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Psychiatric admissions from crisis resolution teams in Norway: a prospective multicentre study

Hasselberg, N; Grawe, RW; Johnson, S; Saltyte-Benth, J; Ruud, T; (2013) Psychiatric admissions from crisis resolution teams in Norway: a prospective multicentre study. BMC Psychiatry , 13 , Article 117. 10.1186/1471-244X-13-117. Green open access

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Abstract

Background Crisis resolution teams (CRTs) provide intensive alternative care to hospital admission for patients with mental health crises. The aims of this study were to describe the proportions and characteristics of patients admitted to in-patient wards from CRTs, to identify any differences in admission practices between CRTs, and to identify predictors of admissions from CRTs. Methods A naturalistic prospective multicentre design was used to study 680 consecutive patients under the care of eight CRTs in Norway over a 3-month period in 2005/2006. Socio-demographic and clinical data were collected on the patients, and on the organization and operation of the CRTs. Logistic regression analysis for hierarchical data was used to test potential predictors of admission at team and patient level. Results One hundred and forty-six patients (21.5%) were admitted to in-patient wards. There were significant differences in admission rates between the CRTs. The likelihood of being admitted to an in-patient ward was significantly lower for patients treated by CRTs that operated during extended opening hours than CRTs that operated during office hours only. Those most likely to be admitted were patients with psychotic symptoms, suicidal risk, and a prior history of admissions. Conclusions Extended opening hours may help CRTs to prevent more admissions for patients with moderately severe and relapsing mental illnesses. Patients with severe psychosis seem to be difficult to treat in the community by Norwegian CRTs even with extended opening hours.

Type: Article
Title: Psychiatric admissions from crisis resolution teams in Norway: a prospective multicentre study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1471-244X-13-117
Publisher version: http://dx.doi.org/10.1186/1471-244X-13-117
Language: English
Additional information: © 2013 Hasselberg et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. PubMed ID: 23594922
Keywords: Acute psychiatric services, crisis resolution teams, mental health services, admission
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
URI: https://discovery.ucl.ac.uk/id/eprint/1393895
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