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Dr. Hanne Melchior

Forschungsgruppe Psychotherapeutische Versorgung

Institut für Medizinische Psychologie

Universitätsklinikum Hamburg-Eppendorf

Martinistraße 52, Gebäude W 26

20246 Hamburg

Tel.: +49-(0)40-7410-53871

Fax: +49-(0)40-7410-54940

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Chronification processes, patient careers and patient needs in anxiety and depressive disorders: Current state analysis and evaluation of a case management-oriented aftercare coordination (NaKo) following inpatient rehabilitation

Project leader: Dr. Hanne Melchior, Universitätsklinikum Hamburg-Eppendorf

 

While a comprehensive analysis of chronification processes and treatment paths in the German health system for patients with chronic depression and/or chronic anxiety disorders is yet to be conducted, against the background of the "fragmentation" of the care system, it is already possible to identify the overcoming of interfaces as an important starting point to optimise treatment paths.

 

One of these interfaces is the aftercare following inpatient rehabilitation, for which the method of case management-oriented aftercare coordination constitutes a promising opportunity to foster an integrated care and to consolidate the rehabilitation success for patients with chronic depression / anxiety disorder.

 

In the framework of the study, in study part 1, a current state analysis of chronification processes, treatment paths and treatment needs of the aforementioned patients will be undertaken with the help of semi-structured patient interviews (N=36, stratified according to diagnosis and clinic) and written patient surveys.

 

Using the results gained from this, study part 2 entails the implementation and examination of telephone-based case management-oriented aftercare coordination (NaKo): Patients will be directly supported in initiating and conducting an appropriate aftercare directly after the inpatient stay in the framework of six twice-weekly telephone calls with their reference therapist.

 

To check the effectiveness of the NaKo, a prospective multi-time-point survey (4 measurement time points: before and after the inpatient treatment as well as at the 3- and 9-month follow-up) will be realised in the framework of a randomised-controlled design (RCT) (N=274 rehabilitees with complete data sets in the three cooperating clinics Bliestal Klinik, Blieskastel; Seepark Klinik, Bad Bodenteich and St. Franziska-Stift, Bad Kreuznach). Patients with aftercare coordination will be compared to patients without aftercare coordination (TAU) in terms of their treatment success (primary outcome: quality of life/functional health; secondary outcome: symptoms, among others).




< Modul two - period 2  |  GeKo - Farin-Glattacker >