2016:3(2) by Muthalif Shafy
Background: One of the functions of the crisis resolution and home treatment team (CRHT) is to re... more Background: One of the functions of the crisis resolution and home treatment team (CRHT) is to reduce hospital admissions of mentally ill patients. Aims: To compare a CRHT for adults in later life with a CRHT for adults of working age in terms of team composition, patient characteristics, interventions and outcomes measured by numbers of admissions and lengths of stay. Methods: Using the electronic record system (ePEX) we examined referral data for both teams for a 12 month period. We used a semi-structured tool to perform a retrospective electronic file review of a subgroup of 80 referrals. Results: The teams differed in team composition, patient characteristics, interventions and outcomes measured by numbers of admissions and lengths of stay. Later life wards showed a 9% average monthly reduction in admissions (from 33 to 30, not significant). Adult wards showed a 19% reduction (from 121 to 98 per month, p<0.001), reduction in admissions to the adult wards was significantly greater than to the later life wards (p<0.05). Conclusions: This study identified many differences between an adult and an older age crisis team in terms of composition, patient characteristics, interventions and outcomes. These differences will be important considerations as teams are developed for the increasing number of older people. This has important implications for service redesign.
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2016:3(2) by Muthalif Shafy