Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study
Background There is evidence of the effectiveness of multi-professional home treatment models with regards to improving mental health for elderly patients with mental illness. However, there is a lack of studies examining the efficacy with regard to physical health. Aims To explore the effectivenes...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2021-09-01
|
| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472421009923/type/journal_article |
| _version_ | 1811156935186055168 |
|---|---|
| author | Christa Peinhaupt Gernot Fassolder Wolfgang Habacher Monika Singer Gerhard Hermann Günter Klug |
| author_facet | Christa Peinhaupt Gernot Fassolder Wolfgang Habacher Monika Singer Gerhard Hermann Günter Klug |
| author_sort | Christa Peinhaupt |
| collection | DOAJ |
| description | Background
There is evidence of the effectiveness of multi-professional home treatment models with regards to improving mental health for elderly patients with mental illness. However, there is a lack of studies examining the efficacy with regard to physical health.
Aims
To explore the effectiveness of geropsychiatric home treatment for elderly patients with mental illness with regards to improving physical health by assessing the need of physical treatment.
Method
A 1-year retrospective matched-pair cohort study was conducted in four regions of Austria. We compared 91 patients with a broad spectrum of mental disorders in geropsychiatric home treatment by 1:2 matching to 182 patients in treatment as usual regarding number of contacts with health services, prescriptions, hospital discharges and length of hospital stay.
Results
Patients in geropsychiatric home treatment showed significantly lower numbers of consultations with general practitioners (P < 0.001) and specialists (internal medicine, P = 0.022; psychiatry, P < 0.001), and lower numbers of prescriptions (medical drugs except psychotropic drugs, P < 0.001; psychotropic drugs, P < 0.004) compared with patients in treatment as usual. However, there was no significant difference in the number of hospital discharges and length of hospital stays.
Conclusions
Geropsychiatric home treatment has a positive effect on mental and physical parameters, which is discussed in the context of stress reduction.
|
| first_indexed | 2024-04-10T04:59:28Z |
| format | Article |
| id | doaj.art-b33c481586a14f82b873889f18192dd4 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:59:28Z |
| publishDate | 2021-09-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-b33c481586a14f82b873889f18192dd42023-03-09T12:29:14ZengCambridge University PressBJPsych Open2056-47242021-09-01710.1192/bjo.2021.992Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair studyChrista Peinhaupt0Gernot Fassolder1Wolfgang Habacher2Monika Singer3Gerhard Hermann4Günter Klug5https://orcid.org/0000-0001-7146-2630Institute for Health Care Strategies, AustriaInstitute for Health Care Strategies, AustriaInstitute for Health Care Strategies, AustriaDepartment of Social Psychiatric Help in Old Age, Society for Mental Health Promotion, AustriaDepartment of Social Psychiatric Help in Old Age, Society for Mental Health Promotion, AustriaSociety for Mental Health Promotion, Medical University of Graz, AustriaBackground There is evidence of the effectiveness of multi-professional home treatment models with regards to improving mental health for elderly patients with mental illness. However, there is a lack of studies examining the efficacy with regard to physical health. Aims To explore the effectiveness of geropsychiatric home treatment for elderly patients with mental illness with regards to improving physical health by assessing the need of physical treatment. Method A 1-year retrospective matched-pair cohort study was conducted in four regions of Austria. We compared 91 patients with a broad spectrum of mental disorders in geropsychiatric home treatment by 1:2 matching to 182 patients in treatment as usual regarding number of contacts with health services, prescriptions, hospital discharges and length of hospital stay. Results Patients in geropsychiatric home treatment showed significantly lower numbers of consultations with general practitioners (P < 0.001) and specialists (internal medicine, P = 0.022; psychiatry, P < 0.001), and lower numbers of prescriptions (medical drugs except psychotropic drugs, P < 0.001; psychotropic drugs, P < 0.004) compared with patients in treatment as usual. However, there was no significant difference in the number of hospital discharges and length of hospital stays. Conclusions Geropsychiatric home treatment has a positive effect on mental and physical parameters, which is discussed in the context of stress reduction. https://www.cambridge.org/core/product/identifier/S2056472421009923/type/journal_articleMental illnessgeropsychiatric home treatmenteffectivenessstressphysical health |
| spellingShingle | Christa Peinhaupt Gernot Fassolder Wolfgang Habacher Monika Singer Gerhard Hermann Günter Klug Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study BJPsych Open Mental illness geropsychiatric home treatment effectiveness stress physical health |
| title | Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study |
| title_full | Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study |
| title_fullStr | Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study |
| title_full_unstemmed | Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study |
| title_short | Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study |
| title_sort | effectiveness of geropsychiatric home treatment concerning parameters of physical health matched pair study |
| topic | Mental illness geropsychiatric home treatment effectiveness stress physical health |
| url | https://www.cambridge.org/core/product/identifier/S2056472421009923/type/journal_article |
| work_keys_str_mv | AT christapeinhaupt effectivenessofgeropsychiatrichometreatmentconcerningparametersofphysicalhealthmatchedpairstudy AT gernotfassolder effectivenessofgeropsychiatrichometreatmentconcerningparametersofphysicalhealthmatchedpairstudy AT wolfganghabacher effectivenessofgeropsychiatrichometreatmentconcerningparametersofphysicalhealthmatchedpairstudy AT monikasinger effectivenessofgeropsychiatrichometreatmentconcerningparametersofphysicalhealthmatchedpairstudy AT gerhardhermann effectivenessofgeropsychiatrichometreatmentconcerningparametersofphysicalhealthmatchedpairstudy AT gunterklug effectivenessofgeropsychiatrichometreatmentconcerningparametersofphysicalhealthmatchedpairstudy |