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  • Cambridge University Press (CUP)  (4)
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  • Cambridge University Press (CUP)  (4)
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  • 1
    Online Resource
    Online Resource
    Needs-oriented discharge planning for high utilisers of psychiatric services: multicentre randomised controlled trial
    Cambridge University Press (CUP) ; 2011
    In:  Epidemiology and Psychiatric Sciences Vol. 20, No. 2 ( 2011-06), p. 181-192
    Details
    In: Epidemiology and Psychiatric Sciences, Cambridge University Press (CUP), Vol. 20, No. 2 ( 2011-06), p. 181-192
    Abstract: Attempts to reduce high utilisation of mental health inpatient care by targeting the critical time of hospital discharge are rare. In this study, we test the effect of a needs-oriented discharge planning intervention on number and duration of psychiatric inpatient treatment episodes (primary), as well as on outpatient service use, needs, psychopathology, depression and quality of life (secondary). Methods. Four hundred and ninety-one adults with a defined high utilisation of mental health care gave informed consent to participate in a multicentre RCT carried out at five psychiatric hospitals in Germany (Düsseldorf, Greifswald, Regensburg, Ravensburg and Günzburg). Subjects allocated to the intervention group were offered a manualised needs-led discharge planning and monitoring intervention with two intertwined sessions administered at hospital discharge and 3 months thereafter. Outcomes were assessed at four measurement points during a period of 18 months following discharge. Results. Intention-to-treat analyses showed no effect of the intervention on primary or secondary outcomes. Conclusions. Process evaluation pending, the intervention cannot be recommended for implementation in routine care. Other approaches, e.g. team-based community care, might be more beneficial for people with persistent and severe mental illness.
    Type of Medium: Online Resource
    ISSN: 2045-7960 , 2045-7979
    URL: Article
    DOI: 10.1017/S2045796011000278
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2011
    detail.hit.zdb_id: 2594528-2
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    Online Resource
  • 2
    Online Resource
    Online Resource
    Discharge planning, an intervention study - and where to go next?
    Cambridge University Press (CUP) ; 2011
    In:  European Psychiatry Vol. 26, No. S2 ( 2011-03), p. 2041-2041
    Details
    In: European Psychiatry, Cambridge University Press (CUP), Vol. 26, No. S2 ( 2011-03), p. 2041-2041
    Abstract: Process evaluation should be an integral part of randomised controlled trials (RCTs), and this is important in examining complex interventions with a number of active ingredients. Objective To analyse effectiveness and effect moderators in a multi-centre RCT of needs-oriented discharge planning vs. treatment as usual (TAU) for high utilisers of mental health care. Method From April 2006 to July 2007, 491 adults with high utilisation of mental health care for psychotic disorders gave informed consent to participate in a multi-site RCT at five German psychiatric inpatient services. Subjects allocated to the intervention group were offered a manualised needs-led discharge planning intervention of two 45 minute sessions delivered by a trained study worker. Outcomes (service use, needs, psychopathology, depression, quality of life, direct costs) were assessed at four measurement points during 18-month follow-up. Latent class modelling was used to scrutinise differential effectiveness. Characteristics of subgroups of participants showing variable treatment response will be described. Results There was improvement both in the intervention and (TAU) control group but no differential effectiveness of the discharge planning intervention. Only few variables significantly moderated effects. Effect moderators pertained to quality of delivery and intervention dose. Conclusions Study results could help to tailor interventions to local conditions and guide future implementation of discharge planning in routine care. Further research should focus on scrutinising study process, ensuring ecological suitability of interventions and on head-to-head comparison studies.
    Type of Medium: Online Resource
    ISSN: 0924-9338 , 1778-3585
    URL: Article
    DOI: 10.1016/S0924-9338(11)73744-0
    RVK:
    XA 10000
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2011
    detail.hit.zdb_id: 2005377-0
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  • 3
    Online Resource
    Online Resource
    Physics and Results from the AMANDA-II High Energy Neutrino Telescope
    Cambridge University Press (CUP) ; 2003
    In:  Symposium - International Astronomical Union Vol. 214 ( 2003), p. 357-371
    Details
    In: Symposium - International Astronomical Union, Cambridge University Press (CUP), Vol. 214 ( 2003), p. 357-371
    Abstract: This paper briefly describes the principle of operation and science goals of the AMANDA high energy neutrino telescope located at the South Pole, Antarctica. Results from an earlier phase of the telescope, called AMANDA-BIO, demonstrate both reliable operation and the broad astrophysical reach of this device, which includes searches for a variety of sources of ultrahigh energy neutrinos: generic point sources, Gamma-Ray Bursts and diffuse sources. The predicted sensitivity and angular resolution of the telescope were confirmed by studies of atmospheric muon and neutrino backgrounds. We also report on the status of the analysis from AMANDA-II, a larger version with far greater capabilities. At this stage of analysis, details of the ice properties and other systematic uncertainties of the AMANDA-II telescope are under study, but we have made progress toward critical science objectives. In particular, we present the first preliminary flux limits from AMANDA-II on the search for continuous emission from astrophysical point sources, and report on the search for correlated neutrino emission from Gamma Ray Bursts detected by BATSE before decommissioning in May 2000. During the next two years, we expect to exploit the full potential of AMANDA-II with the installation of a new data acquisition system that records full waveforms from the in-ice optical sensors.
    Type of Medium: Online Resource
    ISSN: 0074-1809
    URL: Article
    DOI: 10.1017/S0074180900194744
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2003
    SSG: 16,12
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  • 4
    Online Resource
    Online Resource
    RCT on discharge planning for high utilisers of psychiatric services II. Needs-oriented intervention
    Cambridge University Press (CUP) ; 2007
    In:  European Psychiatry Vol. 22 ( 2007-3), p. S23-
    Details
    In: European Psychiatry, Cambridge University Press (CUP), Vol. 22 ( 2007-3), p. S23-
    Type of Medium: Online Resource
    ISSN: 0924-9338
    URL: Article
    DOI: 10.1016/j.eurpsy.2007.01.093
    RVK:
    XA 10000
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2007
    detail.hit.zdb_id: 2005377-0
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