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Mental health crisis resolution teams and crisis care systems in England: a national survey

Lloyd-Evans, B; Lamb, D; Barnby, J; Eskinazi, M; Turner, A; Johnson, S; (2018) Mental health crisis resolution teams and crisis care systems in England: a national survey. BJPsych Bulletin , 42 (4) pp. 146-151. 10.1192/bjb.2018.19. Green open access

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Abstract

Aims and method: A national survey investigated the implementation of mental health crisis resolution teams (CRTs) in England. CRTs were mapped and team managers completed an online survey. / Results: Ninety-five per cent of mapped CRTs (n = 233) completed the survey. Few CRTs adhered fully to national policy guidelines. CRT implementation and local acute care system contexts varied substantially. Access to CRTs for working-age adults appears to have improved, compared with a similar survey in 2012, despite no evidence of higher staffing levels. Specialist CRTs for children and for older adults with dementia have been implemented in some areas but are uncommon. / Clinical implications: A national mandate and policy guidelines have been insufficient to implement CRTs fully as planned. Programmes to support adherence to the CRT model and CRT service improvement are required. Clearer policy guidance is needed on requirements for crisis care for young people and older adults. / Declaration of interest: None.

Type: Article
Title: Mental health crisis resolution teams and crisis care systems in England: a national survey
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1192/bjb.2018.19
Publisher version: https://doi.org/10.1192/bjb.2018.19
Language: English
Additional information: Copyright © The Authors 2018. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (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.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
URI: https://discovery.ucl.ac.uk/id/eprint/10049169
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