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Do patients get better? A review of outcomes from a crisis house and home treatment team partnership

  • Mohsin Faysal Butt (a1), David Walls (a2) and Rahul Bhattacharya (a1) (a3)
Abstract
Aims and method

The Tower Hamlets Crisis House (voluntary sector), in partnership with the local home treatment team, offers a brief residential alternative to psychiatric hospital admission. Here, we review clinician-reported (Health of the Nation Outcome Scales; HoNOS) and patient-reported (DIALOG) outcome scores collected from successive admissions between June 2015 and December 2016, to assess the effectiveness of the service model. We identified 153 successive admissions, and of these, 85 (55.6%) and 91 (59.5%) patients completed both admission and discharge DIALOG and HoNOS questionnaires, respectively. We analysed ten out of twelve HoNOS domains and eight patient-reported outcome measure DIALOG domains.

Results

We found a statistically significant improvement in nine out of ten domains of HoNOS and three out of eight domains of DIALOG.

Clinical implications

A partnership between a home treatment team and crisis house can result in positive outcomes for patients, as determined by both clinicians and patients.

Declaration of interest

None.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Rahul Bhattacharya (rahul.bhattacharya@nhs.net)
References
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1Obuaya, C, Stanton, E, Baggaley, M. Is there a crisis about crisis houses? J R Soc Med 2013; 106(8): 300–2.
2Mental Health Network NHS Confederation. Defining Mental Health Services: Promoting Effective Commissioning and Supporting QIPP. Mental Health Network NHS Confederation, 2012 (http://www.nhsconfed.org/~/media/Confederation/Files/Publications/Documents/Defining_mental_health_services.pdf).
3Johnson, S, Gilburt, H, Lloyd-Evans, B, Osborn, DP, Boardman, J, Leese, M, et al. In-patient and residential alternatives to standard acute psychiatric wards in England. Br J Psychiatry 2009; 194(5): 456–63.
5Porter, ME. What is value in health care? N Engl J Med 2010; 363(26): 2477–81.
6Carpenter, RA, Falkenburg, J, White, TP, Tracy, DK. Crisis teams: systematic review of their effectiveness in practice. The Psychiatrist 2013; 37(7): 232–7.
7Smith, W, Vitoratou, S, McCrone, P, Patel, A. Exploring the factor structure of the Health of the Nation Outcomes Scale (HoNOS) in a sample of patients with schizophrenia, schizotypal and delusional disorders. Health Qual Life Outcomes 2017; 15: 141.
8Jacobs, R, Moran, V. Uptake of mandatory outcome measures in mental health services. The Psychiatrist 2010; 34(8): 338–43.
9NHS England. Delivering the Five Year Forward View for Mental Health: Developing Quality and Outcomes Measures. NHS England, 2016 (https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/02/mh-quality-outcome.pdf).
10Butt, MF. Simulated patients uncovered. Clin Teach 2018; 15(1): 81–2.
11Meadows, KA. Patient-reported outcome measures: an overview. Br J Community Nurs 2011; 16(3): 146–51.
12Wing, JK, Beevor, AS, Curtis, RH, Park, SB, Hadden, S, Burns, A. Health of the Nation Outcome Scales (HoNOS). Research and development. Br J Psychiatry 1998; 172: 11–8.
13James, M, Painter, J, Buckingham, B, Stewart, MW. A review and update of the Health of the Nation Outcome Scales (HoNOS). BJPsych Bull 2018; 42(2): 63–8.
14Priebe, S, Kelley, L, Omer, S, Golden, E, Walsh, S, Khanom, H, et al. The effectiveness of a patient-centred assessment with a solution-focused approach (DIALOG+) for patients with psychosis: a pragmatic cluster-randomised controlled trial in community care. Psychother Psychosom 2015; 84(5): 304–13.
15Leeds Survivor LED Crisis Service (LSLCS). Dial House. LSLCS, 2018 (https://www.lslcs.org.uk/services/dial-house/).
16Sweeney, A, Fahmy, S, Nolan, F, Morant, N, Fox, Z, Lloyd-Evans, B, et al. The relationship between therapeutic alliance and service user satisfaction in mental health inpatient wards and crisis house alternatives: a cross-sectional study. PLoS One 2014; 9(7): e100153.
17Babayeva, N, Murguia, S, Bhattacharya, R. Evaluation of impact of crisis house (within a home treatment team) in offering a true alternative to acute psychiatric inpatient admission. RCPsych International Congress 2015; 2015 Jun 29–Jul 02; Birmingham, UK.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
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Do patients get better? A review of outcomes from a crisis house and home treatment team partnership

  • Mohsin Faysal Butt (a1), David Walls (a2) and Rahul Bhattacharya (a1) (a3)
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