BORIS Theses

BORIS Theses
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Providing Intensive Mental Health Care at Home: Key Factors for the Successful Implementation of Home Treatment

Wyder, Lea Sarina (2018). Providing Intensive Mental Health Care at Home: Key Factors for the Successful Implementation of Home Treatment. (Thesis). Universität Bern, Bern

18wyder_ls.pdf - Thesis
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Home treatment (HT) represents a team-based community mental health service for patients in acute mental health crises, providing an alternative to a hospital stay. Enhancing mental health services within the community is an ongoing concern in many industrial countries that originated in the deinstitutionalisation of mental health care. Both, implementing new mental health care services, as well as conducting experimental studies on those services within routine clinical settings bring about particular challenges. The aim of this thesis is to outline key factors associated with the successful study and implementation of HT. Three empirical studies were conducted for this thesis; all of them are based on an extensive research project (N=707) accompanying the introduction of a new HT service to the Canton of Aargau, Switzerland. The first study examines the validity of psychiatric diagnoses obtained by clinicians during routine clinical examinations for a subsample of the main HT study project. The second study analyses stakeholders’ perspectives, aiming to identify effective components of HT and to evaluate the implementation of the new HT service. And the third study aims to refine patient suitability for HT using patient characteristics. Insights of theses three studies are reviewed and implications for research and practice are outlined in a general discussion within this thesis.

Item Type: Thesis
Dissertation Type: Cumulative
Date of Defense: 2018
Subjects: 100 Philosophy > 150 Psychology
600 Technology > 610 Medicine & health
Institute / Center: 07 Faculty of Human Sciences > Institute of Psychology
Depositing User: Hammer Igor
Date Deposited: 13 May 2021 14:11
Last Modified: 14 May 2021 00:30

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