Crisis intervention for people with severe mental illnesses

Joy, CB; Ce, Adams; Rice, Karl

doi:10.1002/14651858.cd001087.pub2

Cited by 44 publications

(53 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings provide evidence to support most previous studies, [5][6][7][8][9][10]12,13 which demonstrated that CRHT teams reduce admission rates and reduce length of in-patient stay. Tyrer et al 11 found a non-significant reduction of 7.7% in admissions following the introduction of a CRHT in Cardiff, but they examined a control population in which they found the same reduction of 7.7% in admissions, which they acknowledge consisted of a population so dissimilar in size and socioeconomic circumstances that it was effectively incomparable with the test group.…”

Section: Contextsupporting

confidence: 90%

“…6,7 A number of investigations have also showed reduced length of in-patient stay following introduction of CRHT. [8][9][10] Crisis resolution and home treatment teams have now been implemented throughout England and Wales. Jethwa et al 7 performed an evaluation of the long-term effects of the introduction of CRHT in Leeds and demonstrated a significant reduction in admission rates of 37.5% in the first year.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Impact of crisis resolution and home treatment services on user experience and admission to psychiatric hospital

et al. 2011

View full text Add to dashboard Cite

Aims and methodCrisis resolution and home treatment (CRHT) teams began operating in Edinburgh in late 2008. We ascertained service users' and carers' experiences of CRHT using a standardised questionnaire. We also assessed the impact of CRHT on psychiatric admissions and readmissions by analysing routinely collected data from November 2003 to November 2009.ResultsThere was a 24% decrease in acute psychiatric admissions in the year after CRHT began operating, whereas the previous 5 years saw an 8% reduction in the admission rate. The mean duration of in-patient stay fell by 6.5 days (22% decrease) in the 12 months following CRHT introduction, alongside a 4% decrease in readmissions and a 17% reduction in Mental Health Act 1983 admissions. Although the mean response rate was low (29%), 93% of patients reported clinical improvement during CRHT care, 27% of patients felt totally recovered at discharge from CRHT, 90% of patients felt safe during CRHT treatment, and 94% of carers said their friend or relative got better with CRHT input.Clinical implicationsCrisis resolution and home treatment service in Edinburgh had a positive impact during the first 12 months in terms of reduced admissions, reduced duration of in-patient stay and reduced use of the Mental Health Act. The service can catalyse a more efficient use of in-patient care. Service users and carers report high rates of improvement and satisfaction with CRHT.

show abstract

Section: Contextsupporting

confidence: 90%

mentioning

confidence: 99%

Impact of crisis resolution and home treatment services on user experience and admission to psychiatric hospital

et al. 2011

View full text Add to dashboard Cite

show abstract

“…A quasi-experimental study (Johnson et al, 2005b) of 9 months' duration found a reduction from 71 to 49% (using an operational definition of crisis) in admission rates in the 6 weeks following a crisis. A Cochrane Review which selected randomised controlled trials evaluating crisis intervention and home treatment teams reported data from 5 studies (with 21 excluded; Joy et al, 2004). On considering the included studies they concluded that home care crisis treatment, coupled with an ongoing home care package, is a viable and acceptable way of treating people with serious mental illnesses.…”

Section: Discussionmentioning

confidence: 99%

Effects of a crisis resolution and home treatment team on in-patient admissions

Jethwa¹,

Galappathie

Hewson

2007

Psychiatr. bull.

View full text Add to dashboard Cite

Aims and MethodTo evaluate the effects of a crisis resolution and home-based treatment team upon in-patient admission rates. We collected data for 2 years prior and 1 year post-implementation of such a service in Leeds. The chosen time frame allowed the new service to settle in and controlled for seasonal variations.ResultsThere were 4353 admissions during the period of the study, with 3325 in the 2 years prior to the service and 1028 in the year after. Generalised linear analysis found a 37.5% reduction in monthly admissions after the introduction of the team (P < 0.0001).Clinical ImplicationsThis study shows that in everyday clinical practice crisis resolution and home treatment teams lead to a sustained reduction in in-patient admission rates.

show abstract

“…À l'inverse, ces personnes mentionnent des difficultés plus notables sur le plan de la consommation de drogues dures et douces, possiblement dans une optique d'automédication (Saddichha, Sur, Sinha et Khess, 2010). En effet, il est reconnu que l'observance à la médication constitue un enjeu majeur pour les personnes souffrant de troubles psychotiques (Joy, Adams et Rice, 2006). La présence d'un trouble de santé mentale semble avoir des consé-quences sur l'intensité de la crise et la dangerosité de celle-ci.…”

Section: Discussionunclassified

La présence et la gravité des troubles de santé mentale sont-elles liées à la nature de la crise, à la dangerosité et aux services de crise offerts ?

Aimé

Leblanc

Séguin

et al. 2014

smq

View full text Add to dashboard Cite

Au Québec, les centres de crise ont été développés dans le contexte de la désinstitutionnalisation, ce qui a mené à une offre de services devant répondre aux besoins d’une clientèle hétérogène. À ce jour, encore peu d’études ont décrit et comparé les profils cliniques des personnes qui effectuent une demande d’aide à un centre de crise en considérant la présence ou non d’un trouble de santé mentale et la nature de celui-ci. Les dossiers de 1170 nouveaux demandeurs de services au Centre d’aide 24/7 ont été examinés rétrospectivement. Parmi ces demandeurs, 48 % souffraient d’un trouble de santé mentale et, de ceux-ci, 9 % rapportaient un trouble mental grave, soit un trouble psychotique ou bipolaire. Les résultats indiquent que le fait d’avoir un trouble de santé mentale est associé à une probabilité plus élevée de rapporter des événements stressants à caractère interpersonnel, une crise plus intense ainsi que des comportements auto-agressifs. Les personnes ayant un trouble psychotique ou bipolaire sont quant à elles plus fréquemment hébergées et plus susceptibles de recevoir des services intensifs et encadrants. Il semble donc que la présence et le type de troubles de santé mentale des demandeurs d’aide en centre de crise permettent non seulement de mieux anticiper la nature et l’intensité de la crise mais aussi le type de services requis.The mandate of crisis centres varies substantially from one country to the next according to the government policies in effect. In the United States, crisis centres were developed based on Caplan’s theory, which defines crisis as a psychosocial disorganization following a life event that is resolved with a return to balance. This approach aims at preventing the onset of mental health disorders through short-term intervention. It is different in Quebec, where crisis centres were developed in a deinstitutionalization context and ought to constitute an alternative to hospitalisation. Such mandate of Quebec crisis centres is not necessarily of the preventive nature associated with Caplan’s theory and it has led to services having to be adapted to a heterogeneous clientele that may or may not suffer from mental health problems. It has implications related to the crisis characteristics such as its nature, intensity, and dangerosity, as well as implications regarding the organization of crisis centre services, which have been the object of few studies so far. Objective: The present study aims at distinguishing clinical profiles of crisis centre callers according to the presence or absence of a mental health disorder and its nature, that is severe and persistent (psychotic or bipolar disorder) or not (mood, anxiety or personality disorder). In order to do so, participants are compared on the characteristics of the crisis and the services they received. Method: In this descriptive study, the files of 1170 new assistance applicants are retrospectively analyzed based on a predetermined grid that was used to collect data according to the main clinical characteristics of persons in distress, ...

show abstract

Crisis intervention for people with severe mental illnesses

Cited by 44 publications

References 75 publications

Impact of crisis resolution and home treatment services on user experience and admission to psychiatric hospital

Impact of crisis resolution and home treatment services on user experience and admission to psychiatric hospital

Effects of a crisis resolution and home treatment team on in-patient admissions

La présence et la gravité des troubles de santé mentale sont-elles liées à la nature de la crise, à la dangerosité et aux services de crise offerts ?

Contact Info

Product

Resources

About