Effectiveness and cost-effectiveness of admissions to women's crisis houses compared with traditional psychiatric wards: pilot patient-preference randomised controlled trial

Abstract

Although the sample sizes were too small to allow definite conclusions, the results suggest that when services are able to provide interventions preferred by patients, those patients are more likely to be satisfied with treatment. This pilot study provides some evidence that women's crisis houses are as effective as traditional psychiatric wards, and may be more cost-effective.

Efficacy of mental health crisis houses compared with acute mental health wards: a literature review

“…Residential alternatives to hospital admission referred to as crisis houses, which are usually small, with domestic environments (Sweeney et al 2014), were developed recently. Gender-specific support is usually available to women (Howard et al 2010), who are more likely than men to experience mental health problems and gender-based violence (World Health Organization 2019). According to Missing Link (2019), female-only crisis houses offer choice, safe environments, gender-specific responses and positive role models for women.…”

“…There is evidence that crisis houses are more cost effective (Sledge et al 1996, or at least no more expensive, than acute mental health hospitals (Howard et al 2010). They are also considered to be at least as clinically effective in improving symptoms and functioning, and service users report higher satisfaction (Howard et al 2010).…”

“…There is evidence that crisis houses are more cost effective (Sledge et al 1996, or at least no more expensive, than acute mental health hospitals (Howard et al 2010). They are also considered to be at least as clinically effective in improving symptoms and functioning, and service users report higher satisfaction (Howard et al 2010). Female patients in particular prefer residential alternatives to hospital (Killaspy et al 2000), because for example they find femaleonly crisis houses more homely and less stigmatising and coercive, staff are more available and there are no male service users (Howard et al 2008).…”

Is there a crisis about crisis houses?

“…5 The authors undertook a retrospective utilization review which aimed to identify patterns of how inpatient psychiatric care was actually provided for individual patients and consider whether alternative settings could have been appropriate. Fourteen NHS specialty registrars in psychiatry participated in the review by accessing 750 randomly selected patient records of people with mental illness who were admitted to a psychiatric ward between 2009 and 2011 within a defined geographical area of South East England.…”

Hilfebedarfe von Eltern mit psychischen Erkrankungen - eine Literaturübersicht

“…Bei älteren Kindern ist die Trennung von Mutter und Kind im Falle einer stationären Behandlung nahezu unvermeidlich. Hier existieren einige wenige innovative Modelle wie etwa Krisenhäuser für betroffene Frauen, die auch Kinder aufnehmen und dabei offenbar ebenso effizient und kosteneffektiv sind wie andere stationäre Versorgungsformen[77]. Eine zentrale Befürchtung vieler betroffener Frauen richtet sich auf die Möglichkeit einer traumatisierenden Krankenhauseinweisung[62,78].…”