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Suicide under crisis resolution home treatment – a key setting for patient safety

  • Isabelle M. Hunt (a1), Louis Appleby (a1) and Nav Kapur (a1)

Summary

Recent years have seen a substantial increase in the use of crisis resolution home treatment (CRHT) teams as an alternative to psychiatric in-patient admission. We discuss the functions of these services and their effectiveness. Our research suggests high rates of suicide in patients under CRHT. Specific strategies need to be developed to improve patient safety in this setting.

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Copyright

This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Correspondence to Isabelle M. Hunt (isabelle.m.hunt@manchester.ac.uk)

Footnotes

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Declaration of interest

L.A. chairs the Suicide Prevention Advisory Group at the Department of Health and is a non-executive Director for the Care Quality Commission. N.K. is a member of the Suicide Prevention Advisory Group.

Footnotes

References

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1 Department of Health. The NHS Plan: A Plan for Investment, A Plan for Reform. Department of Health, 2000.
2 Johnson, S. Crisis resolution and home treatment teams: an evolving model. Adv Psychiatr Treat 2013; 19: 115–23.
3 Department of Health. Mental Health Policy Implementation Guide. Department of Health, 2001.
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11 Wheeler, C, Lloyd-Evans, B, Churchard, A, Fitzgerald, C, Fullarton, K, Mosse, L, et al. Implementation of the crisis resolution team model in adult mental health settings: a systematic review. BMC Psychiatry 2015; 15: 74.
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13 Morgan, S. Are Crisis Resolution and Home Treatment Services Seeing the Patients they are Supposed to See? Report on Behalf of the National Audit Office. National Audit Office, 2007.
14 Kapur, N, Hunt, IM, Windfuhr, K, Rodway, C, Webb, R, Rahman, MS, et al. Psychiatric in-patient care and suicide in England, 1997–2008: a longitudinal study. Psychol Med 2013; 43: 6171.
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16 Hunt, IM, Rahman, MS, While, D, Windfuhr, K, Shaw, J, Appleby, L, et al. Safety in crisis resolution home treatment services in England: an investigation of suicide trends 2003–2011. Lancet Psychiatry 2014; 1: 135–41.
17 While, D, Bickley, H, Roscoe, A, Windfuhr, K, Rahman, S, Shaw, J, et al. Implementation of mental health service recommendations in England and Wales and suicide rates, 1997–2006: a cross-sectional and before-and-after observational study. Lancet 2012; 379: 1105–12.
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Suicide under crisis resolution home treatment – a key setting for patient safety

  • Isabelle M. Hunt (a1), Louis Appleby (a1) and Nav Kapur (a1)

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