Technologically assisted intensive home treatment: feasibility study

Frontiers in Psychiatry

Psychiatry

Eyal Zimlichman¹  Galia Barkai¹  Ofri Hallaly²  Ofir Halaly²  Tsofiya Ansbacher²  Dana Tzur Bitan³  Orit Stein⁴  Mordechai Shani⁵  Asaf Caspi⁶  Avraham Friedlander⁷  Mark Weiser⁸  Ziv Amitai⁸ 

[1] Central Management, Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel;Sackler Faculty of Health, Tel-Aviv University, Tel-Aviv, Israel;Department of Behavioral Sciences, Ariel University, Ariel, Israel;Department of Behavioral Sciences, Ariel University, Ariel, Israel;Shalvata Mental Health Center, Hod Hasharon, Israel;Maccabi Health Services, Tel Aviv, Israel;Sackler Faculty of Health, Tel-Aviv University, Tel-Aviv, Israel;The Drora and Pinchas Zachai Division of Psychiatry, Sheba Medical Center, Ramat Gan, Israel;The Drora and Pinchas Zachai Division of Psychiatry, Sheba Medical Center, Ramat Gan, Israel;Department of Behavioral Sciences, Ariel University, Ariel, Israel;The Drora and Pinchas Zachai Division of Psychiatry, Sheba Medical Center, Ramat Gan, Israel;Sackler Faculty of Health, Tel-Aviv University, Tel-Aviv, Israel;

关键词: psychiatric hospitalization;    admission;    technology;    technologically assisted intensive home treatment;    psychiatric services;   

DOI  :  10.3389/fpsyt.2023.1196748

 received in 2023-03-30, accepted in 2023-07-14,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionIn recent year, many attempts have been made to provide patients with alternatives to psychiatric hospitalization during acute distress. Although several hospitalization alternatives have been offered, most of them still require patients to be distanced from their families, friends, and the social environment.MethodsIn this report we describe the implementation of a novel approach to psychiatric care termed “Technologically assisted Intensive Home Treatment”, where patients arriving to emergency settings are directed to home care with technological aids that enable close monitoring and ongoing contact with their therapists.ResultsWe describe the rationale and treatment principles of the treatment, and provide an elaborative description of the implementation process during the first year of implementation.DiscussionAdditional attention is given to factors associated with early dropout from the program, in order to inform readers of predictors to optimal care. Limitations and directions for future research and practice are discussed.Clinical Trial Registration: The study was registered in the database of clinical trials (registration number SHEBA-19-6555-MW-CTIL) and in the Ministry of Health (registration number MOH_2022-08-22_011992).

【 授权许可】

Unknown   
Copyright © 2023 Caspi, Tzur Bitan, Halaly, Hallaly, Friedlander, Barkai, Zimlichman, Stein, Shani, Amitai, Ansbacher and Weiser.