfaction with the care offered. The results are in agreement with other German studies. Home Treatment in Lengerich seems to be a model, which can address the fragmentation of the German healthcare system and provide effective care to long-term patients in a setting outside of psychiatric hospitals.
authors.affiliation: Abteilung Psychiatrie und Psychotherapie, LWL-Klinik Lengerich, Lengerich.|Allgemeine Psychiatrie 3, LVR-Klinik Langenfeld, Langenfeld.
authors.forename: E
authors.initials: E
authors.lastname: Sakellaridou
authors.affiliation: Abteilung Psychiatrie und Psychotherapie, LWL-Klinik Lengerich, Lengerich.|Abteilung Psychotherapie und Psychosomatik, LWL-Klinik Lengerich, Lengerich.
authors.forename: C
authors.initials: C
authors.lastname: Chrysanthou
authors.affiliation: Abteilung Psychiatrie und Psychotherapie, LWL-Klinik Lengerich, Lengerich.|Stabsgruppe Klinikentwicklung und Forschung, LWL-Klinikum Gütersloh, Gütersloh.
authors.forename: A
authors.initials: A
authors.lastname: Nienaber
mesh_terms: D003156:Community Mental Health Services; D005858:Germany; D006699:Home Care Services; D006801:Humans; D008603:Mental Health; D011618:Psychotic Disorders / Q000628:therapy; D011788:Quality of Life