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Recent News
- 25. A 2022 Swiss quasi-experimental study based on existing groups – a natural experiment based on geography , to allocate patients to IHT and hospital treatment according to the place of residence ent
- 24 Dutch randomised controlled trial 2022
- 19. Surely, the time has come for psychiatric hospitalization at home. What’s holding us back ?
- 18. Can you treat mentally ill homeless persons in an Intensive Home Treatment Service ?
- 17. My article on Intensive Home Treatment on the Mad in America webzine
Categories
Research
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
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
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
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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10.Intensive home treatment for first-episode psychosis
This article describes the experience of intensive home treatment teams in Hertfordhire England in 1998/9. Successful home management was achieved in 20 cases ( 54%) during an eighteen month period. No significant difference was found in any demographic variable, diagnostic … Continue reading
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9.Intensive home treatment for first episode psychosis
Of all the psychiatric disorders , first episode psychosis is one of the most suited to intensive home treatment. It’s the treatment of choice for severe acute episodes in England and Australia. Entry into the psychiatric system is often very traumatic … Continue reading
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8. Cochrane Review of ” Crisis Intervention” ie intensive home treatment
Cochrane review of crisis intervention Joy Adams Rice edition 2 This review presents the conclusions regarding ability of intensive home to reduce admissions in an odd way–as ” treatment failures” . 45% of patients had to be admitted withing 12 months: ie … Continue reading
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4. How has the national implementation of intensive home treatment teams impacted psychiatric admission rates in England?
Between 2001 and 2004 there was a rapid expansion in the number of intensive home treatment teams in England. A national network of assertive community treatment teams was also mandated. Glover of the North Eastern Public Health Observatory set out … Continue reading
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7. ” Open All Hours” a comparison of two areas; one with, one without an intensive home treatment service Birmingham UK 1998
open+all+hours This study is of interest for numerous reasons. Its development was specifically linked to bed closures and it is the first study to demonstrate exactly how, and to what degree intensive home treatment can replace inpatient care. This model … Continue reading
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