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Characteristics of teams, staff and patients: associations with outcomes of patients in assertive outreach

  • Stefan Priebe (a1), Walid Fakhoury (a1), Ian White (a2), Joanna Watts (a1), Paul Bebbington (a3), Joanna Billings (a3), Tom Burns (a4), Sonia Johnson (a3), Matt Muijen (a5), Iain Ryrie (a5) and Christine Wright (a4)...

Abstract

Background

Little is known about what characteristics of teams, staff and patients are associated with a favourable outcome of severe mental illness managed by assertive outreach.

Aims

To identify predictors of voluntary and compulsory admissions in routine assertive outreach services in the UK.

Method

Nine features of team organisation and policy, five variables assessing staff satisfaction and burn-out and eleven patient characteristics taken from the baseline data of the Pan-London Assertive Outreach Study were tested as predictors of voluntary and compulsory admissions within a 9-month follow-up period.

Results

Weekend working, staff burn-out and lack of contact of the patient with other services were associated independently with a higher probability of both voluntary and compulsory admission. In addition, admissions in the past predicted further voluntary and compulsory admissions, and teams not working extended hours predicted compulsory admissions in the follow-up period.

Conclusions

Characteristics of team working practice, staff burn-out and patients' history are associated independently with outcome. Patient contact with other services is a positive prognostic factor.

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Copyright

Corresponding author

Professor Stefan Priebe, Unit for Social and Community Psychiatry, Newham Centre for Mental Health, London E13 8SP, UK. Tel: +44 (0)20 7540 4210; fax: +44 (0)20 7540 2976; e-mail: s.priebe@qmul.ac.uk

Footnotes

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Declaration of interest

Funding provided by the Department of Health.

Footnotes

References

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Characteristics of teams, staff and patients: associations with outcomes of patients in assertive outreach

  • Stefan Priebe (a1), Walid Fakhoury (a1), Ian White (a2), Joanna Watts (a1), Paul Bebbington (a3), Joanna Billings (a3), Tom Burns (a4), Sonia Johnson (a3), Matt Muijen (a5), Iain Ryrie (a5) and Christine Wright (a4)...
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