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Does one size really fit all? The effectiveness of a non-diagnosis-specific integrated mental health care program in Germany in a prospective, parallel-group controlled multi-centre trial

Overview of attention for article published in BMC Psychiatry, August 2017
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Title
Does one size really fit all? The effectiveness of a non-diagnosis-specific integrated mental health care program in Germany in a prospective, parallel-group controlled multi-centre trial
Published in
BMC Psychiatry, August 2017
DOI 10.1186/s12888-017-1441-9
Pubmed ID
Authors

Annabel Sandra Mueller-Stierlin, Marina Julia Helmbrecht, Katrin Herder, Stefanie Prinz, Nadine Rosenfeld, Julia Walendzik, Marco Holzmann, Uemmueguelsuem Dinc, Matthias Schützwohl, Thomas Becker, Reinhold Kilian

Abstract

The Network for Mental Health (NWpG-IC) is an integrated mental health care program implemented in 2009 by cooperation between health insurance companies and community mental health providers in Germany. Meanwhile about 10,000 patients have been enrolled. This is the first study evaluating the effectiveness of the program in comparison to standard mental health care in Germany. In a parallel-group controlled trial over 18 months conducted in five regions across Germany, a total of 260 patients enrolled in NWpG-IC and 251 patients in standard mental health care (TAU) were recruited between August 2013 and November 2014. The NWpG-IC patients had access to special services such as community-based multi-professional teams, case management, crisis intervention and family-oriented psychoeducation in addition to standard mental health care. The primary outcome empowerment (EPAS) and the secondary outcomes quality of life (WHO-QoL-BREF), satisfaction with psychiatric treatment (CSQ-8), psychosocial and clinical impairment (HoNOS) and information about mental health service needs (CAN) were measured four times at 6-month intervals. Linear mixed-effect regression models were used to estimate the main effects and interaction effects of treatment, time and primary diagnosis. Due to the non-randomised group assignment, propensity score adjustment was used to control the selection bias. NWpG-IC and TAU groups did not differ with respect to most primary and secondary outcomes in our participating patients who showed a broad spectrum of psychiatric diagnoses and illness severities. However, a significant improvement in terms of patients' satisfaction with psychiatric care and their perception of treatment participation in favour of the NWpG-IC group was found. Providing integrated mental health care for unspecific mentally ill target groups increases treatment participation and service satisfaction but seems not suitable to enhance the overall outcomes of mental health care in Germany. The implementation of strategies for ameliorating the needs orientation of the NWpG-IC should be considered. German Clinical Trial Register DRKS00005111 , registered 26 July 2013.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 142 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 142 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 18 13%
Student > Bachelor 17 12%
Student > Master 15 11%
Student > Doctoral Student 13 9%
Student > Ph. D. Student 13 9%
Other 25 18%
Unknown 41 29%
Readers by discipline Count As %
Psychology 24 17%
Medicine and Dentistry 18 13%
Nursing and Health Professions 17 12%
Social Sciences 14 10%
Business, Management and Accounting 4 3%
Other 14 10%
Unknown 51 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 August 2017.
All research outputs
#19,292,491
of 23,881,329 outputs
Outputs from BMC Psychiatry
#4,109
of 4,939 outputs
Outputs of similar age
#246,423
of 319,180 outputs
Outputs of similar age from BMC Psychiatry
#97
of 114 outputs
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