Psychiatric Quarterly

, Volume 86, Issue 2, pp 153–168 | Cite as

Evaluation of a New Person-Centered Integrated Care Model in Psychiatry

  • Anastasia Theodoridou
  • Michael Pascal Hengartner
  • Stefanie Kristiane Gairing
  • Matthias Jäger
  • Daniel Ketteler
  • Wolfram Kawohl
  • Christoph Lauber
  • Wulf Rössler
Original Paper
First Online:

Abstract

The present study evaluated a new integrated treatment concept offering inpatient care, acute psychiatric day hospital and outpatient treatment by the same therapeutic team. 178 patients participated in this randomized controlled trial. Data on psychopathology, global and social functioning, patient satisfaction, continuity of care and administrative data was gathered on admission, throughout the course of treatment, upon discharge and at 1-year follow-up. In addition, the physicians in charge rated the therapeutic relationship. The data analysis consists of group-wise comparisons and regression analyses (cross-tabulations and χ2 test statistics for categorical data and Mann–Whitney U tests for continuous data). Differences between groups over time were analyzed with a series of generalized linear mixed model. The integrated care group showed a significant reduction in psychopathological impairment (20.7 %) and an improvement of psychosocial functioning (36.8 %). The mean number of days before re-admission was higher in the control group when compared to the integrated care group (156.8 vs. 91.5). There was no difference in the number of re-admissions and days spent in psychiatric institutions. This new approach offers a treatment model, which facilitates continuity of care. Beside it improves psychopathological outcome measures and psychosocial functioning in patients with mental illness.

Keywords

Integrated care In-patient care Acute day hospital Outpatient care Continuity of psychiatric care 

Abbreviations

ACT

Assertive community treatment

AMDP

Arbeitsgemeinschaft für Methodik und Dokumentation in der Psychiatrie

CGI

Clinical global impression

CSQ

Client satisfaction questionnaire

HoNOS

Health of the nation outcome scale

MANSA

Manchester short assessment of quality of life

RSQ

Recovery style questionnaire

SCL-10

Symptom checklist 10

SES

Service engagement scale

STAR

Scale for the assessment of therapeutic relationships

WPA

World Psychiatric Association

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Notes

Acknowledgments

The study was approved by the local ethics committee of the Canton Zurich. The study was funded by a private Foundation. The funding is in accordance with the legal requirements and was approved by the Ministry of Health of the Canton of Zurich (Switzerland). The funding body did not play any role in study design; in the collection, analysis, and interpretation of data; in the writing of the manuscript; and in the decision to submit the manuscript for publication.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Anastasia Theodoridou
    • 1
  • Michael Pascal Hengartner
    • 1
    • 2
  • Stefanie Kristiane Gairing
    • 1
  • Matthias Jäger
    • 1
  • Daniel Ketteler
    • 1
  • Wolfram Kawohl
    • 1
  • Christoph Lauber
    • 3
  • Wulf Rössler
    • 1
    • 4
  1. 1.Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric HospitalUniversity of ZurichZurichSwitzerland
  2. 2.Services PsychiatriquesJura Bernois - Bienne-SeelandBellelaySwitzerland
  3. 3.Department of Applied PsychologyZurich University of Applied SciencesZurichSwitzerland
  4. 4.Institute of Psychiatry, Laboratory of Neuroscience, LIM27University of Sao PauloSão PauloBrazil

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