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Changes to mental healthcare for working age adults: impact of a crisis team and an assertive outreach team

  • Patrick Keown (a1), Mary Jane Tacchi (a2), Stephen Niemiec (a3) and John Hughes (a2)
Abstract
Aims and Method

To investigate changes to admissions, compulsory detentions, diagnosis, length of stay and suicides following introduction of crisis resolution home treatment and assertive outreach teams.

Results

There was a 45% reduction in admissions with an increase in the median length of stay from 15.5 to 25 days. Bed occupancy fell by 22%. The number of suicides remained constant. Detentions under sections 2 and 3 of the Mental Health Act 1983 increased whereas those under sections 5(2) and 5(4) declined.

Clinical Implications

The introduction of crisis and assertive outreach teams was followed by a reduction in admissions, particularly short admissions. The impact differed according to gender (reduction in female bed occupancy). This and the increased length of stay need to be considered when determining the number of acute psychiatric beds needed.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (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.
References
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Changes to mental healthcare for working age adults: impact of a crisis team and an assertive outreach team

  • Patrick Keown (a1), Mary Jane Tacchi (a2), Stephen Niemiec (a3) and John Hughes (a2)
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