ArticleBMC psychiatry2016
Development of a measure of model fidelity for mental health Crisis Resolution Teams.
Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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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.
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.
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach.BMC psychiatry · 2020Pooled it
- The CORE service improvement programme for mental health crisis resolution teams: results from a cluster-randomised trial.The British journal of psychiatry : the journal of mental science · 2020Trial
- Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial.Lancet (London, England) · 2018Trial
- Trial
- Redesigning a Fidelity Measurement Tool for Early Psychosis Services: Responding to Evolving Service Landscapes in Australia.Early intervention in psychiatry · 2026Article
- The development and evaluation of the Patient-Controlled Admission Fidelity Checklist.Frontiers in psychiatry · 2026Article
- The era of digital mental health interventions: we know they can be effective but are they also safe?BJPsych open · 2025Article
- Can a crisis resolution team replace an inpatient ward? Results from a French quasi-experimental study.BMC health services research · 2025Article
- A qualitative investigation of crisis cafés in England: their role, implementation, and accessibility.BMC health services research · 2024Article
- Measuring fidelity to manualised peer support for people with severe mental health conditions: development and psychometric evaluation of the UPSIDES fidelity scale.BMC psychiatry · 2024Article
- Implementation of a crisis resolution team service improvement programme: a qualitative study of the critical ingredients for success.International journal of mental health systems · 2024Article
- Article
- 'Beyond places of safety' - a qualitative study exploring the implementation of mental health crisis care innovations across England.BMC health services research · 2023Article
- The community mental health team fidelity scale: A measure of program fidelity of social networks interventions for severe mental illness.Frontiers in psychology · 2023Article
- Study protocol of a randomized controlled trial evaluating home treatment with peer support for acute mental health crises (HoPe).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
- Accessibility and interventions of crisis resolution teams: a multicenter study of team practices and team differences in Norway.BMC psychiatry · 2022Article
- Similarities and differences between service users' and carers' experiences of crisis resolution teams in Norway: a survey.BMC psychiatry · 2022Article
- Is Home Treatment for Everyone? Characteristics of Patients Receiving Intensive Mental Health Care at Home.Community mental health journal · 2022Article
- Review
Corrections and comments
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Authors and funding
23 authors.
Funding
Abstract
backgroundCrisis Resolution Teams (CRTs) provide short-term intensive home treatment to people experiencing mental health crisis. Trial evidence suggests CRTs can be effective at reducing hospital admissions and increasing satisfaction with acute care. When scaled up to national level however, CRT implementation and outcomes have been variable. We aimed to develop and test a fidelity scale to assess adherence to a model of best practice for CRTs, based on best available evidence.
methodsA concept mapping process was used to develop a CRT fidelity scale. Participants (n = 68) from a range of stakeholder groups prioritised and grouped statements (n = 72) about important components of the CRT model, generated from a literature review, national survey and qualitative interviews. These data were analysed using Ariadne software and the resultant cluster solution informed item selection for a CRT fidelity scale. Operational criteria and scoring anchor points were developed for each item. The CORE CRT fidelity scale was then piloted in 75 CRTs in the UK to assess the range of scores achieved and feasibility for use in a 1-day fidelity review process. Trained reviewers (n = 16) rated CRT service fidelity in a vignette exercise to test the scale's inter-rater reliability.
resultsThere were high levels of agreement within and between stakeholder groups regarding the most important components of the CRT model. A 39-item measure of CRT model fidelity was developed. Piloting indicated that the scale was feasible for use to assess CRT model fidelity and had good face validity. The wide range of item scores and total scores across CRT services in the pilot demonstrate the measure can distinguish lower and higher fidelity services. Moderately good inter-rater reliability was found, with an estimated correlation between individual ratings of 0.65 (95% CI: 0.54 to 0.76).
conclusionsThe CORE CRT Fidelity Scale has been developed through a rigorous and systematic process. Promising initial testing indicates its value in assessing adherence to a model of CRT best practice and to support service improvement monitoring and planning. Further research is required to establish its psychometric properties and international applicability.
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