Adesanya Adesina
Armadale Health Service, Armadale, WA, Australia.
Australas Psychiatry. 2005 Jun;13(2):135-9. doi: 10.1080/j.1440-1665.2005.02176.x.
To assess the impact of a regional/rural crisis assessment and treatment service (CAT) on admissions into an acute adult inpatient psychiatric facility.
Relevant data for admissions into an acute adult inpatient psychiatric facility in the 18 month periods before and after the establishment of a CAT were compared. Data extracted from available clinical records were transferred into an appropriately structured pro forma for statistical analysis.
There were 69 and 53 index inpatient unit admissions in the two time periods. The majority of these were for single, unemployed men aged in their 30s. Although statistically non-significant, the results appear to suggest that there were proportionately fewer readmissions and that admissions were likely to be influenced by illness severity and diagnostic considerations in the period following the establishment of the CAT. The establishment of CAT did not appear to have had much impact on the duration of psychiatric hospitalization.
Crisis assessment and treatment services operating within a regional/rural integrated mental health setting appear to have only limited impact on hospitalization for psychiatric crisis presentations. There is a need for further studies looking at a broader range of outcome variables in the assessment of the impact of CAT on psychiatric hospitalization in such settings.
评估地区/农村危机评估与治疗服务（CAT）对成人急性住院精神科设施入院情况的影响。
比较了CAT设立前后18个月期间成人急性住院精神科设施的相关入院数据。从现有临床记录中提取的数据被录入到结构合理的表格中进行统计分析。
两个时间段的索引住院单元入院人数分别为69人和53人。其中大多数是30多岁的单身失业男性。尽管在统计学上无显著差异，但结果似乎表明再入院人数比例有所下降，并且在CAT设立后的时期，入院情况可能受到疾病严重程度和诊断因素的影响。CAT的设立似乎对精神科住院时间没有太大影响。
在地区/农村综合心理健康环境中运作的危机评估与治疗服务对精神科危机表现的住院治疗影响似乎有限。需要进一步研究，在评估CAT对这类环境中精神科住院治疗的影响时，考察更广泛的结果变量。
