Assessing Nurse-Initiated Care in a Mental Health Crisis Assessment and Treatment Team in Australia

Happell, Brenda; Sundram, Suresh; Wortans, Julie; Johnstone, Harry; Ryan, Rob; Lakshmana, Raju

doi:10.1176/ps.2009.60.11.1527

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…Lanza et al's (2016) study of a violence prevention community meeting for reduction of inpatient aggression actually produced results suggesting small but significant increases in violence in the intervention group. In one study (Happell et al, 2009), there was a significant improvement in the staff‐rated global outcome in the mental health nurse‐delivered experimental study arm but, due to equal improvement in the control study arm, there was no significant between group improvement.…”

Section: Resultsmentioning

confidence: 99%

Randomized controlled trials of mental health nurse‐delivered interventions: A systematic review

Dickens

Maqbali

Blay

et al. 2022

Psychiatric Ment Health Nurs

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Author contributions GLD conceived of the study. GLD, MAM, NB, TT designed and conducted the literature search strategy. All authors contributed to study quality appraisal and risk of bias review. GLD, MAM performed data extraction and prepared Tables and Figures. GLD prepared the first draft of the manuscript. All authors were involved in the revision of the draft manuscript and have agreed to the final content.

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Section: Resultsmentioning

confidence: 99%

Randomized controlled trials of mental health nurse‐delivered interventions: A systematic review

Dickens

Maqbali

Blay

et al. 2022

Psychiatric Ment Health Nurs

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“…We contacted the corresponding authors of nine studies to request additional information on: 1. the clinical setting where fieldwork was conducted [ 29 , 30 , 31 ], 2. the population and sample size [ 30 , 31 , 34 , 37 , 41 , 55 ], 3. ethics approval [ 64 ] and 4. approach to data analysis [ 28 , 40 ]. As of the 27 June 2022, two authors, [ 28 , 37 ] responded, providing the requested information that we incorporated in the risk assessment data extraction tables, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies included both service users and carers, and five just carers. The total number of service users and carers involved in included studies was 1689 and 166 (the number of carers included was not reported in three studies [ 30 , 31 , 34 , 55 ] respectively). The median sample size for included studies was 15 (range, five to 511).…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies (involving 1009 participants) examined service user satisfaction with mental health nursing care [ 28 , 34 , 35 , 38 , 40 , 41 , 57 , 60 , 65 ]. Service users generally reported they were satisfied with the mental health nursing care they received.…”

Section: Resultsmentioning

confidence: 99%

“…The authors of 15 studies reported views and expectations of carers about MHNs that we have addressed under two headings: collaborating with carers and negative views [ 19 , 21 , 28 , 29 , 30 , 31 , 33 , 34 , 39 , 41 , 45 , 47 , 49 , 50 , 55 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

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Service User and Carer Views and Expectations of Mental Health Nurses: A Systematic Review

Moyo

Jones

Kushemererwa

et al. 2022

IJERPH

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Service users’ views and expectations of mental health nurses in a UK context were previously reviewed in 2008. The aim of this systematic review is to extend previous research by reviewing international research and work published after the original review. Five databases were searched for studies of any design, published since 2008, that addressed service user and carer views and expectations of mental health nurses. Two reviewers independently completed title and abstract, full-text screening and data extraction. A narrative synthesis was undertaken. We included 49 studies. Most included studies (n = 39, 80%) were qualitative. The importance of the therapeutic relationship and service users being supported in their personal recovery by mental health nurses were core themes identified across included studies. Service users frequently expressed concern about the quality of the therapeutic relationship and indicated that nurses lacked time to spend with them. Carers reported that their concerns were not taken seriously and were often excluded from the care of their relatives. Our critical appraisal identified important sources of bias in included studies. The findings of our review are broadly consistent with previous reviews however the importance of adopting a recovery approach has emerged as a new focus.

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Implementation of the Crisis Resolution Team model in adult mental health settings: a systematic review

Wheeler¹,

Lloyd‐Evans²,

Churchard³

et al. 2015

BMC Psychiatry

135

132

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BackgroundCrisis Resolution Teams (CRTs) aim to offer an alternative to hospital admission during mental health crises, providing rapid assessment, home treatment, and facilitation of early discharge from hospital. CRTs were implemented nationally in England following the NHS Plan of 2000. Single centre studies suggest CRTs can reduce hospital admissions and increase service users’ satisfaction: however, there is also evidence that model implementation and outcomes vary considerably. Evidence on crucial characteristics of effective CRTs is needed to allow team functioning to be optimised. This review aims to establish what evidence, if any, is available regarding the characteristics of effective and acceptable CRTs.MethodsA systematic review was conducted. MEDLINE, Embase, PsycINFO, CINAHL and Web of Science were searched to November 2013. A further web-based search was conducted for government and expert guidelines on CRTs. We analysed studies separately as: comparing CRTs to Treatment as Usual; comparing two or more CRT models; national or regional surveys of CRT services; qualitative studies of stakeholders’ views regarding best practice in CRTs; and guidelines from government and expert organisations regarding CRT service delivery. Quality assessment and narrative synthesis were conducted. Statistical meta-analysis was not feasible due to the variety of design of retrieved studies.ResultsSixty-nine studies were included. Studies varied in quality and in the composition and activities of the clinical services studied. Quantitative studies suggested that longer opening hours and the presence of a psychiatrist in the team may increase CRTs’ ability to prevent hospital admissions. Stakeholders emphasised communication and integration with other local mental health services; provision of treatment at home; and limiting the number of different staff members visiting a service user. Existing guidelines prioritised 24-hour, seven-day-a-week CRT service provision (including psychiatrist and medical prescriber); and high quality of staff training.ConclusionsWe cannot draw confident conclusions about the critical components of CRTs from available quantitative evidence. Clearer definition of the CRT model is required, informed by stakeholders’ views and guidelines. Future studies examining the relationship of overall CRT model fidelity to outcomes, or evaluating the impact of key aspects of the CRT model, are desirable.Trial registrationProspero CRD42013006415.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-015-0441-x) contains supplementary material, which is available to authorized users.

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Assessing Nurse-Initiated Care in a Mental Health Crisis Assessment and Treatment Team in Australia

Abstract: The findings indicate that the nurse practitioner role can potentially initiate safe and effective mental health care and treatment that is as satisfying as that initiated by a physician. Additional, larger-scale research is required to determine the generalizability of these findings.

Cited by 4 publications

References 8 publications

Randomized controlled trials of mental health nurse‐delivered interventions: A systematic review

Randomized controlled trials of mental health nurse‐delivered interventions: A systematic review

Service User and Carer Views and Expectations of Mental Health Nurses: A Systematic Review

Implementation of the Crisis Resolution Team model in adult mental health settings: a systematic review

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