Impact of a crisis assessment and treatment service on admissions into an acute psychiatric unit

Adesanya, Adesina

doi:10.1111/j.1440-1665.2005.02176.x

Cited by 10 publications

(2 citation statements)

References 13 publications

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“…Conversely, two studies, one in Australia 13 and one in Scotland, 14 found no statistically significant differences in admission rates, although both CRTs studied experienced staff shortages. A study of a CRT in Wales 15 found overall bed usage unchanged, attributed to a reduction in informal admissions coinciding with compulsory admissions increasing.…”

Section: Voluntary Admission Rates and Durationmentioning

confidence: 82%

Crisis teams: systematic review of their effectiveness in practice

et al. 2013

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Aims and methodCrisis resolution and home treatment teams (variously abbreviated to CRTs, CRHTTs, HTTs) were introduced to reduce the number and duration of in-patient admissions and better manage individuals in crisis. Despite their ubiquity, their evidence base is challengeable. This systematic review explored whether CRTs: (a) affected voluntary and compulsory admissions; (b) treat particular patient groups; (c) are cost-effective; and (d) provide care patients value.ResultsCrisis resolution teams appear effective in reducing admissions, although data are mixed and other factors have also influenced this. Compulsory admissions may have increased, but evidence that CRTs are causally related is inconclusive. There are few clinical differences between ‘gate-kept’ patients admitted and those not. Crisis resolution teams are cheaper than in-patient care and, overall, patients are satisfied with CRT care.Clinical implicationsHigh-quality evidence for CRTs is scarce, although they appear to contribute to reducing admissions. Patient-relevant psychosocial and longitudinal outcomes are under-explored.

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Section: Voluntary Admission Rates and Durationmentioning

confidence: 82%

Crisis teams: systematic review of their effectiveness in practice

et al. 2013

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“…This difference persisted during the first 6 months after the crisis. Adesanya (2005) also examined the admission rates before and after introducing CRHT teams. They found a tendency of fewer admissions but the reduction was not significant.…”

Section: Outcomementioning

confidence: 99%

Crisis resolution and home treatment: structure, process, and outcome - a literature review

Sjølie¹,

Karlsson

Kim

2010

Journal of Psychiatric and Mental Health Nursing

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The objective of this paper is to explore and systematize the existing knowledge regarding the structure, process, and outcome of crisis resolution and home treatment (CRHT) as a form of community mental health service. Data sources are published peer-reviewed articles. Our study selection is systematic search for peer-reviewed articles written in English and Norwegian published between January 2000 and December 2008. Data are extracted from review of published articles on the subject of CRHT team and home treatment. We identified 35 articles including 6 reviews, consisting of quantitative and qualitative studies. The knowledge regarding CRHT focuses on three areas: (1) structure in terms of the standards, organization, and development; (2) process in terms of clinical interventions; and (3) outcome in relation to cost-effectiveness and admission rates. While the structural issues were presented and discussed a great deal, there is a paucity of articles on clinical intervention methods in home treatment as well as a limited attention on outcomes at the micro-level. There is a need for further studies regarding the clinical work of CRHT teams from the home treatment perspective.

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2005

Australasian Psychiatry

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Impact of a crisis assessment and treatment service on admissions into an acute psychiatric unit

Cited by 10 publications

References 13 publications

Crisis teams: systematic review of their effectiveness in practice

Crisis teams: systematic review of their effectiveness in practice

Crisis resolution and home treatment: structure, process, and outcome - a literature review

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