[Implementation of the GermanIMPACT collaborative care program: A qualitative study on the perspective of care managers and supervisors].

Autor: Bjerregaard F; Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Deutschland. Electronic address: frederike.bjerregaard@uniklinik-freiburg.de., Zech J; Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Deutschland., Frank F; Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Deutschland; Fachbereich Soziale Arbeit, Evangelische Hochschule Freiburg, Freiburg, Deutschland., Hüll M; Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Deutschland; Klinik für Alterspsychiatrie- und Psychotherapie, Zentrum für Psychiatrie und Psychotherapie Emmendingen, Emmendingen, Deutschland., Stieglitz RD; Abteilung klinische Psychologie und Psychiatrie, Fakultät für Psychologie, Universität Basel, Basel, Schweiz., Hölzel L; Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Deutschland; Parkklinik Wiesbaden Schlangenbad, Schlangenbad, Deutschland.
Jazyk: němčina
Zdroj: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen [Z Evid Fortbild Qual Gesundhwes] 2018 Jul; Vol. 134, pp. 42-48. Date of Electronic Publication: 2018 Jun 13.
DOI: 10.1016/j.zefq.2018.04.001
Abstrakt: Background: Collaborative Care programs like the Improving Mood Promoting Access to Collaborative Care Program (IMPACT) present an opportunity to support primary care for elderly depressed patients. The GermanIMPACT study evaluates whether this low-threshold model using short behavioral interventions that are conducted by care managers and supervised by a psychotherapist/psychiatrist, is as effective as in other countries. Besides effectiveness, the feasibility of the intervention is also essential for the implementation of the program.
Method: Care managers and supervisors were interviewed using a qualitative interview guide with questions concerning feasibility and effectiveness of the GermanIMPACT intervention, and the interviews were then evaluated using qualitative content analysis.
Results: The interviewees provided important information on how to optimize the realization of the intervention by selecting patients more carefully and by providing case managers with more training. Moreover, the intervention was described as being supportive of patients and as providing relief for general practitioners. Whereas interviewees wanted the intervention to be expanded to other disorders, they simultaneously highlighted the limits of the intervention.
Conclusions: The present study provides practical information for implementing the GermanIMPACT model. Thus, specific recommendations for implementation into standard care can be derived.
(Copyright © 2018. Published by Elsevier GmbH.)
Databáze: MEDLINE
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