Can flexible mental health care keep people out of the hospital?
NCT ID NCT05181982
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
Researchers are evaluating a flexible and integrative psychiatric care model at Pfalzklinikum in Germany. The model uses a global treatment budget to allow more outpatient and fewer inpatient treatments. The study compares outcomes like hospital stay duration and sick leave days between patients in this model and those receiving standard care. The goal is to see if this flexible approach offers advantages over traditional psychiatric care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Flexible and integrative psychiatric care model (FIT) with a global treatment budget
- What this could lead to
- If the flexible care model works, it could reshape how psychiatric services are funded and delivered, reducing hospital stays and improving recovery.
- What could go wrong
- This is an observational evaluation, not a controlled experiment, so differences might stem from other factors. Results depend on real-world implementation and may not apply elsewhere.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 10,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2022
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Anonymized data of the participating SHI funds will be analyzed. This includes all patients being treated at the Pfalzklinikum or a control hospital between 01 January 2020 and 31 December 2023 using claims data up to 31 December 2024 enabling an individual follow-up period of at least 12 months.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * treatment at the Pfalzklinikum or control hospital after 01.01.2020 (date included) and before 31.12.2023 (date included) with one of the following diagnoses as main diagnosis (ICD-10: F00, F01, F02, F03, F07, F10, F20-29, F30-39, F43, F45, F40-48, F50, F60.31, F70-79, F84, F90-F98, B22 \& F02.8, G20.0 \& F02.3, G30.0 \& F00.0, G30.1 \& F00.1) at the department of psychiatry (FA 29xx), department of child and adolescent psychiatry (F30xx) or department of psychosomatic/psychotherapy (FA31xx) * being insured with any of the participating SHI funds Exclusion Criteria: * less than one year follow-up data available * non-permanent residence in Germany during observation period
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Center For Evidence-Based Healthcare, Technische Universität Dresden
RECRUITINGDresden, Germany
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