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Crisis resolution/home treatment teams, gate-keeping and the role of the consultant psychiatrist

  • Hugh Middleton (a1), Gyles Glover (a2), Steve Onyett (a3) and Karen Linde (a4)
Abstract
Aims and Method

The working relationship between consultant psychiatrists and crisis resolution/home treatment (CRHT) teams varies quite widely. Data from the national survey have been used to investigate the effects of consultant psychiatrist intput upon functions of the CRHT team. Logistic regression was employed to consider the effects of team size, team maturity and consultant input upon gate-keeping and fidelity to model (how many of six criteria teams' activities included).

Results

There were statistically significant effects of size and maturity upon fidelity, and of maturity and consultant input upon gate-keeping.

Clinical Implications

The relationship between the consultant psychiatrist and other elements of the acute care pathway is an important determinant of how it functions. Depending upon how they relate to them, consultants can assist or hinder a team's capacity to fulfill their intended purposes.

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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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Department of Health (2002) Mental Health Policy Implementation Guide: Adult Acute Inpatient Care Provision. Department of Health.
Glover, G., Arts, G. & Babu, K. S. (2006) Crisis resolution/home treatment teams and psychiatric admission rates in England. British Journal of Psychiatry, 189, 441445.
Hoult, J., Rosen, A. & Reynolds, I. (1984) Community orientated treatment compared to psychiatric hospital orientated treatment. Social Science and Medicine, 18, 10051010.
Johnson, S., Nolan, F., Pilling, S., et al (2005) Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study. BMJ, 331, 599602.
Lelliott, P., Bennett, H., McGeorge, M., et al (2006) Accreditation of acute in-patient mental health services. Psychiatric Bulletin, 30, 361363.
Onyett, S., Linde, K., Glover, G., et al (2008) Implementation of crisis resolution/home treatment teams in England: national survey 2005–2006. Psychiatric Bulletin, 32, 374377.
Richter, A.W., West, M. A., Van Dick, R., et al (2006) Boundary spanners' identification, intergroup contact, and effective intergroup relations. Academy of Management Journal, 49, 12521269.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Crisis resolution/home treatment teams, gate-keeping and the role of the consultant psychiatrist

  • Hugh Middleton (a1), Gyles Glover (a2), Steve Onyett (a3) and Karen Linde (a4)
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