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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
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Research
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
In April 2016 one of the acute wards of the regional public psychiatric hospital – Cantonal Psychiatric Clinic ( CPC) was shut down, and the staff of the ward was trained to build an IHT team . The team was … Continue reading
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24 Dutch randomised controlled trial 2022
As in the 2019 Swiss RCT ( post 23), this study utilized the Zelen design in which participants are randomized before the consent stage. IHT was compared to hospital treatment at 2 centres within the Amsterdam Psychiatric Emergency Service … Continue reading
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23. 2019 Swiss Randomized Controlled Trial of Intensive Home Treatment
This study is important for a number of reason This is the sixth country ( and health care system) in which an RCT of IHT was conducted It is the first RCT since the 2005 one in North Islington by … Continue reading
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22. Development of a measure of model fidelity for mental health Crisis Resolution Teams
Fidelity measures are tools to assess the implementation of models of mental health care. They enable translation of scientific knowledge into patient benefit . Fidelity measures for complex interventions in mental health services help to define the intervention and measure … Continue reading
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21.Implementation of Intensive Home Treatment services associated with a 27 % reduction in suicide by mental health patients
This paper in Lancet Psychiatry ,Vol 3 ,June 2016 examines the question : what role do health services have in suicide prevention ? The research is part of the National Confidential Inquiry into Suicide and Homicide by People with Mental … Continue reading
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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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