Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-22T16:24:27.828Z Has data issue: false hasContentIssue false
  • English
  • Français

Crisis resolution and home treatment teams for older people with mental illness

Published online by Cambridge University Press:  02 January 2018

Claire Dibben ,
Humera Saeed ,
Konstantinos Stagias ,
Golam Mohammed Khandaker  and
Judy Sasha Rubinsztein
Judy Sasha Rubinsztein
Affiliation:
Older People's Mental Health Services, Suffolk Mental Health Partnership NHS Trust, West Suffolk Hospital, Bury St Edmunds, Suffolk IP33 2QZ, email: [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Aims and Method

We examined the impact of a crisis resolution and home treatment teams (CRHTT) on hospital admission rates, bed days and treatment satisfaction among older people with mental illness and their carers. We compared these factors in the 6 months before the service started and 6 months after its introduction.

Results

The CRHTT significantly reduced admissions (P<0.001), but there was no significant difference in the length of hospital stay as compared before and after the introduction of this service. There was a trend towards carers, but not patients, being more satisfied with treatment after the introduction of the CRHTT.

Clinical Implications

The CRHTT reduced hospital admissions for older people by 31% and carers preferred the service. Further research on crisis teams in older people with mental illness is needed using randomised controlled methodology.

Type
Original papers
Information
Psychiatric Bulletin , Volume 32 , Issue 7 , July 2008 , pp. 268 - 270
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 2008

References

Cooper, C., Regan, C., Tandy, A. R., et al (2007) Acute mental health care for older people by crisis resolution teams in England. International Journal of Geriatric Psychiatry, 22, 263–265.CrossRefGoogle ScholarPubMed
Department of Health (2000). The NHS Plan: A Plan for Investment, A Plan for Reform. TSO (The Stationery Office).Google Scholar
Department of Health (2001) The Mental Health Policy Implementation Guide. (http://www.nepho.org.uk/view_file.php?c=2120).Google Scholar
Folstein, M. F., Folstein, S. E. & Mchugh, P. R. (1975) ‘Mini-mental state’: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
Johnson, S., Nolan, F., Hoult, J., et al (2005) Outcomes of crises before and after introduction of a crisis resolution team. British Journal of Psychiatry, 187, 68–75.CrossRefGoogle ScholarPubMed
Johnson, S., Nolan, F., Pilling, S., et al (2005) Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study. BMJ, 331, 599.CrossRefGoogle Scholar
Joy, C. B., Adams, C. E. & Rice, K. (2006) Crisis intervention for people with severe mental illnesses. Cochrane Database of Systematic Reviews, 18, CD001087.Google Scholar
Larson, D. L., Attkisson, C. C., Hargreaves, W. A., et al (1979) Assessment of client/patient satisfaction: development of a general scale. Evaluation and Program Planning, 2, 197–207.CrossRefGoogle Scholar
Richman, A., Wilson, K., Scally, L., et al (2003) Service innovation: an outreach support team for older people with mental illness–crisis intervention. Psychiatric Bulletin, 27, 348–351.Google Scholar
Tacchi, M. J., Joseph, S. & Scott, J. (2003) Evaluation of an emergency response service. Psychiatric Bulletin, 27, 130–133.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.