Effectiveness and cost-effectiveness of a community-based mental health care programme (GBV) for people with severe mental illness in Germany: study protocol for a randomised controlled trial

Trials

Jessica Reichstein¹  Nils Greve¹  Elke Prestin¹  Thomas Becker²  Melanie Pouwels²  Annabel Sandra Mueller-Stierlin²  Sabrina Hartl²  Anke Hänsel²  Anne Kohlmann²  Mara Schumacher²  Friedrich Meixner²  Nicole Bias²  Reinhold Kilian² 

[1] Dachverband Gemeindepsychiatrie;Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg;

关键词: Community-based mental health care;    Cross-sectoral care;    Assessment;    Severe mental illness;    Depression;    Schizophrenia;   

DOI  :  10.1186/s13063-020-04492-y

来源: DOAJ

【 摘 要 】

Abstract Background The community-based mental health care programme GBV is based on the British Community Mental Health Teams and the Dutch Flexible Assertive Community Treatment model. In addition, the programme offers crisis-intervention services. A special feature of this integrated care programme is the initial standardised assessment process regarding empowerment, unmet care needs, and psychosocial functioning, used to verify the need for such a comprehensive form of care. The project evaluates the assessment process and analyses the effectiveness and cost-effectiveness of GBV compared to treatment as usual. Methods This randomised, controlled study includes five assessments over 2 years. In twelve regions in Germany, 1000 patients with severely impaired psychosocial functioning and unmet care needs will be recruited. Study eligibility relies on an indication for GBV based on the results of the initial assessment. The primary outcome is improved self-reported empowerment. Further outcomes include improved treatment satisfaction and subjective quality of life, reductions in patients’ unmet needs and illness-related clinical and social impairment, and an improved cost-effectiveness ratio of the resources used (from the perspectives of both statutory health insurance and the national economy). In addition, the GBV’s effects on the burden and quality of life of informal caregivers of patients will be investigated. Discussion The study’s results are expected to provide information on whether the community-based mental health care programme GBV contributes to improving mental health care provision in Germany. In addition, the study will show whether the GBV successfully overcomes the weaknesses that former research has identified regarding a German integrated care programme. Such improvement is particularly expected with respect to the semi-structured assessment within GBV. Trial registration German Clinical Trial Register, DRKS00019086 . Registered on 3 January 2020.

【 授权许可】

Unknown