Hospital admission and community treatment of mental disorders in England from 1998 to 2012

Green, B.H.; Griffiths, E.C.

doi:10.1016/j.genhosppsych.2014.02.006

Cited by 53 publications

(40 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As AOTs came on stream, commissioners may have felt able to accelerate the process of hospital/bed closure, whether or not there was local evidence of clients being diverted into community treatment. The recent study by Green and Griffiths () of the decline in general psychiatric admissions over a similar period to that studied here has concluded that community crisis team activity was not related to admission rates but rather was a consequence of bed closures. However, this study did not focus on AOTs, which may have had a specific impact on the comparatively slow decline of admissions for schizophrenia and psychosis.…”

Section: Discussionsupporting

confidence: 49%

See 1 more Smart Citation

The impact of assertive outreach teams on hospital admissions for psychosis: a time series analysis

Hamilton

Lloyd

Bland

et al. 2015

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Although the assertive outreach model was developed in the United States and imported to the United Kingdom to date, there is only limited evidence to support its wide-scale implementation within the United Kingdom. This is the first study to have combined a large dataset with this type of research method to explore the impact of assertive outreach teams on hospital admissions. The introduction and expansion of assertive outreach teams was associated with reducing hospital admissions for people with psychosis. This study found a consistent summer peak in hospital admissions which community and in-patient mental health nurses should take account of and plan for. Ever since the Mental Health Policy Implementation Policy Guide paved the way for the introduction of the Assertive Outreach Treatment (AOT) model in England, the impact of this approach has been the subject of considerable debate but limited evaluation. To date, most of the evidence supporting this model has originated from outside the United Kingdom. A central aim of the AOT was to reduce the need for in-patient treatment. We aimed to assess the impact of the AOT model on hospital admissions for people with psychosis in England. Interrupted time series analysis was used in this study to evaluate the impact of the policy change. Following the introduction of the AOT model, a statistically significant reduction in hospital admissions for psychosis was found. In addition, we observed a repeated, annual summer peak in admissions. This study adds to the international evidence which supports the effectiveness of the AOT model in reducing hospital admissions for people with severe mental health problems. We offer five suggested implications for mental health nurses and clients based on our findings.

show abstract

Section: Discussionsupporting

confidence: 49%

“…However, this study did not focus on AOTs, which may have had a specific impact on the comparatively slow decline of admissions for schizophrenia and psychosis. It is noticeable that the pronounced decline in admissions for schizophrenia and psychosis around 2003 was not observed for other psychiatric conditions (Green & Griffiths ).…”

Section: Discussionmentioning

confidence: 99%

The impact of assertive outreach teams on hospital admissions for psychosis: a time series analysis

Hamilton

Lloyd

Bland

et al. 2015

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…Studies of hospitalisation trends from the 1960s to the present have shown large recent increases in hospitalisation rates in England, with the greatest rise in young women aged 15 to 19 . In contrast, admission rates for most other mental disorders have declined . Pilot data suggest that in areas where specialist ED adolescent outpatient services are available, rates of hospitalisations are significantly lower …”

Section: Introductionmentioning

confidence: 99%

A pilot evaluation of a novel First Episode and Rapid Early Intervention service for Eating Disorders (FREED)

McClelland

Hodsoll

Brown

et al. 2018

Euro Eating Disorders Rev

View full text Add to dashboard Cite

This pilot study assesses the impact of FREED (First Episode Rapid Early Intervention for Eating Disorders [ED]), a novel transdiagnostic service for emerging adults with recent ED onset, on clinical outcomes. Data were collected from 56 patients and 19 carers for 12 months following enrolment. FREED patients showed significant improvements in ED and other symptoms across time. Carers also showed psychological improvements. For FREED anorexia nervosa (AN) patients, body mass index (BMI) at initial clinical assessment was similar to that of comparable patients (audit cohort) seen in our service before (16.4 vs 16.1 kg/m ). By start of treatment, because of their shorter wait, FREED-AN had gained weight whereas audit patients had lost (16.7 vs 15.8 kg/m ). This difference continued throughout treatment, and at 12 months, nearly 60% FREED-AN patients returned to a BMI of 18.5 or greater. FREED shows promise as a service model for emerging adults with EDs.

show abstract

“…They are ambivalent about change and often terminate treatment prematurely (Woodside et al, 2004). This explains why hospital admissions for AN are repeated (Green and Griffiths, 2014;McCrone et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

A preliminary investigation of a novel training to target cognitive biases towards negative social stimuli in Anorexia Nervosa

Cardi

Esposito

Bird

et al. 2015

Journal of Affective Disorders

View full text Add to dashboard Cite

Hospital admission and community treatment of mental disorders in England from 1998 to 2012

Cited by 53 publications

References 25 publications

The impact of assertive outreach teams on hospital admissions for psychosis: a time series analysis

The impact of assertive outreach teams on hospital admissions for psychosis: a time series analysis

A pilot evaluation of a novel First Episode and Rapid Early Intervention service for Eating Disorders (FREED)

A preliminary investigation of a novel training to target cognitive biases towards negative social stimuli in Anorexia Nervosa

Contact Info

Product

Resources

About