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Crisis resolution home treatment

An important element within the acute care pathway is the role of home treatment. This section looks at the evidence and practice of crisis resolution and home treatment teams and the examples of the many options and practices available to assist in an alternative to addmission or shortened stay on an acute inpatient ward.

	Title: EP Discussion Paper Published: February 2007 Summary: Emergency Psychiatry - A discussion paper for working group. As a result of concerns regarding the quality and rapidity of responses from mental health services to patients attending A&E departments and to people admitted to acute beds in general hospitals, the Royal College of Psychiatrists, the Royal College of Physicians, The College of Emergency Medicine and colleagues working in the Department of Health are engaged in an initiative to address the issues.
	Title: Swindon crisis teams Published: May 2007 Summary: Powerpoint document on crisis resolution and home treatment services in the Swindon area.
	Title: CRHT conference report Published: October 2006 Summary: Report from a conference linking research, policy and practice for service development.
	Title: CRT survey Executive Summary Published: September 2006 Summary: This survey aimed to provide a rich team-level description of the current state of implementation of crisis resolution or home treatment (CRT) teams in England, including perceived obstacles to implementation and potential ways forward.
	Title: Fidelity and Best Practice Published: December 2006 Summary: Guidance Statement on Fidelity and Best Practice for Crisis Services. This document identifies aspects of how crisis teams deliver care which need attention so that best practice is followed across the country. It emphasises a whole systems approach to care and is complementary to existing guidance.
	Title: Positive Practice - AOT CIT EIP Published: April 2006 Summary: Assertive outreach, Community intervention, Early intervention in psychosis teams. Within Hartlepool, individuals experiencing psychosis are offered a specialist integrated service provided by one of these three teams.
	Title: Positive Practice - Post Discharge Published: April 2006 Summary: Documenting the Hartlepool post discharge service, after the NSF for mental health highlighted that people are more at risk from suicide within the first 7 days after discharge. The service ensures a comprehensive package of care tailored for the individual client and their carers.
	Title: Positive Practice - Integrated Day Services Published: April 2006 Summary: Integrated mental health day service team. Reflection on what has been achieved over the last year. Documenting the redesign and improvement of day services in the drive toward more socially inclusive services through improved access to mainstream opportunities.
	Title: Positive Practice - Community Support Beds Published: March 2006 Summary: Documenting a positive practice example from Hartlepool where staff provide 24 hr nursing and the crisis resolution and access team provide in-reach and outreach support. The service is designed to offer an alternative to hospital admission by providing short term accomodation to clients.
	Title: National Survey of Crisis Resolution Teams in England Published: October 2006 Summary: Linking policy practice and delivery in crisis resolution and home treatment.
	Title: Crisis resolution statement Published: April 2006 Summary: Crisis Resolution Home Treatment - Guidance statement on fidelity and good practice - NIMHE National Reference Group.
	Title: ICP for O.T. - Crisis intervention Published: 2006 Summary: An ICP for O.T.in a home treatment /crisis intervention team home option service. Manchester Mental Health & Social Care Trust - Lindsay Rigby.
	Title: CRHT Published: 2006 Summary: Discussion paper on findings of the audit of Crisis Resolution and home treatment.
	Title: CRT Executive summary Published: September 2006 Summary: National survey of crisis resolution teams in England. This survey aimed to provide a rich team-level description of the current state of implementation of crisis resolution or home treatment teams in England, including perceived obstacles to implementation and potential ways forward.
	Title: Positive practice awards application Published: 2006 Summary: Document on The South Tyneside Urgent Care Team - Northumberland, Tyne and Wear NHS Trust.
	Title: O.T. Referral pathway Published: March 2006 Summary: O.T. Pathway - Home options.
	Title: Alternatives to hospitalisation Published: 2006 Summary: Basic patient data form for admitting officers detailing patients onto acute psychiatric wards.
	Title: CRHT Capacity and Trajectories Publshed: July 2005 Summary: Framework for relating crisis resolution/ home treatment team capacity to caseloads which aims to demonstrate the relationship between the capacity of a crisis resolution/ home treatment team and the number of clients that can be served by a team within national guidelines.
