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National implementation of a mental health service model: A survey of Crisis Resolution Teams in England

Lloyd-Evans, B; Paterson, B; Onyett, S; Brown, E; Istead, H; Gray, R; Henderson, C; (2017) National implementation of a mental health service model: A survey of Crisis Resolution Teams in England. International Journal of Mental Health Nursing , 27 (1) pp. 214-226. 10.1111/inm.12311. Green open access

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Abstract

In response to pressures on mental health inpatient beds and a perceived 'crisis in acute care', Crisis Resolution Teams (CRTs), acute home treatment services, were implemented nationally in England following the NHS Plan in the year 2000: an unprecedentedly prescriptive policy mandate for three new types of functional community mental health team. We examined the effects of this mandate on implementation of the CRT service model. Two hundred and eighteen CRTs were mapped in England, including services in all 65 mental health administrative regions. Eighty-eight percent (n = 192) of CRT managers in England participated in an online survey. CRT service organization and delivery was highly variable. Nurses were the only professional group employed in all CRT staff teams. Almost no teams adhered fully to government implementation guidance. CRT managers identified several aspects of CRT service delivery as desirable but not routinely provided. A national policy mandate and government guidance and standards have proved insufficient to ensure CRT implementation as planned. Development and testing of resources to support implementation and monitoring of a complex mental health intervention is required.

Type: Article
Title: National implementation of a mental health service model: A survey of Crisis Resolution Teams in England
Location: Australia
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/inm.12311
Publisher version: http://dx.doi.org/10.1111/inm.12311
Language: English
Additional information: © 2017 Australian College of Mental Health Nurses Inc. This is the peer reviewed version of the following article: Lloyd-Evans, B; Paterson, B; Onyett, S; Brown, E; Istead, H; Gray, R; Henderson, C; (2017) National implementation of a mental health service model: A survey of Crisis Resolution Teams in England. International Journal of Mental Health Nursing (In press), which has been published in final form at 10.1111/inm.12311. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: Acute care, crisis resolution, home treatment, implementation, mental health services
UCL classification: UCL
UCL > Provost and Vice Provost Offices
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/1535895
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