Outcomes of crises before and after introduction of a crisis resolution team

Johnson, Sonia; Nolan, Fiona; Hoult, John; White, Ian R.; Bebbington, Paul; Sandor, Andrew; McKenzie, Nigel; Patel, Sejal N.; Pilling, Stephen

doi:10.1192/bjp.187.1.68

Cited by 118 publications

(133 citation statements)

References 18 publications

(23 reference statements)

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“…Studies of CRHT have reported significantly reduced admission rates and length of hospital stay particularly where they provided 24 hour care Johnson et al, 2005). However, another study reported readmission rates remained stable (Barker, Taylor, Kader, Stewart, & Le Fevre, 2011).…”

Section: Crisis Resolution/home Treatmentmentioning

confidence: 95%

“…Studies exploring the impact of CRHT have had small response rates (e.g. Barker, et al, 2011;Johnson, et al, 2005). Those who have had less positive experiences with services and who remain unwell might be less likely to participate (Barker, et al, 2011).…”

Section: Methodological Issuesmentioning

confidence: 99%

“…Those who have had less positive experiences with services and who remain unwell might be less likely to participate (Barker, et al, 2011). In addition, Johnson, et al (2005) asked participants about their views on the CRHT after only one episode of care. Many studies have not examined differences in suicide rates since the implementation of CRHT teams.…”

Section: Methodological Issuesmentioning

confidence: 99%

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What is the Lived Experience of Being Discharged From a Psychiatric Inpatient Stay?

Redding

Maguire

Johnson

et al. 2017

Community Ment Health J

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The first part of this thesis contains a narrative review of the literature relating to how people with mental illness cope with stigma. The majority of the research has focussed on models of stigma, the impact of stigma on individuals and campaigns to combat stigma. There is limited research exploring how people cope with stigma and the effectiveness of these strategies. The review highlights the need for further research in this area to inform interventions.The second part of the thesis contains a qualitative research study, which aimed to provide an understanding of how individuals with a mental illness described their experiences of being discharged from psychiatric inpatient stays. Suicide rates post-discharge remain high despite discharge planning and discharge interventions, yet little is known about why discharge can be so difficult for individuals. Interpretative Phenomenological Analysis (IPA) was used to analyse interviews from eight individuals who had been discharged within the last three years. The analysis highlighted five superordinate themes: the hospital experience, the experience of discharge, the outside world, the journey to health and self-beliefs/identity.The results are discussed in relation to previous findings and implications for future research and clinical practice.

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Section: Crisis Resolution/home Treatmentmentioning

confidence: 95%

Section: Methodological Issuesmentioning

confidence: 99%

Section: Methodological Issuesmentioning

confidence: 99%

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What is the Lived Experience of Being Discharged From a Psychiatric Inpatient Stay?

Redding

Maguire

Johnson

et al. 2017

Community Ment Health J

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“…Outcomes of CRHT team intervention include reduced length of stay (Johnson et al, 2005), reduced rates of admission where teams provide out-of-hours cover (Johnson et al, 2005;Glover et al, 2006), costeffectiveness (Joy et al, 2001), high satisfaction among users and families (Dean et al, 1993;Joy et al, 2001;Johnson et al, 2005), and better staff morale (Minghella et al, 1998).…”

Section: Discussionmentioning

confidence: 99%

Implementation of crisis resolution/home treatment teams in England: national survey 2005–2006

Onyett

Linde²,

Glover³

et al. 2008

Psychiatr. bull.

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Aims and MethodTo describe implementation of crisis resolution/home treatment (CRHT) teams in England, examine obstacles to implementation and priorities for development. We conducted an online survey followed by a telephone or face-to-face interview among 243 teams.ResultsConsiderable progress has been made in implementation with a subset of teams demonstrating strong fidelity to the Department of Health's guidance, particularly in urban settings. However, only 40% of teams described themselves as fully established. Many teams reported a high assessment load, understaffing, limited multidisciplinary input and patchy fulfilment of their gate-keeping role.Clinical ImplicationsSuccessful implementation of the CRHT teams as alternatives to hospital admission requires resources for home treatment out of hours, effective systems working among local services, stronger local understanding and advocacy of the teams' role.

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“…The impact of CRHT teams on reducing the rates and duration of admission to general adult psychiatry wards is no longer in doubt. [2][3][4] Given this success, there are surprisingly few similar service provisions for those above the age of 65 years, despite evidence for their efficacy in this age group. Dibben et al 5 have shown a reduction in hospital admissions and increased carer satisfaction with the introduction of CRHT teams in older people's mental healthcare.…”

mentioning

confidence: 99%

Crisis resolution in older people's mental healthcare

Obinwa¹,

Goel²,

Sule³

2010

Prog Neurol Psychiatry

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The Crisis Resolution and Home Treatment (CRHT) team's role in acute mental healthcare services for working age adults is well established throughout England, but this is less so for older adults despite government policy and initiatives promoting equality of care. The authors highlight the need to extend this care model to older people's mental healthcare and suggest some possible ways of achieving this. Copyright © 2010 Wiley Interface Ltd

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Outcomes of crises before and after introduction of a crisis resolution team

Abstract: CRTs may prevent some admissions and patients prefer them, although other outcomes appear unchanged in the short term.

Cited by 118 publications

References 18 publications

What is the Lived Experience of Being Discharged From a Psychiatric Inpatient Stay?

What is the Lived Experience of Being Discharged From a Psychiatric Inpatient Stay?

Implementation of crisis resolution/home treatment teams in England: national survey 2005–2006

Crisis resolution in older people's mental healthcare

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