Skip to main page content

• HOME
• Current
• Archive
• Feedback
• Subscribe
• Help

This Article Full Text Full Text (PDF) Submit an eLetter View responses Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by JOHNSON, S. Articles by PILLING, S. Search for Related Content PubMed PubMed Citation Articles by JOHNSON, S. Articles by PILLING, S.

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

Department of Mental Health Sciences, Royal Free and University College London Medical Schools, University College London, and Camden and Islington Mental Health and Social Care Trust

FIONA NOLAN, BA, RMN, CORE (British Psychological Society)

Sub-Department of Clinical Health Psychology, University College London, and Camden and Islington Mental Health and Social Care Trust

JOHN HOULT, MD, FRANZCP

Camden and Islington Mental Health and Social Care Trust

IAN R. WHITE, MSc, MRC

Biostatistics Unit, Cambridge

PAUL BEBBINGTON, PhD, FRCPsych and ANDREW SANDOR, MRCPsych

Department of Mental Health Sciences, Royal Free and University College Medical Schools, University College London, and Camden and Islington Mental Health and Social Care Trust

NIGEL McKENZIE, PhD, MRCPsych

Camden and Islington Mental Health and Social Care Trust

SEJAL N. PATEL

Sub-Department of Clinical Health Psychology, University College London

STEPHEN PILLING, MSc, CORE (British Psychological Society)

Sub-Department Sub-Department of Clinical Health Psychology, University College London, and Camden and Islington Mental Health and Social Care Trust, London, UK

Correspondence: Dr Sonia Johnson, Department of Mental Health Sciences, Royal Free and University College London Medical Schools, Wolfson Building, 48 Riding House Street, London W1W 7EY, UK. E-mail: s.johnson{at}ucl.ac.uk

Declaration of interest None.

Background Crisis resolution teams (CRTs) are being introduced throughout England, but their evidence base is limited.

Aims To compare outcomes of crises before and after introduction of a CRT.

Method A new methodology was developed for identification and operational definition of crises. A quasi-experimental design was used to compare cohorts presenting just before and just after a CRT was established.

Results Following introduction of the CRT, the admission rate in the 6 weeks after a crisis fell from 71% to 49% (OR 0.38, 95% CI 0.21-0.70). A difference of 5.6 points (95% CI 2.0-8.3) on mean Client Satisfaction Questionnaire (CSQ-8) score favoured the CRT. These findings remained significant after adjustment for baseline differences. No clear difference emerged in involuntary hospitalisations, symptoms, social functioning or quality of life.

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

This article has been cited by other articles:

				E. Furminger and M. Webber The Effect of Crisis Resolution and Home Treatment on Assessments under the 1983 Mental Health Act: An Increased Workload for Approved Social Workers? Br. J. Soc. Work, July 1, 2009; 39(5): 901 - 917. [Abstract] [Full Text] [PDF]

				H. Khalifeh, C. Murgatroyd, M. Freeman, S. Johnson, and H. Killaspy Home Treatment as an Alternative to Hospital Admission for Mothers in a Mental Health Crisis: A Qualitative Study Psychiatr Serv, May 1, 2009; 60(5): 634 - 639. [Abstract] [Full Text] [PDF]

				A. L. Grandison, B. K. Pharwaha, A. Jefford, and L. Dratcu The Communication Group: bringing group psychotherapy back to acute in-patient psychiatry Psychiatr. Bull., April 1, 2009; 33(4): 138 - 141. [Abstract] [Full Text] [PDF]

				P. McCrone, S. Johnson, F. Nolan, S. Pilling, A. Sandor, J. Hoult, N. McKenzie, I. R. White, and P. Bebbington Impact of a crisis resolution team on service costs in the UK Psychiatr. Bull., January 1, 2009; 33(1): 17 - 19. [Abstract] [Full Text] [PDF]

				S. Onyett, K. Linde, G. Glover, S. Floyd, S. Bradley, and H. Middleton Implementation of crisis resolution/home treatment teams in England: national survey 2005-2006 Psychiatr. Bull., October 1, 2008; 32(10): 374 - 377. [Abstract] [Full Text] [PDF]

				C. Dibben, H. Saeed, K. Stagias, G. M. Khandaker, and J. S. Rubinsztein Crisis resolution and home treatment teams for older people with mental illness Psychiatr. Bull., July 1, 2008; 32(7): 268 - 270. [Abstract] [Full Text] [PDF]

				P. Tyrer, A. Balod, A. Germanavicius, A. McDonald, M. Varadan, and J. Thomas Perceptions of Assertive Community Treatment in the UK and Lithuania International Journal of Social Psychiatry, November 1, 2007; 53(6): 498 - 506. [Abstract] [PDF]

				P. TYRER The British Journal of Psychiatry, November 1, 2007; 191(5): 470 - 470. [Full Text] [PDF]

				K. Jethwa, N. Galappathie, and P. Hewson Effects of a crisis resolution and home treatment team on in-patient admissions Psychiatr. Bull., May 1, 2007; 31(5): 170 - 172. [Abstract] [Full Text] [PDF]

				G. GLOVER, G. ARTS, and K. S. BABU Crisis resolution/home treatment teams and psychiatric admission rates in England The British Journal of Psychiatry, November 1, 2006; 189(5): 441 - 445. [Abstract] [Full Text] [PDF]

				M. Gould, K. Theodore, S. Pilling, P. Bebbington, M. Hinton, and S. Johnson Initial treatment phase in early psychosis: can intensive home treatment prevent admission? Psychiatr. Bull., July 1, 2006; 30(7): 243 - 246. [Abstract] [Full Text] [PDF]

				S. Johnson, F. Nolan, S. Pilling, A. Sandor, J. Hoult, N. McKenzie, I. R White, M. Thompson, and P. Bebbington Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study BMJ, September 17, 2005; 331(7517): 599. [Abstract] [Full Text] [PDF]

eLetters: