ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
Current issue Archive Manuscripts accepted About the journal Scientific board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
1/2021
vol. 30
 
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abstract:
Review article

Efficacy of home treatment of patients with mental disorders – a research review

Marta Hat
1
,
Andrzej Cechnicki
2

1.
Psychosis Research Unit, Association for the Development of Community Psychiatry and Care, Krakow, Poland
2.
Community Psychiatry and Psychosis Research Center, Chair of Psychiatry, Jagiellonian University Medical College, Krakow, Poland
Adv Psychiatry Neurol 2021; 30 (1): 21-36
Online publish date: 2021/06/10
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Introduction
The aim of this study is to review research on the efficacy of home treatment for mental disorders compared to other forms of community-based treatment. The first section describes studies comparing treatment as usual with CMHT (Community Mental Health Team), the second section compares CMHT with more intensive forms of community-based care, such as CM (Case Management) and ACT (Assertive Community Treatment, and the third section focuses on interventions that are alternatives to hospitalization, described as CRT or MCHT (Crisis Resolution Team or Mobile Crisis Home Treatment).

Views
The community-based model of psychiatric health care is nowadays recognized as the best systemic solution to improve its organization and functioning. In comprehensive care in the community, home treatment plays an important role. Treatment teams most often take the form of a general Community Mental Health Team – CMHT, which, like community mental health services in Poland, provides a wide range of interventions. There are several forms of treatment within CMHTs: ACT, CM, CRT and MHCT.

Comment
Home treatment is more effective compared to standard inpatient and post-hospital care. Care under a Community Mental Health Team reduces the number and duration of hospitalizations and is characterized by higher treatment satisfaction. For patients with psychotic disorders, more intensive forms of community-based care – such as ACT, CM, and CRT – are particularly valuable and effective.

keywords:

community psychiatry, home treatment, efficacy

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