ArticleBMC psychiatry2007
An investigation of factors associated with psychiatric hospital admission despite the presence of crisis resolution teams.
Article in BMC psychiatry, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 70 citations in OpenAlex.
- A Change of Paradigm in the Management of Acute Psychiatric Episodes? A Retrospective Cohort Study on Trajectories of Use of Clinical Resources After the Implementation of Intensive Home-Treatment.Community mental health journal · 2024Article
- Prescriptive factors for intensive home treatment in acute psychiatry: a secondary analysis of a randomised controlled trial.International journal of mental health systems · 2024Article
- Investigating the association between characteristics of local crisis care systems and service use in an English national survey.BJPsych open · 2023Article
- Effectiveness of crisis resolution home treatment for the management of acute psychiatric crises in Southern Switzerland: a natural experiment based on geography.BMC psychiatry · 2022Article
- Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- Is Home Treatment for Everyone? Characteristics of Patients Receiving Intensive Mental Health Care at Home.Community mental health journal · 2022Article
- Referral for Intensive Home Treatment or Psychiatric Inpatient Care? A Retrospective, Observational Comparison of Patient and Process Characteristics.Frontiers in psychiatry · 2022Article
- Article
- Home Treatment for Acute Mental Healthcare: Who Benefits Most?Community mental health journal · 2021Article
- Police Encounters, Agitation, Diagnosis, and Employment Predict Psychiatric Hospitalisation of Intensive Home Treatment Patients During a Psychiatric Crisis.Frontiers in psychiatry · 2021Article
- Crisis-planning interventions for people with psychotic illness or bipolar disorder: systematic review and meta-analyses.BJPsych open · 2019Article
- Association between clinical observations and a mobile crisis team's level of care recommendations.Community mental health journal · 2019Article
- Reduction of Involuntary Admissions in Patients With Severe Psychotic Disorders Treated in the ACCESS Integrated Care Model Including Therapeutic Assertive Community Treatment.Frontiers in psychiatry · 2019Article
- Utilization and Effectiveness of Home Treatment for People With Acute Severe Mental Illness: A Propensity-Score Matching Analysis of 19 Months of Observation.Frontiers in psychiatry · 2018Article
- Emotional crisis in a naturalistic context: characterizing outpatient profiles and treatment effectiveness.BMC psychiatry · 2017Article
- The efficacy, acceptability, and safety of five atypical antipsychotics in patients with first-episode drug-naïve schizophrenia: a randomized comparative trial.Annals of general psychiatry · 2017Article
- Home treatment teams and facilitated discharge from psychiatric hospital.Epidemiology and psychiatric sciences · 2015Article
- Being in a process of transition to psychosis, as narrated by adults with psychotic illnesses acutely admitted to hospital.Journal of psychiatric and mental health nursing · 2014Article
- Psychiatric admissions from crisis resolution teams in Norway: a prospective multicentre study.BMC psychiatry · 2013Article
- Lessons learned in developing community mental health care in Europe.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2011Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundCrisis resolution teams (CRTs) provide a community alternative to psychiatric hospital admission for patients presenting in crisis. Little is known about the characteristics of patients admitted despite the availability of such teams.
methodsData were drawn from three investigations of the outcomes of CRTs in inner London. A literature review was used to identify candidate explanatory variables that may be associated with admission despite the availability of intensive home treatment. The main outcome variable was admission to hospital within 8 weeks of the initial crisis. Associations between this outcome and the candidate explanatory variables were tested using first univariate and then multivariate analysis.
resultsPatients who were uncooperative with initial assessment (OR 10.25 95% CI-4.20-24.97), at risk of self-neglect (OR 2.93 1.42-6.05), had a history of compulsory admission (OR 2.64 1.07-6.55), assessed outside usual office hours (OR 2.34 1.11-4.94) and/or were assessed in hospital casualty departments (OR 3.12 1.55-6.26), were more likely to be admitted. Other than age, no socio-demographic features or diagnostic variables were significantly associated with risk of admission.
conclusionWith the introduction of CRTs, inpatient wards face a significant challenge, as patients who cooperate little with treatment, neglect themselves, or have previously been compulsorily detained are especially likely to be admitted. The increased risk of admission associated with casualty department assessment may be remediable.
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