Objective: To evaluate the effectiveness of a crisis resolution team.
Design: Randomised controlled trial.
Participants: 260 residents of the inner London Borough of Islington who were experiencing crises severe enough for hospital admission to be considered.
Interventions: Acute care including a 24 hour crisis resolution team (experimental group), compared with standard care from inpatient services and community mental health teams (control group).
Main Outcome Measures: Hospital admission and patients' satisfaction.
Results: Patients in the experimental group were less likely to be admitted to hospital in the eight weeks after the crisis (odds ratio 0.19, 95% confidence interval 0.11 to 0.32), though compulsory admission was not significantly reduced. A difference of 1.6 points in the mean score on the client satisfaction questionnaire (CSQ-8) was not quite significant (P = 0.07), although it became so after adjustment for baseline characteristics (P = 0.002).
Conclusion: Crisis resolution teams can reduce hospital admissions in mental health crises. They may also increase satisfaction in patients, but this was an equivocal finding.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1215550 | PMC |
| http://dx.doi.org/10.1136/bmj.38519.678148.8F | DOI Listing |
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