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BACKGROUND The aim of this study was to develop and evaluate psychometric properties of the Clinical Decision Making Style (CDMS) scale which measures general preferences for decision making as well as preferences regarding the provision of information to the patient from the perspectives of people with severe mental illness and staff. METHODS A(More)
OBJECTIVE Shared decision-making during the course of treatment is important for people with severe mental illness. However, there is still insufficient knowledge about how people with mental illness view decisions, what kind of decisions are made and how patients experience and perceive the process of participation in routine care. METHODS A qualitative(More)
OBJECTIVES Although guidelines usually recommend monotherapy, in clinical practice, antipsychotic polypharmacy is common especially with chronically ill patients. We therefore assessed the current practice of antipsychotic polypharmacy in "high-utilising" patients with schizophrenia in Germany. METHODS Antipsychotic medication was assessed using a(More)
BACKGROUND Clinical decision-making is the vehicle of health care provision, and level of involvement predicts implementation and satisfaction. The aim of this study was to investigate the impact of decision-making experience on recovery. METHODS Data derived from an observational cohort study "Clinical decision making and outcome in routine care for(More)
The risk for children and adolescents to be exposed to a potentially traumatic event (PTE) is high. The present study examines the frequency of PTEs in children and adolescents with Posttraumatic Stress Disorder (PTSD), the type of index trauma, and its relation to PTSD symptom severity and gender. A clinical sample of 159 children and adolescents between(More)
Brain correlates of verbal fluency in subthreshold psychosis assessed by functional near-­‐infrared spectroscopy. Schizophr Res, 2015. Association between processing speed and subclinical psychotic symptoms in the general population: Focusing on sex differences. Clinical and functional outcome of assertive outreach for patients with schizophrenic disorder:(More)
PURPOSE The helping alliance (HA) between patient and therapist has been studied in detail in psychotherapy research, but less is known about the HA in long-term community mental health care. The aim of this study was to identify typical courses of the HA and their predictors in a sample of people with severe mental illness across Europe over a measurement(More)
OBJECTIVE Process evaluation of a needs-oriented discharge planning and monitoring (NODPAM) intervention for patients with severe mental illness with high utilisation of inpatient psychiatric care (within a RCT showing lack of evidence of superiority over treatment as usual). METHODS Analysis of intervention drop-outs vs. intervention group patients(More)
OBJECTIVE To establish the cost-effectiveness of needs-oriented discharge planning in high utilizers of mental health services. METHODS As part of a multicenter RCT (n = 458), costs were measured via the German version of the "Client Sociodemographic and Service Receipt Inventory" (CSSRI-EU), and the EQ-5 D was used to ascertain QALYs. Cost-effectiveness(More)
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