Home treatment for acute psychiatric illness.

Dean, Christine; Gadd, Elaine

doi:10.1136/bmj.301.6759.1021

Cited by 96 publications

(45 citation statements)

References 10 publications

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“…Dean & Gadd, 1990;Holloway, 1991;Kerwin, 1995). However, as the number of hospital beds decreases, admissions have become shorter and patients are often discharged before they are fully recovered from an acute psychotic episode, with case management in the community (Powell et al, 1995).…”

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confidence: 99%

Burden of care in the home: issues for community management

Vaddadi¹

1997

Adv. psychiatr. treat

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The number of beds available in the UK for the treatment of mental illness has fallen by over two-thirds since its peak in the mid-1950s. There is a worldwide trend of closure of large mental hospitals and integration of services for the mentally ill in their own local community. Community surveys have shown that an overwhelming majority of mentally ill people are treated in primary care or by specialists, but without being admitted to a hospital. This is now the preferred clinical practice (Shepherd et al, 1981).

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confidence: 99%

Burden of care in the home: issues for community management

Vaddadi¹

1997

Adv. psychiatr. treat

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“…Other com munity-based specialist provision included respite care facilities (seven catchment areas), long-term residential facilities (six catchment areas), day care facilities (seven catchment areas), and specialised teams providing care for individuals with severely disturbed behaviour (five catchment areas). None of the catchment areas in the region had home treat ment teams comparable with the programmes which 215 exist in mental illness services for the intensive home treatment of patients with acute psychiatric disorders (Dean &Gadd, 1990).…”

Section: Resultsmentioning

confidence: 99%

Developing local services for people with a learning disability and a psychiatric disorder

Roy

Cumella

1993

Psychiatr. bull.

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Recent ministerial statements and health circulars have identified a key role for the NHS in providing services for people with a learning disability who have a mental illness or a severe behaviour disorder (NHS Management Executive, 1992). This is not an insignificant task, given that psychiatric disorders (including both mental illness and/or severe behaviour disorders) occur among approximately 30% of people with a moderate or severe learning disability (Corbett, 1979; Lund, 1985). Patients with psychiatric disorders have proved particularly difficult to resettle from mental handicap hospitals, and form a substantial proportion of the patients who become long-stay residents of mental handicap hospitals despite the development of community-based services. It is therefore essential that each district health authority defines the most appropriate pattern of services for this group of patients, as part of their purchasing strategy for mental health. The type of service required was discussed by the department of Health report Needs and Responses: Services for Adults with Mental Handicap who are Mentally Ill, who have Behaviour Problems, or who Offend. This noted that no consistent pattern of services has yet emerged, and that suitable alternatives included admission to a specialised mental illness unit in a mental handicap hospital, admission to a general psychiatric ward, admission to a small staffed house, or treatment by a community support team.

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“…Zent ra ler Be stand teil von HT ist ein mul tipro fes sio nel les Be hand lungs team, das den akut psy chi at risch be hand lungs be dürf tigen Pa ti en ten in sei ner ge wohn ten Um gebung im Rah men ei nes mit ihm ver ein barten Be hand lungs pla nes ver sorgt und rund um die Uhr ver füg bar ist, wo bei die Dauer der In ter ven ti on die ei nes Kran ken hausauf ent hal tes nicht über stei gen soll te [6,13,14,39].…”

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„Home treatment“ für psychische Erkrankungen

et al. 2005

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A number of projects have used home treatment (HT) for severely mentally ill people in recent years. This paper intends to define HT and show the main differences between it and other forms of psychiatric community service, present the existing evidence for HT, and discuss eligibility criteria. Studies about HT's efficacy in treating severely mentally ill adults were identified by electronic (MEDLINE, PsycLIT) and manual search. Six studies met these inclusion criteria. Compared to inpatient treatment, HT was equally or more efficacious in respect to reduction of symptom distress, social (re-)integration, and patient and carer satisfaction. Furthermore, direct costs for HT were often lower than for inpatient care. However, the number of relevant studies is limited and knowledge on the long-term effects of HT is sparse.

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Home treatment for acute psychiatric illness.

Cited by 96 publications

References 10 publications

Burden of care in the home: issues for community management

Burden of care in the home: issues for community management

Developing local services for people with a learning disability and a psychiatric disorder

„Home treatment“ für psychische Erkrankungen

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