Home treatment for mental health problems: a systematic review

Abstract

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

“…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.…”

“…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.…”

Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

“…Thus, this activity contributes to decrease the demand for specialized services of mental health and reduce the hospitalization rates (23) .…”

Psychiatric out-patient services: origins and future

“…In support of this, Catty et al's (2002) systematic review of randomised controlled trials of home-based treatment found that two service components were associated with greater efficacy of home treatment teams when compared with other community services, including out-patient clinics: integration of health and social care responsibilities, and regular home visiting, both of which are consistent components of modern multidisciplinary CMHTs in the UK.…”