Controlled comparison of two crisis resolution and home treatment teams

P. Tyrer, F. Gordon, S. Nourmand, M. Lawrence, C. Curran, D. Southgate, B. Oruganti, M. Tyler, S. Tottle, B. North, E. Kulinskaya, J.T. Kaleekal, J. Morgan

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Aims and method: To compare an existing crisis resolution service with a new crisis resolution team (CRT) in Wales. The impact of the new team was measured by changes in bed days and admissions. A random sample of patients from each service was assessed for service satisfaction, social functioning and quality of life after first presentation. Results: The total number of bed days was reduced following the introduction of the new CRT (27.3%). The frequency and duration of compulsory admissions increased by 31% in the CRT between the first and second years and by 7% in the control service, offset by a greater reduction in informal admissions in the CRT (23.5%) compared with the control group (13.3%); overall bed usage was unchanged. Service satisfaction, social functioning and quality of life showed no important differences between the services. Clinical implications: Crisis resolution teams may reduce informal admissions in the short term but at the cost of more compulsory admissions later.
Original languageEnglish
Pages (from-to)50-54
Number of pages5
JournalThe Psychiatrist
Issue number2
Publication statusPublished - 1 Feb 2010

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