Berufliche Rehabilitation psychisch Kranker (Occupational rehabilitation of people with psychological illnesses)

"Within our society, work and employment are of central importance for the structuring of human life, and this goes far beyond aspects of creating a secure livelihood in material terms. Conversely, a lack of employment correspondingly constitutes a limitation in many different areasof life for an individual person. Against the background of this, this article includes a description of how significant occupational (re)integration of the chronically sick and the disabled is for the success of their rehabilitation. Current approaches in the occupational rehabilitation of people with psychological illnesses are shown and the results of the evaluation research are presented." (Author's abstract, IAB-Doku) ((en))berufliche Rehabilitation, Rehabilitationseinrichtung, psychisch Behinderte, berufliche Integration - Förderung, Arbeitsplatzsicherung

Premature termination, satisfaction with care, and shared decision-making during home treatment compared to inpatient treatment: A quasi-experimental trial

Abstract Background Inpatient equivalent home treatment (IEHT), implemented in Germany since 2018, is a specific form of home treatment. Between 2021 and 2022, IEHT was compared to inpatient psychiatric treatment in a 12-months follow-up quasi-experimental study with two propensity score matched cohorts in 10 psychiatric centers in Germany. This article reports results on the treatment during the acute episode and focuses on involvement in decision-making, patient satisfaction, and drop-out rates. Methods A total of 200 service users receiving IEHT were compared with 200 matched statistical “twins” in standard inpatient treatment. Premature termination of treatment as well as reasons for this was assessed using routine data and a questionnaire. In addition, we measured patient satisfaction with care with a specific scale. For the evaluation of patient involvement in treatment decisions, we used the 9-item Shared Decision Making Questionnaire (SDM-Q-9). Results Patients were comparable in both groups with regard to sociodemographic and clinical characteristics. Mean length-of-stay was 37 days for IEHT and 28 days for inpatient treatment. In both groups, a similar proportion of participants stopped treatment prematurely. At the end of the acute episode, patient involvement in decision-making (SDM-Q-9) as well as treatment satisfaction scores were significantly higher for IEHT patients compared to inpatients. Conclusions Compared to inpatient care, IEHT treatment for acute psychiatric episodes was associated with higher treatment satisfaction and more involvement in clinical decisions