scholarly journals Crisis resolution/home treatment teams and psychiatric admission rates in England

2006 ◽  
Vol 189 (5) ◽  
pp. 441-445 ◽  
Author(s):  
Gyles Glover ◽  
Gerda Arts ◽  
Kannan Suresh Babu
Keyword(s):  
Hospital Admissions ◽  
Routine Data ◽  
Home Treatment ◽  
Rapid Expansion ◽  
Local Health ◽  
Crisis Resolution ◽  
Psychiatric Admission ◽  
Crisis Resolution Teams ◽  
National Implementation ◽  
Working Age

BackgroundIntroduction of crisis resolution/home treatment teams has been associated with a reduction in hospital admissions in trials. Between 2001 and 2004 there was a rapid expansion in the numbers of these teams in England.AimsTo examine whether national implementation of these teams was associated with comparable reductions in admissions.MethodObservational study using routine data covering working age adult patients in 229 of the 303 local health areas in England from 1998/9 to 2003/4.ResultsAdmissions fell generally throughout the period, particularly for younger working age adults. Introduction of crisis resolution teams was associated with greater reductions for older working age women (35–64 years); teams always on call were associated with additional reductions for older men and younger women. By the end of the study admissions had fallen by 10% more in the 34 areas with crisis resolution teams in place since 2001, and by 23% more in the 12 of these on call around the clock than in the 130 areas without such teams by 2003/4. Reductions in bed use were smaller. Introduction of assertive outreach teams was not associated with overall reductions in admissions.ConclusionsIntroduction of crisis resolution teams has been associated with reductions in admissions.

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 National implementation of a mental health service model: A survey of Crisis Resolution Teams in England

2017 ◽  
Vol 27 (1) ◽  
pp. 214-226 ◽  
Author(s):  
Brynmor Lloyd-Evans ◽  
Bethan Paterson ◽  
Steve Onyett ◽  
Ellie Brown ◽  
Hannah Istead ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Model ◽  
Crisis Resolution ◽  
Crisis Resolution Teams ◽  
National Implementation

scholarly journals Fidelity to an evidence-based model for crisis resolution teams: a cross-sectional multicentre study in Norway

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
N. Hasselberg ◽  
K. H. Holgersen ◽  
G. M. Uverud ◽  
J. Siqveland ◽  
B. Lloyd-Evans ◽  
...  
Keyword(s):  
Mental Health ◽  
Multidisciplinary Teams ◽  
Evidence Based ◽  
Crisis Resolution ◽  
Health Crisis ◽  
The Core ◽  
Crisis Resolution Teams ◽  
Fidelity Scale ◽  
The Uk ◽  
Evidence Based Model

Abstract Background Crisis resolution teams (CRTs) are specialized multidisciplinary teams intended to provide assessment and short-term outpatient or home treatment as an alternative to hospital admission for people experiencing a mental health crisis. In Norway, CRTs have been established within mental health services throughout the country, but their fidelity to an evidence-based model for CRTs has been unknown. Methods We assessed fidelity to the evidence-based CRT model for 28 CRTs, using the CORE Crisis Resolution Team Fidelity Scale Version 2, a tool developed and first applied in the UK to measure adherence to a model of optimal CRT practice. The assessments were completed by evaluation teams based on written information, interviews, and review of patient records during a one-day visit with each CRT. Results The fidelity scale was applicable for assessing fidelity of Norwegian CRTs to the CRT model. On a scale 1 to 5, the mean fidelity score was low (2.75) and with a moderate variation of fidelity across the teams. The CRTs had highest scores on the content and delivery of care subscale, and lowest on the location and timing of care subscale. Scores were high on items measuring comprehensive assessment, psychological interventions, visit length, service users’ choice of location, and of type of support. However, scores were low on opening hours, gatekeeping acute psychiatric beds, facilitating early hospital discharge, intensity of contact, providing medication, and providing practical support. Conclusions The CORE CRT Fidelity Scale was applicable and relevant to assessment of Norwegian CRTs and may be used to guide further development in clinical practice and research. Lower fidelity and differences in fidelity patterns compared to the UK teams may indicate that Norwegian teams are more focused on early interventions to a broader patient group and less on avoiding acute inpatient admissions for patients with severe mental illness.

