The development of crisis resolution and home treatment teams

Thornicroft, Graham

doi:10.1017/cbo9780511543906.003

Cited by 29 publications

(27 citation statements)

References 21 publications

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“…In line with the emphasis on community based treatment and rehabilitation for mental health care by the World Health Organization [8] and the European policies, the overall objective of these teams is to offer comprehensive treatment and support in people’s home environment and prevent hospital admission. CRHT teams aim to provide an alternative to hospital admission, robust psychosocial as well as psychiatric assessments, gate-keeping of hospitalization, and opportunities to resolve crisis in the contexts of their occurrence [2,7,9,10]. …”

Section: Introductionmentioning

confidence: 99%

A crisis resolution and home treatment team in Norway: a longitudinal survey study Part 1. Patient characteristics at admission and referral

Ness

Karlsson

Borg

et al. 2012

Int J Ment Health Syst

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BackgroundCrisis resolution and home treatment (CRHT) is an emerging mode of delivering acute mental health care in the community. There is a paucity of knowledge regarding the workings of CRHT in the literature. This is the first paper in a series of three from the longitudinal survey of patients of a CRHT team in Norway, which was aimed at describing the characteristics of patients served, professional services provided, and clinical outcomes. This report focuses on describing the characteristics of the patients at admission.MethodsThe study was a descriptive, quantitative study based on the patient data from a longitudinal survey of one CRHT team in Norway. The participants of the survey, a total of 363 patients, were the complete registration of patients of this team in the period from February 2008 to July 2009.ResultsAlthough diverse in their characteristics, the patients were over represented by females, young to middle aged, and people on public support. The patients were mostly referred to the team by self/family members and primary care physicians. At admission, depression was the most prevalent symptom, the overall intensity level of mental health problems was low, and most of the patients had long-standing mental health problems.ConclusionsSelf/family referral seems to be a critical route to receive services by CRTH teams as shown in our study, suggesting a need to examine policies that disallow this form of referral in some communities. The findings from our study show that the patients of the CRHT team, while mostly having long-standing mental health problems and had been receiving healthcare for them, did not have severe mental health problems at admission, although could have been in crises. There is a need for further studies to examine how people with severe mental health problems obtain services in time of crises, and to address the need to gain a greater understanding of the role of CRHT.

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Section: Introductionmentioning

confidence: 99%

A crisis resolution and home treatment team in Norway: a longitudinal survey study Part 1. Patient characteristics at admission and referral

Ness

Karlsson

Borg

et al. 2012

Int J Ment Health Syst

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“…Their input is short term: once the initial crisis has resolved, usually within a few weeks, they withdraw and community mental health teams provide longer term continuing care if needed. They are intended to be more acceptable to service users than hospital admission and to have a greater capacity to attend to the social factors that contribute to many crises 1 2…”

Section: Introductionmentioning

confidence: 99%

Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study

Johnson

Nolan

Pilling

et al. 2005

BMJ

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267

252

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“…Specialised services that aim to avoid admission to hospital for people experiencing mental health crises are now seen as an integral part of psychiatric services in the United Kingdom and elsewhere (Smyth & Hoult, 2000;Johnson, 2004;Department of Health, 2001). Recent figures suggest that in England there are over 200 crisis resolution teams (CRTs) in operation (Durham University, 2004).…”

Section: Introductionmentioning

confidence: 99%

Economic evaluation of a crisis resolution service: A randomised controlled trial

McCrone

Johnson

Nolan

et al. 2009

Epidemiol Psichiatr Soc

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Aims -The use of specialised services to avoid admission to hospital for people experiencing mental health crises is seen as an integral part of psychiatric services in some countries. The aim of this paper is to assess the impact on costs and costeffectiveness of a crisis resolution team (CRT). Methods -Patients who were experiencing mental health crises sufficient for admission to be considered were randomised to either care provided by a CRT or standard services. The primary outcome measure was inpatient days over a six-month follow-up period. Service use was measured, costs calculated and cost-effectiveness assessed. Results -Patients receiving care from the CRT had non-inpatient costs £768 higher than patients receiving standard care (90% CI, £153 to £1375). With the inclusion of inpatient costs the costs for the CRT group were £2438 lower for the CRT group (90% CI, £937 to £3922). If one less day spent as an inpatient was valued at £100, there would be a 99.5% likelihood of the CRT being costeffective. Conclusion -This CRT was shown to be cost-effective for modest values placed on reductions in inpatient stays.Declaration of Interest: No authors have any interests to declare.

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The development of crisis resolution and home treatment teams

Cited by 29 publications

References 21 publications

A crisis resolution and home treatment team in Norway: a longitudinal survey study Part 1. Patient characteristics at admission and referral

A crisis resolution and home treatment team in Norway: a longitudinal survey study Part 1. Patient characteristics at admission and referral

Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study

Economic evaluation of a crisis resolution service: A randomised controlled trial

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