Innovative outpatient models

Abstract

Innovative, multimodal, cross-professional and cross-sectoral approaches to outpatient care have been funded in Germany since 2004 when the integrated care(IV) according to §140 ff Social Security Code V (SGBV) and selective contracts according to §73 SGBV were introduced. As aresult, almost 7000 IV contracts were established providing psychiatric care; however, most of them were short-term contracts and only 1-2% of the total number of patients were treated by means of IV contracts. Great attention has been paid to the multiprofessional care of patients in all service models. Here we present two service models that were permanently established: the network of the Psychiatry Initiative Berlin Brandenburg (PIBB), certified according to §87b SGBV, and the project Neuropsychiatric and Psychotherapeutic Care (NPPV) North Rhine funded by the Innovation Fund. The care projects described show new opportunities by exploiting previously unused networking resources at various levels of care and by coordinating the necessary treatment steps. Furthermore, abetter coordination of patients enables, among other things, the organization of group therapy. This form of treatment in particular offers the possibility of treating more patients by applying different treatment intensities and contents. Moreover, it intensifies the guideline-based treatment itself through an interactive, therapeutically desired exchange. In addition, the formation of medical networks, which are entitled to relevant financial support according to their statutory certification, is aspecial opportunity to use complex outpatient psychiatric treatment and thus to improve care.