Providing Home Treatment for Acute Mental Illness During the COVID-19 Pandemic

2021 ◽  
Author(s):  
Katie F. M. Marwick ◽  
Neena Dhillon ◽  
Iain Proven
Keyword(s):  
Mental Illness ◽  
Home Treatment

scholarly journals Effectiveness of multidisciplinary psychiatric home treatment for elderly patients with mental illness: a systematic review of empirical studies

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Günter Klug ◽  
Manuela Gallunder ◽  
Gerhard Hermann ◽  
Monika Singer ◽  
Günter Schulter
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Elderly Patients ◽  
Older People ◽  
Full Text ◽  
Psychiatric Symptoms ◽  
Empirical Studies ◽  
Home Treatment ◽  
Inclusion Criteria ◽  
People With Mental Illness

Abstract Background The vast majority of older people with mental illness prefer to live independently in their own homes. Barriers caused by the health care system often prevent adequate, adapted treatments. With regard to the increasing ageing of the population, the determination of effective, age-appropriate service models for elderly patients with mental illness is clearly required. The aim of this review is to examine and to evaluate multidisciplinary psychogeriatric treatment models that include home visits, particularly with regard to the effects on psychiatric symptoms, social and mental health rehabilitation and quality of life. Methods A systematic review was carried out of empirical studies with participants who were diagnosed with a mental illness according to ICD-10, aged 60 years or older, and who were living at home. The inclusion criteria comprised a duration of intervention of at least 12 weeks and a minimum of two interventions and domiciliary visits delivered by a multidisciplinary team. The online databases Medline, PsychInfo, Web of Science, Cochrane Register of Controlled Trials, and Google Scholar, as well as hand search, were used to search for relevant studies published between 1996 and 2016. An additional search was performed for studies published between 2016 and 2019. After removing duplicates, abstracts were screened and the remaining articles were included for full-text review. Results Of the 3536 records discovered in total, 260 abstracts appeared to be potentially eligible. Of these, 30 full-text articles were assessed for eligibility. For the additional search 415 records and abstracts were screened and 11 articles were read full text. Finally, only three studies fully met the inclusion criteria for this review. The results indicate that psychogeriatric home treatment is associated with significant improvements of psychiatric symptoms and psychosocial problems, fewer admissions to hospital and nursing homes, as well as lower costs of care. Conclusions Psychogeriatric home treatment has positive effects on older people with mental illness. However, these findings are based upon a small number of studies. The need for further research, especially to specify the effective factors in psychogeriatric home treatment, is clearly indicated.

scholarly journals Effectiveness of geropsychiatric home treatment concerning parameters of physical health: matched-pair study

BJPsych Open ◽  
2021 ◽  
Vol 7 (5) ◽  
Author(s):  
Christa Peinhaupt ◽  
Gernot Fassolder ◽  
Wolfgang Habacher ◽  
Monika Singer ◽  
Gerhard Hermann ◽  
...  
Keyword(s):  
Mental Illness ◽  
Elderly Patients ◽  
Physical Health ◽  
Psychotropic Drugs ◽  
Home Treatment ◽  
Matched Pair ◽  
Physical Parameters ◽  
Hospital Discharges ◽  
Treatment As Usual ◽  
Significant Difference

Background There is evidence of the effectiveness of multi-professional home treatment models with regards to improving mental health for elderly patients with mental illness. However, there is a lack of studies examining the efficacy with regard to physical health. Aims To explore the effectiveness of geropsychiatric home treatment for elderly patients with mental illness with regards to improving physical health by assessing the need of physical treatment. Method A 1-year retrospective matched-pair cohort study was conducted in four regions of Austria. We compared 91 patients with a broad spectrum of mental disorders in geropsychiatric home treatment by 1:2 matching to 182 patients in treatment as usual regarding number of contacts with health services, prescriptions, hospital discharges and length of hospital stay. Results Patients in geropsychiatric home treatment showed significantly lower numbers of consultations with general practitioners (P < 0.001) and specialists (internal medicine, P = 0.022; psychiatry, P < 0.001), and lower numbers of prescriptions (medical drugs except psychotropic drugs, P < 0.001; psychotropic drugs, P < 0.004) compared with patients in treatment as usual. However, there was no significant difference in the number of hospital discharges and length of hospital stays. Conclusions Geropsychiatric home treatment has a positive effect on mental and physical parameters, which is discussed in the context of stress reduction.

FC10.03 A Contolled Clinical Trial of Intensive Home Treatment for Persons with Severe Mental Illness

2000 ◽  
Vol 15 (S2) ◽  
pp. 291s-291s ◽  
Author(s):  
K.R. Lloyd ◽  
M. Cleary ◽  
C. Pearson ◽  
R. Brooks
Keyword(s):  
Clinical Trial ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Home Treatment

scholarly journals Crisis resolution and home treatment teams for older people with mental illness

2008 ◽  
Vol 32 (7) ◽  
pp. 268-270 ◽  
Author(s):  
Claire Dibben ◽  
Humera Saeed ◽  
Konstantinos Stagias ◽  
Golam Mohammed Khandaker ◽  
Judy Sasha Rubinsztein
Keyword(s):  
Mental Illness ◽  
Older People ◽  
Hospital Admissions ◽  
Length Of Hospital Stay ◽  
Home Treatment ◽  
Crisis Resolution ◽  
Admission Rates ◽  
People With Mental Illness ◽  
Significant Difference ◽  
The Impact

