Crisis Resolution and Home Treatment in Mental Health

doi:10.1017/CBO9780511543906

Crisis resolution and home treatment teams respond rapidly to people experiencing mental health crises and offer an alternative to hospital admission. They are an increasingly important component of mental health care and are adopted by many health care systems around the world. This practical and pioneering book describes the evidence for the effectiveness of such teams, the principles underpinning them, how to set up and organise them, how patients should be assessed and what types of care the teams should offer. Other topics covered include integration of crisis teams with in-patient, community residential and day care services, the service users' experiences of crisis teams, and responding to diversity in home treatment. This book is essential reading for all policy makers, service managers and mental health workers interested in establishing or operating crisis resolution and home treatment services, as well as for researchers and students seeking to understand this model.

'… succinctly written in a straightforward style … a readily accessible and comprehensive introduction to CRHT with plenty of practical advice. For these reasons the increasing numbers of healthcare workers from all professional backgrounds who are now dealing with this new way of working are likely to both enjoy and benefit from reading this book.'

Source: Psychological Medicine

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Contents

Frontmatter
pp i-vi
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Contents
pp vii-ix
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List of contributors
pp x-xviii
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Foreword
pp xix-xix
- By Leonard I. Stein, University of Wisconsin School of Medicine and Public Health
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Acknowledgements
pp xx-xx
- By Sonia Johnson, University College, London, Justin Needle, City University, London, Jonathan Bindman, South London and Maudsley NHS Foundation Trust, London, Graham Thornicroft, Kings College London
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Section 1 - Introduction and concepts
pp 1-2
- By Sonia Johnson, University College, London, Justin Needle, City University, London, Jonathan Bindman, South London and Maudsley NHS Foundation Trust, London, Graham Thornicroft, Kings College London
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1 - Introduction
pp 3-8
- By Sonia Johnson, University College, London, Justin Needle, City University, London
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2 - The development of crisis resolution and home treatment teams
pp 9-22
- By Sonia Johnson, University College, London, Graham Thornicroft, Institute of Psychiatry, Kings College London
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3 - The crisis resolution team model: recent developments and dissemination
pp 23-34
- By Gyles Glover, NHS North East, Sonia Johnson, University College, London
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Section 2 - The evidence
pp 35-36
- By Sonia Johnson, University College, London, Justin Needle, City University, London, Jonathan Bindman, South London and Maudsley NHS Foundation Trust, London, Graham Thornicroft, Kings College London
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4 - The classic home treatment studies
pp 37-50
- By Sonia Johnson, University College, London, Graham Thornicroft, Institute of Psychiatry, Kings College London
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5 - Recent research on crisis resolution teams: findings and limitations
pp 51-64
- By Sonia Johnson, University College, London, Jonathan P. Bindman, South London and Maudsley NHS Foundation Trust, London
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Section 3 - Current practice
pp 65-66
- By Sonia Johnson, University College, London, Justin Needle, City University, London, Jonathan Bindman, South London and Maudsley NHS Foundation Trust, London, Graham Thornicroft, Kings College London
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6 - Crisis resolution teams: rationale and core model
pp 67-84
- By Sonia Johnson, University College, London, Justin Needle, City University, London
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7 - The crisis resolution team within the community service system
pp 85-96
- By Jonathan P. Bindman, South London and Maudsley NHS Foundation Trust, London
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8 - Assessment of crises
pp 97-110
- By John Hoult, National Institute of Mental Health, England, Mary-Anne Cotton, North London
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9 - Assessment and management of risk
pp 111-120
- By Neil Brimblecombe, Nottingham University and Director of Nursing at South Staffordshire
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10 - Symptom management
pp 121-136
- By John Hoult, National Institute of Mental Health, England, Fiona Nolan, North Islington
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11 - Practical psychosocial interventions
pp 137-150
- By Jonathan P. Bindman, Clinical Director of Adult Mental Health Services in Lambeth, southeast London, Martin Flowers, crisis services manager, South Yorkshire
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12 - Working with families and social networks
pp 151-164
- By Christopher Bridgett, The Royal College of Psychiatrists and the Sainsbury Centre for Mental Health, Harm Gijsman, Clinical and Research Director of the Early Psychosis Program of University Medical Centre Nijmegen
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13 - Strategies for promoting engagement and treatment adherence
pp 165-176
- By Mary Jane Tacchi, consultant in the Newcastle crisis assessment and home-based treatment service, Jan Scott, Professor of Psychological Medicine, University of Newcastle
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14 - Mixed blessings: service user experience of crisis teams
pp 177-186
- By Alison Faulkner, Universities and NHS Trusts, Helen Blackwell, Royal College of Psychiatrists
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15 - Early discharge and joint working between crisis teams and hospital services
pp 187-196
- By Fiona Nolan, University College London, Sylvia Tang, Medical Director for Camden and Islington Mental Health and Social Care Trust
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16 - Working with repeat users of crisis resolution services
pp 197-204
- By Martin Flowers, crisis service manager in South Yorkshire, Jonathan Bindman, South London and Maudsley NHS Foundation Trust, London
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17 - Responding to diversity in home treatment
pp 205-222
- By Danny Antebi, consultant psychiatrist and clinical director, Waquas Waheed, consultant psychiatrist with the crisis resolution and home treatment team at Accrington, Sonia Johnson, University College, London, Lisa Marrett, Diversity Training Lead for Avon and Wiltshire Mental Health Partnership Trust
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18 - Coercion and compulsion in crisis resolution teams
pp 223-232
- By Jonathan P. Bindman, Clinical Director, Lambeth, South London and Maudsley NHS Foundation Trust, London
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Section 4 - Variations and enhancements
pp 233-234
- By Sonia Johnson, University College, London, Justin Needle, City University, London, Jonathan Bindman, South London and Maudsley NHS Foundation Trust, London, Graham Thornicroft, Kings College London
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19 - Integration of the crisis resolution function within community mental health teams
pp 235-250
- By Alan Rosen, professor at the School of Public Health, University of Wollongong and professor in the Department of Psychological Medicine, University of Sydney, Paul Clenaghan, mental health services in central Sydney from Redfern to Bankstown, Feleena Emerton, Royal North Shore–Ryde mental health services in Sydney, Australia, Simon Richards, Lower North Shore of Sydney
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20 - Home treatment and ‘hospitality’ within a comprehensive community mental health centre
pp 251-266
- By Roberto Mezzina, psychiatric reform in Trieste, Italy's, Sonia Johnson, University College, London
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21 - Crisis resolution teams and older people
pp 267-274
- By Ciaran Regan, Camden and Islington Mental Health and Social Care Trust, Claudia Cooper, University College London
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