Crisis resolution and home treatment teams respond rapidly to people experiencing mental health crises and offer an alternative to hospital admission. They are an increasingly important component of mental health care and are adopted by many health care systems around the world. This practical and pioneering book describes the evidence for the effectiveness of such teams, the principles underpinning them, how to set up and organise them, how patients should be assessed and what types of care the teams should offer. Other topics covered include integration of crisis teams with in-patient, community residential and day care services, the service users' experiences of crisis teams, and responding to diversity in home treatment. This book is essential reading for all policy makers, service managers and mental health workers interested in establishing or operating crisis resolution and home treatment services, as well as for researchers and students seeking to understand this model.
Sonia Johnson is Reader in Social and Community Psychiatry at the Department of Mental Health Sciences, University College London. Justin Needle is Research Fellow at the Centre for Allied Health Professions Research, City University, London. Jonathan P. Bindman is Clinical Director of Lambeth Hospital, South London and Maudsley NHS Foundation Trust, London. Graham Thornicroft is Professor of Community Psychiatry and Head of the Health Service and Population Research Department, Institute of Psychiatry, King's College London.
Part I. Introduction and Concepts: 1. Introduction Sonia Johnson and Justin Needle; 2. The development of crisis resolution and home treatment teams Sonia Johnson and Graham Thornicroft; 3. The crisis resolution team model - recent developments and dissemination Gyles Glover and Sonia Johnson; Part II. The Evidence: 4. The classic home treatment studies Sonia Johnson and Graham Thornicroft; 5. Recent research on crisis resolution teams - findings and limitations Sonia Johnson and Jonathan P. Bindman; Part III. Current Practice: 6. Crisis resolution teams - rationale and core model Sonia Johnson and Justin Needle; 7. The crisis resolution team within the community service system Jonathan P. Bindman; 8. Assessment of crises John Hoult and Mary-Anne Cotton; 9. Assessment and management of risk Neil Brimblecombe; 10. Symptom management John Hoult and Fiona Nolan; 11. Practical psychosocial interventions Jonathan P. Bindman and Martin Flowers; 12. Working with families and social networks Christopher Bridgett and Harm Gijsman; 13. Strategies for promoting engagement and treatment adherence Mary Jane Tacchi and Jan Scott; 14. Mixed blessings - service user experience of crisis teams Alison Faulkner and Helen Blackwell; 15. Early discharge and joint working between crisis teams and hospital services Fiona Nolan and Sylvia Tang; 16. Working with repeat CRT service users Martin Flowers and Jonathan P. Bindman; 17. Responding to diversity in home treatment Danny Antebi, Waquas Waheed, Sonia Johnson and Lisa Marrett; 18. Coercion and compulsion in crisis resolution teams Jonathan P. Bindman; Part IV. Variations and Enhancements: 19. Integration of the crisis resolution function within community mental health teams Alan Rosen, Paul Clenaghan, Feleena Emerton and Simon Richards; 20. Home treatment and 'hospitality' within a comprehensive community mental health centre Roberto Mezzina and Sonia Johnson; 21. Crisis resolution teams and older people Ciaran Regan and Claudia Cooper; 22. Integrating day treatment and crisis resolution teams Mary Jane Tacchi; 23. Integrating crisis residential and crisis resolution teams Brynmor Lloyd-Evans, Sonia Johnson and Helen Gilburt; Part V. Developing a Local Service: 24. Planning and implementing a local service Martin Flowers and John Hoult; 25. Recruiting, training and retaining an effective crisis team Steve Ramsey and Warren Shaw; 26. Operational management of crisis resolution teams Stephen Niemiec.