Research


20. Safety of patients under the care of crisis resolution home treatment services in England

Here is the reference for a recent paper in Lancet Psychiatry that -in my opinion- raises unwarranted concerns about the safety of intensive home treatment. Hunt I, Rahman S, While D, et al. Safety of patients under the care of … Continue reading

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19. A qualitative research study of service users /consumers of crisis resolution and home treatment services in UK

There is much to learn from this 2010 qualitative research study of individuals who had accessed intensive home treatment services in Nottinghamshire and Lincolnshire UK during September 2010. What the individuals found helpful boils down to having someone who develops … Continue reading

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18. Crisis Resolution and Home Treatment policy in UK per se has made no difference to rate of in-patient admissions

Such was the conclusion of a paper published in the British Journal of Psychiatry  by two health economists :   Jacobs R & Barrenho E. Impact of crisis resolution and home treatment teams on psychiatric admissions in England. British Journal of … Continue reading

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17.What is the place of psychiatric inpatient care in the 21st century? Lessons from research on hospital alternatives.

I wrote this article for the April 2011 issue of ” Community Psychiatrist”: the newsletter of the American Association of Community Psychiatrists. It highlights the role of intensive home treatment and how I think this model fits with the two … Continue reading

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16. Are intensive home treatment services associated with an increase in involuntary admissions and an increased suicide rate?

A controlled comparison of two crisis resolution and home treatment teams  The lead author of this article is an important figure in British psychiatry: editor of the British Journal of Psychiatry and Professor of Community Psychiatry at Imperial College London. … Continue reading

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15. What was learned about the relationship between management style and organizational performance during the creation of crisis resolution & home treatment teams in England

The virtually en masse creation of many novel mental health teams in England-the roll out of dozens of crisis resolution & home treatment teams created an opportunity to assess how quality of leadership and staff attitudes and well-being affected organizational … Continue reading

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14. How effective is intensive home treatment with older adults?

My experience in the Hazelglen Home Treatment Service in Kitchener Ontario is that intensive home treatment works extremely well with older adults. However, we only treated patients with functional , non-organic mental disorders; patients with dementia were excluded. The rationale … Continue reading

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13. What are the characteristics of patients who are admitted to hospital despite the availability of an intensive home treatment team?

Research has shown that patient factors that are most often associated with needing hospitalization even though home treatment is available include 1. Mode of referral ( eg police, outside working hours) 2. Greater symptom severity 3. comorbid substance abuse or … Continue reading

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12. How effective is hospitalization for preventing suicide?

When faced with a patient who has had suicidal ideas or shown suicidal behaviour, a clinician has to decide whether the patient needs to be admitted to the hospital for safety reasons, or whether it is  safe to treat that patient … Continue reading

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11. Intensive Home Treatment for First Episode Psychosis

This study paints a gloomier picture regarding opportunities to avoid admission. The study is prospective-unlike the previous two. Consequently, all early psychosis patients were assessed for home treatment. In the previous two studies, it is clearly implied in the Australian … Continue reading

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