scholarly journals Mental health crisis resolution teams and crisis care systems in England: a national survey

2018 ◽  
Vol 42 (4) ◽  
pp. 146-151 ◽  
Author(s):  
Brynmor Lloyd-Evans ◽  
Danielle Lamb ◽  
Joseph Barnby ◽  
Michelle Eskinazi ◽  
Amelia Turner ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
National Survey ◽  
Online Survey ◽  
Service Improvement ◽  
Mental Health Crisis ◽  
Crisis Resolution ◽  
Health Crisis ◽  
Crisis Resolution Teams ◽  
Crisis Care

Aims and methodA national survey investigated the implementation of mental health crisis resolution teams (CRTs) in England. CRTs were mapped and team managers completed an online survey.ResultsNinety-five per cent of mapped CRTs (n = 233) completed the survey. Few CRTs adhered fully to national policy guidelines. CRT implementation and local acute care system contexts varied substantially. Access to CRTs for working-age adults appears to have improved, compared with a similar survey in 2012, despite no evidence of higher staffing levels. Specialist CRTs for children and for older adults with dementia have been implemented in some areas but are uncommon.Clinical implicationsA national mandate and policy guidelines have been insufficient to implement CRTs fully as planned. Programmes to support adherence to the CRT model and CRT service improvement are required. Clearer policy guidance is needed on requirements for crisis care for young people and older adults.Declaration of interestNone.

Staff experiences of working in crisis resolution and home treatment

2011 ◽  
Vol 16 (2) ◽  
pp. 76-87 ◽  
Author(s):  
Jon Freeman ◽  
Andrew Vidgen ◽  
Ellen Davies‐Edwards
Keyword(s):  
Home Treatment ◽  
Crisis Resolution ◽  
Staff Experiences

P02-08 - Mental health crisis resolution and home treatment teams: a qualitative evaluation

2010 ◽  
Vol 25 ◽  
pp. 626
Author(s):  
B. Ferguson ◽  
H. Middleton ◽  
R. Shaw ◽  
R. Collier ◽  
A. Purser
Keyword(s):  
Mental Health ◽  
Qualitative Evaluation ◽  
Home Treatment ◽  
Mental Health Crisis ◽  
Crisis Resolution ◽  
Health Crisis

scholarly journals Multimorbidity and Hospital Admissions in High-Need, High-Cost Elderly Patients

2018 ◽  
Vol 32 (5-6) ◽  
pp. 259-268 ◽  
Author(s):  
Alessandra Buja ◽  
Michele Rivera ◽  
Elisa De Battisti ◽  
Maria Chiara Corti ◽  
Francesco Avossa ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Hospital Admissions ◽  
Strong Association ◽  
Local Health ◽  
Care Needs ◽  
Local Health Unit ◽  
Hospitalization Rates ◽  
Exposure Variable ◽  
Hospital Discharge Records ◽  
Adjusted Clinical Groups

Objective: The aim was to clarify which pairs or clusters of diseases predict the hospital-related events and death in a population of patients with complex health care needs (PCHCN). Method: Subjects classified in 2012 as PCHCN in a local health unit by ACG® (Adjusted Clinical Groups) System were linked with hospital discharge records in 2013 to identify those who experienced any of a series of hospital admission events and death. Number of comorbidities, comorbidities dyads, and latent classes were used as exposure variable. Regression analyses were applied to examine the associations between dependent and exposure variables. Results: Besides the fact that larger number of chronic conditions is associated with higher odds of hospital admission or death, we showed that certain dyads and classes of diseases have a particularly strong association with these outcomes. Discussion: Unlike morbidity counts, analyzing morbidity clusters and dyads reveals which combinations of morbidities are associated with the highest hospitalization rates or death.

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