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Effects of a crisis resolution and home treatment team on in-patient admissions

South Hams Community Mental Health Trust, 8 Fore Street, Ivybridge, Devon PL21 9AB, email: dr.k.jethwa{at}doctors.org.uk

Nuwan Galappathie, Specialist Registrar in Forensic Psychiatry

Langdon Hospital, Dawlish, Devon

Paul Hewson, Senior Lecturer in Statistics

School of Mathematics and Statistics, University of Plymouth, Plymouth, Devon

Declaration of interest

None.

AIMS AND METHOD

To evaluate the effects of a crisis resolution and home-based treatment team upon in-patient admission rates. We collected data for 2 years prior and 1 year post-implementation of such a service in Leeds. The chosen time frame allowed the new service to settle in and controlled for seasonal variations.

RESULTS

There were 4353 admissions during the period of the study, with 3325 in the 2 years prior to the service and 1028 in the year after. Generalised linear analysis found a 37.5% reduction in monthly admissions after the introduction of the team (P<0.0001).

CLINICAL IMPLICATIONS

This study shows that in everyday clinical practice crisis resolution and home treatment teams lead to a sustained reduction in in-patient admission rates.

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