	Title: CRHT analysis tool Summary: Crisis Resoltion/ Home Treatment Team counting tool. Spreadsheet requiring data on referral, assessment and admissions to show the numbers and sources of referrals and the clients who were provided home treatment or were admitted to hospital. Title: Crisis Resolution Home Treatment Counting Tool Published: January 2005 Summary: Osprey Crisis Team 2 - Spreadsheet requiring data on referral, assessment and admissions to show the numbers and sources of referrals and the clients who were provided home treatment or were admitted to hospital.
	Title: Risk Assessment Matrix SW London Published: February 2004 Summary: SW London & St George’s Mental Health NHS Trust and St George’s Healthcare NHS Trust Accident & Emergency Department - Mental Health Assessment Form.
	Title: Management of MH in emergency care settings Published: September 2004 Summary: This checklist offers practical support and guidance, as well as diagnostic tools, to help you improve the care of patients with mental ill health who access emergency care services. It outlines areas for action and includes examples of the ways in which some services are addressing a number of these challenges.
	Title: Protocol A&E CRHT Published: 2004 Summary: Emergency Department - Mental Health Assessment Matrix. Including factors to be considered when undertaking an initial assessment, Assessment categories, Overall risk, Action plan and outcomes.
	Title: Crisis Resolution Home Treatment Guidance Published: November 2004 Summary: Expanded guidance aimed at informing and supporting the implementation of Crisis resolution/Home treatment in line with the National Plan.
	Title: Crisis, What Crisis? Published: 2004 Summary: The experiences of being in a crisis in Bristol. The Bristol Mind User Focused Monitoring project interviewed 65 people who had experienced a mental health crisis at some time over the past two years.
	Title: Ever ready establishing CRHT Teams Published: February 2004 Summary: An article by Emma Forrest on the rush to establish crisis resolution teams.
	Title: Transforming AO and CRHT Published: 2004 Summary: A guide to the development of assertive outreach and crisis resolution services based on the experiences of new and existing teams across England.
	Title: Joint crisis ACF meeting Summary: Presentation statement on fidelity and good practice of crisis resolution and home treatment.
	Title: Branding CRHT Summary: Lincoln & Boston CRHT have developed a traffic light coding system to ensure inpatient service users receive focused and needs orientated input. This toolkit helps indentify the CRHT capacity to offer home based treatment input for in-patient service user and identifies barriers to potential service provision.
	Title: NICE conference Summary: "Enabling carers to cope with a home option" - Family interventions in a mental health crisis resolution/ home treatment - Lindsay Rigby and Louise Boden.
	Title: Blank CMHT family benchmark Summary: Document on family engagement benchmark in association with CMHT services.
	Title: Crisis resolution standards Summary: Crisis resolution standards form.
	Title: CRT guidance Summary: Guidance statement on fidelity and good practice for crisis resolution teams.
	Title: MH A&E Triage Scale Summary: Mental Health Triage Scale for use with the Mental Health Assessment Matrix. Developed by Simon Baston, the NICE self-harm guideline development. Word document. Title: MH Ass Doc Derby Hospitals Summary: Mental Health Triage Scale for use with the NICE guideline on self-harm. Developed by Simon Baston and the NICE self-harm guideline development group. PDF version of the above file.
	Title: Presentation on Guidance statement Summary: Guidance statement on fidelity and best practice for crisis resolution teams.
	Title: Positive Practice - Article Easington Crisis Resolution Team Summary: Aims were to develop an equitable district wide service accessible 24 hrs, 365 days a year, to ensure there was a genuine alternative to inpatient admission and to develop a more person centred service for users and carers.
	Title: CRHT crisis house Warwickshire Summary: South Warwickshire PCT. Powerpoint document detailing intentions of high impact changes and case study demonstrating the impact of a crisis resolution and home treatment team.
	Title: The Use of Section 136 Suites Summary: Powerpoint document detailing the use of section 136 suites in Northamptonshire, by Tracy Palmer and Marilyn Mukuna.
	Title: Triage in mental health Summary: Triage in mental health – a new model for acute in-patient psychiatry. Documenting a new model of psychiatric care (triage) which has been used for 6 months across an adult psychiatric service covering a London borough.

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