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The clinical impact of a crisis resolution home treatment team

Published online by Cambridge University Press:  06 November 2023

S. Crowley Open the ORCID record for S. Crowley [Opens in a new window] ,
S. McDonagh ,
D. Carolan  and
K. O'Connor
S. Crowley*
Affiliation:
Department of Psychiatry, Acute Mental Health Unit, Cork University Hospital, Wilton, Cork, Ireland Department of Psychiatry, University College Cork, Cork, Ireland
S. McDonagh
Affiliation:
Department of Psychiatry, Acute Mental Health Unit, Cork University Hospital, Wilton, Cork, Ireland Department of Psychiatry, University College Cork, Cork, Ireland
D. Carolan
Affiliation:
Department of Psychiatry, University College Cork, Cork, Ireland Home Based Treatment Team & RISE Early Intervention in Psychosis Team, South Lee Mental Health Services, Blackrock Hall Primary Care Centre, Cork, Ireland
K. O'Connor
Affiliation:
Department of Psychiatry, Acute Mental Health Unit, Cork University Hospital, Wilton, Cork, Ireland Department of Psychiatry, University College Cork, Cork, Ireland Home Based Treatment Team & RISE Early Intervention in Psychosis Team, South Lee Mental Health Services, Blackrock Hall Primary Care Centre, Cork, Ireland
*
Corresponding author: S. Crowley; Email: tseancrowley@gmail.com
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Abstract

Objectives:

To evaluate the impact of treatment provided by a Crisis Resolution Home Treatment Team (CRHTT) in terms of preventing hospital admission, impact on service user’s symptoms and overall functioning, as well as service user’s satisfaction with the service. Secondary objectives were to evaluate the patient characteristics of those attending the CRHTT.

Methods:

All the service users treated by the CRHTT between 2016 and 2020 were included. Service users completed the Brief Psychiatric Rating Scale (BPRS), the Health of the Nation Outcome Scale (HoNOS), and the Client Satisfaction Questionnaire-version 8 (CSQ-8) before and after treatment by the CRHTT. Admission rates were compared between areas served by the CRHTT and control, before and after the introduction of the CRHTT, using two-way ANOVA.

Results:

Between 2016 and 2020, 1041 service users were treated by the service. Inpatient admissions in the areas served by the CRHTT fell by 38.5% after its introduction. There was a statistically significant interaction between CRHTT availability and time on admission rate, F (1,28) = 8.4, p = .007. BPRS scores were reduced significantly (p < .001), from a mean score of 32.01 before treatment to 24.64 after treatment. Mean HoNOS scores were 13.6 before and 9.1 after treatment (p < .001). Of the 1041 service users receiving the CSQ-8, only 180 returned it (17.3%). Service users’ median responses were “very positive” to all eight items on the CSQ-8.

Conclusions:

Although our study design has limitations this paper provides some support that CRHTT might be effective for the prevention of inpatient admission. The study also supports that CRHTT might be an effective option for the treatment of acute mental illness and crisis, although further research is needed in this area.

Keywords

Crisis resolutionhome treatmentprevent admissionmental healthsymptoms
Type
Original Research
Information
Irish Journal of Psychological Medicine , First View , pp. 1 - 8
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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