Crossing Place: A Residential Model for Crisis Intervention

Kresky-Wolff, Marilyn; Matthews, Susan M.; Kalibat, F; Mosher, Loren R.

doi:10.1176/ps.35.1.72

Cited by 11 publications

(4 citation statements)

References 4 publications

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“…This model strives to provide a small homelike environment that emphasizes continuity with outpatient treatment providers and community networks. 20,21 Hospital care was provided in a 31-bed Joint Comission on Accreditation of Healthcare Organizationsaccredited inpatient psychiatric unit, supported by a day hospital and outpatient clinic. Hospital care included medical assessment, individual psychotherapy, group therapy, and pharmacological management.…”

Section: Treatment Sitesmentioning

confidence: 99%

Cost and Cost-effectiveness of Hospital vs Residential Crisis Care for Patients Who Have Serious Mental Illness

Fenton¹,

Hoch²,

Herrell³

et al. 2002

Arch Gen Psychiatry

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Section: Treatment Sitesmentioning

confidence: 99%

Cost and Cost-effectiveness of Hospital vs Residential Crisis Care for Patients Who Have Serious Mental Illness

Fenton¹,

Hoch²,

Herrell³

et al. 2002

Arch Gen Psychiatry

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“…A subsequent incarnation of the idea of residential care for the psychotically ill took form in the Washington D.C. area at Crossing Place [18]. While adhering to the fundamental principles of fostering a home-like atmosphere with a stress upon psychosocial interventions, Crossing Place differed in some important ways from the original Soteria: medication was used more freely, length of stay was limited to 1 month, more formal group meetings were held, and all non-medically ill patients were eligible for admission regardless of number of prior episodes.…”

Section: Crossing Place and Mcauliffe Housementioning

confidence: 99%

The Residential Care Alternative for the Acutely Psychotic Patient

Lichtenberg

2011

Psychiatr Q

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Community homes for the treatment of the acutely psychiatrically ill have been established in several places in the world as alternatives to inpatient hospitalizations. We reviewed sources from the psychiatric and psychological literature which examine these models. Several features are common to this treatment setting: fewer residents in comparison with hospital wards; a supportive and caring milieu including intense and regular therapeutic contact with staff; a de-emphasis of medication; and a destigmatization of the therapeutic treatment of psychosis. The models differ with respect to use of psychotropic medication, emphasis upon first admissions, and composition of staff. The varying models are comparable to inpatient treatment in terms of clinical and psychosocial outcome, and generally cost less. For most patients requiring psychiatric hospitalization, residential treatment can be a viable alternative to inpatient hospitalization. Issues of cost, therapeutic effectiveness, and long-term outcomes still need to be studied.

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“…The group home format is the third most widely known alternative to hospitalization (Kresky-Wolff, Matthews, Kalibat, & Mosher, 1984; Matthews et al, 1979). The most well known proponent of the group home approach is Loren Mosher, developer of Soteria House, which involved paraprofessional staff operating a home-like program, with staff and clients participating in a cooperative living atmosphere.…”

Section: Overview Of the Three Most Widely Replicated Community-based...mentioning

confidence: 99%