Evidence map›Paper›PMID 21569226›Full record

ArticleBMC health services research2011

An implementation study of the crisis resolution team model in Norway: are the crisis resolution teams fulfilling their role?

Nina Hasselberg, Rolf W Gråwe, Sonia Johnson, Torleif Ruud

Abstract read
In one paragraph

Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. From research to practice: Implementing an experimental home treatment model into routine mental health care.European psychiatry : the journal of the Association of European Psychiatrists · 2020
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  6. Becoming a Guest: On Proximity and Distance in Mental Health Home Treatment.Computer supported cooperative work : CSCW : an international journal · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nina HasselbergR&D Department, Mental Health Services, Akershus University Hospital and Institute of Clinical Medicine, University Oslo, Norway. nina.hasseberg@ahus.no
Rolf W Gråwe
Sonia Johnson
Torleif Ruud

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe establishment of crisis resolution teams (CRTs) is part of the national mental health policy in several Western countries. The purpose of the present study is to describe characteristics of CRTs and their patients, explore the differences between CRTs, and examine whether the CRTs in Norway are organized according to the international CRT model.

methodsThe study was a naturalistic study of eight CRTs and 680 patients referred to these teams in Norway. Mental health problems were assessed using the Health of the Nation Outcome Scales (HoNOS), Global Assessment of Functioning Scales (GAF) and the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10).

resultsNone of the CRTs operated 24 hours a day, seven days a week (24/7 availability) or had gate-keeping functions for acute wards. The CRTs also treated patients who were not considered for hospital admission. Forty per cent of patients waited more than 24 hours for treatment. Fourteen per cent had psychotic symptoms, and 69% had affective symptoms. There were significant variations between teams in patients' total severity of symptoms and social problems, but no variations between teams with respect to patients' aggressive behaviour, non-accidental self-injury, substance abuse or psychotic symptoms. There was a tendency for teams operating extended hours to treat patients with more severe mental illnesses.

conclusionsThe CRT model has been implemented in Norway without a rapid response, gate-keeping function and 24/7 availability. These findings indicate that the CRTs do not completely fulfil their intended role in the mental health system.

Indexed as

Mental HealthMental Health ServicesProfessional RoleAdultCluster AnalysisCrisis InterventionFemaleHealth Status IndicatorsHumansMaleMiddle AgedModels, OrganizationalModels, PsychologicalNegotiatingNorwayPsychometrics

Identifiers

PMID21569226
PMCPMC3116476

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.