Admission decisions following contact with an emergency mental health assessment and intervention service

Abstract

This study highlights the valuable role of mental health nurses in frontline emergency mental health care in particular mental health nurses skills in conducting a risk assessment in an emergency.

Admission to acute mental health services after contact with crisis resolution and home treatment teams: an investigation in two large mental health-care providers

“…This is in contrast with evidence from previous studies suggesting that individuals with greater social deprivation are less likely to have positive outcomes 34,35 and more likely to be admitted 18 following contact with CRTs.…”

“…Similar to the current findings, Brooker et al 18 found that increasing age was associated with the likelihood of being admitted, while Cotton et al 21 found a greater risk of admission for younger patients both at 8-weeks and 6-months following contact with CRTs. Increased age, as suggested by our findings, may reflect increased chronicity of mental health problems and a greater need for care.…”

New ways of working in acute inpatient care: a case for change

“…It is true that the reduction in the numbers of beds has led to a rise in the threshold for admission (Brooker et al, 2007). Under these circumstances, the skills required when making an accurate diagnosis and assessment of the personal, social, cultural and medical circumstances that New ways of working in acute inpatient care: a case for change that have led to admission and which will be needed to facilitate discharge, are both sophisticated and complex.…”

Crisis teams: systematic review of their effectiveness in practice

“…Uncooperativeness was also cited as a reason for admission. 32,34 Psychosis was associated with hospitalisation in some work, 28,34 although others found no diagnostic differences, 33,35 with one study 33 also finding no significant differences in demographic variables in those admitted. Overall, research findings have been inconsistent.…”

“…The most common reason for admission was risk to self. [31][32][33] Brimblecombe and colleagues 31 found that 21.1% of patients taken on by CRTs were later admitted: 53.2% due to risk to self; 11.3% due to risk to others; and 8.1% as carers could not cope. However, another study 34 found those at risk of violence or unintentional self-harm through self-neglect or recklessness were more likely to be admitted than those at risk of 'deliberate' self-harm.…”