Aims and MethodWe examined the impact of a crisis resolution and home treatment teams (CRHTT) on hospital admission rates, bed days and treatment satisfaction among older people with mental illness and their carers. We compared these factors in the 6 months before the service started and 6 months after its introduction.ResultsThe CRHTT significantly reduced admissions (P<0.001), but there was no significant difference in the length of hospital stay as compared before and after the introduction of this service. There was a trend towards carers, but not patients, being more satisfied with treatment after the introduction of the CRHTT.Clinical ImplicationsThe CRHTT reduced hospital admissions for older people by 31% and carers preferred the service. Further research on crisis teams in older people with mental illness is needed using randomised controlled methodology.

scholarly journals Home treatment teams and facilitated discharge from psychiatric hospital

2014 ◽  
Vol 24 (5) ◽  
pp. 402-414 ◽  
Author(s):  
A. D. Tulloch ◽  
M. R. Khondoker ◽  
G. Thornicroft ◽  
A. S. David
Keyword(s):  
Mental Illness ◽  
Hospital Admissions ◽  
Care Home ◽  
Female Gender ◽  
Home Treatment ◽  
Service Utilisation ◽  
Bed Days ◽  
Item Scores ◽  
Community Team ◽  
Previous Admission

Aims.There has been little research into the facilitated discharge (FD) function of Home Treatment Teams (HTTs). We aimed to explore and describe the prevalence and associations of FD and to estimate its effects on bed days during the index admission (length of stay corrected for ward leave) and on readmission.Methods.Descriptive and regression analyses of data collected by South London and Maudsley NHS Foundation Trust on discharges from its general psychiatric wards, with multiple imputation of missing covariate values.Results.Overall, 29% of our sample of 7891 hospital admissions involved a FD. FD was associated with female gender, diagnosis of a severe mental illness, previous home treatment, having a longer previous admission, neither being discharged to a new address nor to a care home, having no other community team and having HoNOS item scores consistent with an active depressive or psychotic mental illness. In the regression analysis, FD was associated with 4.0 fewer bed days (95% confidence interval −6.7 to −1.3;p = 0.0004). There was no effect on readmission.Conclusions.Our analysis provides some support for the effectiveness of FD in slightly reducing the time spent in hospital and suggests that this may be achieved without increasing the rate of readmission. Further studies in this area are important, especially given existing research that suggests that the introduction of HTTs in England and Wales was associated with little or no change in service utilisation.

scholarly journals At home or in hospital: Home treatment and mental health stigma

2021 ◽  
pp. 002076402110095
Author(s):  
Allerdiena A Hubbeling ◽  
Jared G Smith
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Distance ◽  
Health Knowledge ◽  
Social Contact ◽  
Home Treatment ◽  
Mental Health Stigma ◽  
People With Mental Illness ◽  
The Uk ◽  
At Home

Background: Stigmatized attitudes towards people with mental illness may influence treatment choice for oneself and others. Aim: To gauge the attitudes of the UK general public towards treatment at home for mental illness and to assess the extent to which non-acceptability was related to stigmatized attitudes. Methods: Two hundred and two (101 female) people living in the UK completed an online (vignette) questionnaire in which we asked demographic details and personal experience of mental illness. To measure stigma, we used an adapted version of the Attitudes to Mental Illness Questionnaire (AMIQ) with vignettes asking about treatment at home and using scales for social distance and poor expectations; participants also filled in the Mental Health Knowledge Schedule (MAKS). Results: Participants did not evidence overall agreement with treatment at home for mental illness (i.e. >0; range = −16-to-+16, Mean ( M) = 0.86, 95% confidence interval (CI) = −0.08, 1.80, p = .073), although they showed significant agreement with treatment at home should they experience mental illness themselves (range = −8-to-+8, M = 1.36, CI = 0.82, 1.89, p < .001). Acceptability for treatment at home differed according to specific mental illness considered (range = −4-to-+4); depression ( M = 0.47, CI = 0.13, 0.81, p = .006) and alcohol abuse ( M = 1.46, CI = 1.14,1.77, p < .001) were considered suitable for being treated at home but schizophrenia was not ( M = −0.78, CI = −1.13,−0.43, p < .001). Multivariate analyses revealed that older age and attitudes indicating comfort with less social distance from people with mental illness were independently associated with treatment at home agreeability. Conclusions: Public acceptability of home treatment for mental illness remains ambivalent in the UK, most obviously when considering treatment approaches for individuals other than themselves and for people with schizophrenia. Disagreement with home treatment is particularly evident in younger people and those who prefer less social contact with people with mental illness.

scholarly journals Home treatment in Bradford

1999 ◽  
Vol 23 (6) ◽  
pp. 349-352 ◽  
Author(s):  
Patrick Bracken ◽  
Bruce Cohen
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Home Treatment ◽  
Clinical Implications ◽  
Treatment Service ◽  
Unstable Housing ◽  
Medical Environment ◽  
The City ◽  
At Home

Aims and methodWe describe a new home treatment service established In one sector of the city of Bradford.ResultsThere was a tendency for the patients hospitalised from this sector to have more unstable housing backgrounds. It was found that a higher percentage of patients with diagnoses of serious mental Illness were cared for at home.Clinical implicationsWe argue that even in the presence of home treatment, there Is a continuing need for asylum. However, we make the case that this does not always have to be provided In a medical environment.

Patients’ experiences and satisfaction with home treatment for acute mental illness: a mixed-methods retrospective study

2020 ◽  
pp. 1-8
Author(s):  
Sonja Mötteli ◽  
Dominik Schori ◽  
Jasmin Menekse ◽  
Matthias Jäger ◽  
Stefan Vetter
Keyword(s):  
Mental Illness ◽  
Retrospective Study ◽  
Mixed Methods ◽  
Home Treatment
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