Determinants of dropout in a community-based mental health crisis centre

Objective: Many models of community-based mental health crisis teams have been reported. We present our experience of an outreach team made up of a paramedic and mental health nurse. Methods: A proof-of-concept was conducted in Western Sydney. The primary outcome was the proportion of patients where the team were able to facilitate the most appropriate care. Results: Nearly 70% of patients were able to be treated outside the Emergency Department, with about two-thirds being transported directly to a mental health facility. Conclusion: We have demonstrated that our model of care is successful in enabling appropriate physical and mental health care for patients suffering an acute mental health crisis.

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Mental health and policing: Picking up the pieces in a broken system

Healthcare Management Forum ◽

10.1177/0840470420979635 ◽

2021 ◽

Vol 34 (2) ◽

pp. 93-99

Author(s):

Eileen Florence Pepler ◽

Clay G. Barber

Keyword(s):

Public Health ◽

Mental Health ◽

Vulnerable Populations ◽

Mental Health Crisis ◽

Community Based ◽

Community Partners ◽

Health Crisis ◽

High Utilizers ◽

The Many ◽

The Impact

A key theme of this article is the need to view the intersection of public safety and public health through a new lens to break down the traditional information silos of the many agencies that serve vulnerable populations and the impact of inadequate community-based mental health services that contribute to the increasing number of calls to police in responding to people in or approaching a mental health crisis. The manifestation of this crisis in the community is that the police are too often the first port in the storm. This article suggests the system is broken and needs fixing. Implementing a population health approach to identifying the high utilizers in the community and building a case for sustained funding, partnerships, resources, and accountability together with data sharing agreements, community partners and police collaboratively design and evaluate outcome approaches aimed at prevention and recovery to minimize contact with the police.

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A service evaluation of a community‐based mental health crisis house in inner city Liverpool

Mental Health Review Journal ◽

10.1108/13619321111157990 ◽

2011 ◽

Vol 16 (2) ◽

pp. 56-63 ◽

Cited By ~ 2

Author(s):

Tony Ryan ◽

Gayatri Nambiar‐Greenwood ◽

Carol Haigh ◽

Catherine Mills

Keyword(s):

Mental Health ◽

Inner City ◽

Service Evaluation ◽

Mental Health Crisis ◽

Community Based ◽

Health Crisis

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Keeping It REAL: Assisting Individuals After a Police-Abated Mental Health Crisis

Police Quarterly ◽

10.1177/1098611118782777 ◽

2018 ◽

Vol 21 (4) ◽

pp. 486-508 ◽

Cited By ~ 2

Author(s):

Luke A. Bonkiewicz ◽

Kasey Moyer ◽

Chad Magdanz ◽

John Walsh

Keyword(s):

Mental Health ◽

Police Officers ◽

Health Workers ◽

Mental Health Workers ◽

Mental Health Crisis ◽

Community Based ◽

Assistance Program ◽

Health Crisis ◽

Calls For Service ◽

Protective Custody

This article evaluates a community-based, peer support program in which police officers and mental health workers collaboratively address citizens’ mental health needs following encounters with law enforcement. We analyzed data 12, 24, and 36 months after a police-abated mental health crisis for 775 individuals, some of whom were referred to this program. Using lagged regression models, we find that compared with nonreferred individuals, referred participants generated fewer mental health calls for service and were less likely to be taken into emergency protective custody 24 and 36 months after a crisis. We found no difference in arrest rates. The program was especially effective for individuals with lengthier mental health histories. This free, voluntary, and nonclinical assistance program appears effective, but it also requires 12 to 24 months before participants and communities reap the benefits.

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Naturalistic study of crisis referrals to an Irish community adult mental health service

International Psychiatry ◽

10.1192/s1749367600002629 ◽

2011 ◽

Vol 8 (3) ◽

pp. 71-74

Author(s):

Tunde Apantaku-Olajide ◽

Bobby P. Smyth ◽

Pat Gibbons

Keyword(s):

Mental Health ◽

Mental Healthcare ◽

Mental Health Crisis ◽

Community Based ◽

Mental Health Team ◽

Health Crisis ◽

Primary Model ◽

Adult Mental Health Service ◽

Definition Of ◽

Community Adult

There is no agreed definition of a mental health crisis; however, a useful one is ‘a situation where mental health has deteriorated to an extent that the user is likely to be at risk of harm to self or others and is in need of urgent intensive specialist support and treatment’ (Minghella et al, 1998). Community-based care is the primary model of specialist mental healthcare in Ireland (Government of Ireland, 2006a). When clinically indicated, a patient with mental health crisis is referred to the community mental health team (CMHT) for an urgent assessment.

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Low Cost Community Health Interventions to Address the Mental Health Crisis Arising From Greece’s Financial Austerity Measures

University of Ottawa Journal of Medicine ◽

10.18192/uojm.v4i2.1154 ◽

2014 ◽

Vol 4 (2) ◽

pp. 28-31

Author(s):

Eleni Styliani Ramphos ◽

Raywat Deonandan

Keyword(s):

Mental Health ◽

Mental Health Professionals ◽

Low Cost ◽

Work Force ◽

Health Interventions ◽

Social Spending ◽

Mental Health Crisis ◽

Community Based ◽

Health Crisis ◽

Community Based Programs

In response to the European financial crisis of 2008-2009, Greece reduced funding for social spending as part of its austerity program, which may have reversed past progress in Greece’s mental health system. Significant increases in depression and suicide rates coincided with the start of the crisis. A slower economic recovery may result from the combination of a less productive work force and out-migration of mental health professionals. In order to alleviate the detrimental effects of this crisis, mental health crisis training, as well as low cost community-based programs should be prioritized in Greece.

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