Digitale Versorgungsformen zur Personalisierung der stationsäquivalenten Behandlung: Digital forms of service delivery for personalized crisis resolution and home treatment

C. Rauschenberg, D. Hirjak, T. Ganslandt, J.C.C. Schulte-Strathaus, A. Schick, A. Meyer-Lindenberg, U. Reininghaus*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

2 Citations (Web of Science)

Abstract

Background Ward-equivalent treatment (StaB), a form of crisis resolution and home treatment in Germany, has been introduced in 2018 as a new model of mental health service delivery for people with an indication for inpatient care. The rapid progress in the field of information and communication technology offers entirely new opportunities for innovative digital mental health care, such as telemedicine, eHealth, or mHealth interventions. Objective This review aims to provide a comprehensive overview of novel digital forms of service delivery that may contribute to a personalized delivery of StaB and improving clinical and social outcomes as well as reducing direct and indirect costs. Method This work is based on a narrative review. Results Four primary digital forms of service delivery have been identified that can be used for personalized delivery of StaB: (1) communication, continuity of care, and flexibility through online chat and video call; (2) monitoring of symptoms and behavior in real-time through ecological momentary assessment (EMA); (3) use of multimodal EMA data to generate and offer personalized feedback on subjective experience and behavioral patterns as well as (4) adaptive ecological momentary interventions (EMI) tailored to the person, moment, and context in daily life. Conclusion New digital forms of service delivery have considerable potential to increase the effectiveness and cost-effectiveness of crisis resolution, home treatment, and assertive outreach. An important next step is to model and initially evaluate these novel digital forms of service delivery in the context of StaB and carefully investigate their quality from the user perspective, safety, feasibility, initial process and outcome quality as well as barriers and facilitators of implementation.
Original languageGerman
Pages (from-to)279-287
Number of pages9
JournalDer Nervenarzt
Volume93
Issue number3
Early online date17 Mar 2021
DOIs
Publication statusPublished - Mar 2022

Keywords

  • eHealth
  • Digital intervention
  • Mobile health
  • Telemedicine
  • Ecological momentary intervention

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