Service innovations: an Australian approach to community care – the Northern Crisis Assessment and Treatment Team

Carroll, Andrew; Pickworth, Jane; Protheroe, David

doi:10.1192/pb.25.11.439

Cited by 24 publications

(17 citation statements)

References 1 publication

(1 reference statement)

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“…However, while telephone and mobile home-based responses (e.g. Crisis Assessment and Treatment [CAT] or Crisis Resolution Teams) form primary crisis responses (Carroll et al 2001;Department of Human Services 2007;Hubbeling & Bertram 2012), such services are often limited in terms of their availability. Many crises involve the potential for violence and mental health service responses may be unavailable; instead, carers must request assistance from police (Copeland and Heilemann 2008;Ogloff et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Collaboration in crisis: Carer perspectives on police and mental health professional's responses to mental health crises

Brennan

Warren

Петерсон

et al. 2016

Int J Mental Health Nurs

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For many situations involving a mental health crisis, carers (e.g. family or friends) are present and either attempt to help the person overcome the crisis or request assistance from professional services (e.g. mental health or police). Comparatively, little research has explored how carers experience the crisis, the professional response and how the nature of the response, in turn, impacts carers. The current study was conducted to explore these issues during individual interviews with nine carers who had previous contact with police and mental health services during a crisis response. Collected data described the definition and perceived impact of a mental health crisis for carers, how carers had experienced a crisis response from police and mental health services, and how the professional response had impacted on carers. Of importance was the finding that carers were often themselves traumatized by witnessing or being involved in the crisis, however, were rarely offered direct education or support to help them cope or prevent future crises. A number of carers described a reluctance to request assistance from professional services due to previous poor experiences. This highlighted the importance of implementing strategies to deliver more timely, respectful, specialist and collaborative crisis responses to improve carer and consumer outcomes.

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Section: Introductionmentioning

confidence: 99%

Collaboration in crisis: Carer perspectives on police and mental health professional's responses to mental health crises

Brennan

Warren

Петерсон

et al. 2016

Int J Mental Health Nurs

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“…In addition to these four papers, from the Australian context Carroll et al . (2001) described the organization of a crisis assessment and treatment team that has been successfully in operation for over a decade.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to these four papers, from the Australian context Carroll et al (2001) described the organization of a crisis assessment and treatment team that has been successfully in operation for over a decade. They specified the team's work as: triage, community-based assessment and treatment, telephone support, gate-keeping, facilitation of admission, early discharge management, and referral of clients for follow-up care.…”

Section: Processmentioning

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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“…The Dane County, Wisconsin, crisis teams were established by Stein in the 1970s and have continued to operate ever since, with 24hour availability, screening of all patients prior to admission, and provision of visits several times a day if needed over a short period of treatment lasting until the crisis has stabilised and the patient is discharged. Similar teams were established in Australia from the early 1980s and some have survived long term, especially in the state of Victoria, which introduced a requirement for such teams in 1994, prefiguring the NHS modernisation (Carroll 2001).…”

Section: The Madison and Sydney Teamsmentioning

confidence: 99%

Crisis resolution and home treatment teams: an evolving model

Johnson

2013

Adv. psychiatr. treat

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SummaryCrisis resolution and home treatment teams have been introduced throughout England as part of a transformation of the community mental healthcare system. They aim to assess all patients being considered for acute hospital admission, to offer intensive home treatment rather than hospital admission if feasible, and to facilitate early discharge from hospital. Key features include 24-hour availability and intensive contact in the community, with visits twice daily if needed. This article describes the main characteristics and core interventions of these teams, and reviews the impact of their nationwide introduction. The model has evolved as a pragmatic response to difficulties in the acute care system, and its adaptation continues. Key challenges include achieving close integration with the rest of the mental health system and delivering continuity of care and effective therapeutic relationships despite the involvement of multiple workers in each crisis.

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Service innovations: an Australian approach to community care – the Northern Crisis Assessment and Treatment Team

Cited by 24 publications

References 1 publication

Collaboration in crisis: Carer perspectives on police and mental health professional's responses to mental health crises

Collaboration in crisis: Carer perspectives on police and mental health professional's responses to mental health crises

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

Crisis resolution and home treatment teams: an evolving model

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