German healthcare company starts a clinical trial of Implementation, Efficacy and Costs of Inpatient Equivalent Home-Treatment in German Mental Health Care

Photo by Christian Wiediger

Vivantes Netzwerk für Gesundheit GmbH is recruiting patients for the clinical trial of Implementation, Efficacy and Costs of Inpatient Equivalent Home-Treatment in German Mental Health Care (AKtiV).

The "inpatient-equivalent home treatment"(IEHT) according to §115d SGB-V is a particular version of the internationally well-known and evidence-based Home Treatment. As a complex intervention, IEHT requires a multi-method evaluation on different levels in the German context. The AKtiV study that is financed by the Innovation Fund of the Federal Joint Committee (proposal ID: VSF2_2019-108) meets this request. In this quasi-experimental study with a propensity score-matched control group, we assess and combine quantitative and qualitative data. Outcome parameters include classical clinical ones such as hospital readmission rates, mental state, and recovery outcomes. In addition, it evaluates issues concerning the right target population, treatment processes, implementation strategies, and factors associated with positive outcomes. The study takes into account the perspective of patients, relatives, staff as well as decision makers in politics and administration. Therefore, researchers expect the results to be relevant for a broad audience and to contribute to further refinement and adaption of the model.

The study will take place at the Zentrum für Psychiatrie Reichenau, Reichenau, Baden-Württemberg; PP.rt, Gemeinnützige Gesellschaft für Psychiatrie Reutlingen mbH, Reutlingen, Baden-Württemberg; Universitätsklinikum Tübingen, Klinik für Psychiatrie und Psychotherapie, Tübingen, Baden-Württemberg; Klinik für Psychiatrie und Psychotherapie I der Universität Ulm (Weissenau),, Weißenau, Baden-Württemberg; Zentrum für Psychiatrie Südwürttemberg, Klinik für Psychiatrie und Psychotherapie Zwiefalten, Zwiefalten, Baden-Württemberg; kbo-Isar-Amper-Klinikum München-Ost, Haar, Bayern; Vivantes Klinikum am Urban; Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Berlin-Kreuzberg, Berlin; Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Berlin-Mitte, Berlin; Immanuel Klinik Rüdersdorf, Abteilung für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Hochschulklinik, Rüdersdorf, Brandenburg and Vivantes Neukölln, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Berlin, Germany.

There are a number of conditions that allow participation, such as:

IEHT inclusion criteria:

• acute mental health crisis that requires inpatient treatment;
• social and living surrounding allowing for home visits and private conversations;
• informed consent of all adults living in the service user's place of residency;

The full list can be viewed at the link below.

The page dedicated to this clinical trial can be found here: https://ichgcp.net/clinical-trials-registry/NCT04745507