Glover Gyles, Arts Gerda, Babu Kannan Suresh
North East Public Health Observatory, Wolfson Research Institute, University Boulevard, Stockton-on-Tees TS17 6BH, UK.
Br J Psychiatry. 2006 Nov;189:441-5. doi: 10.1192/bjp.bp.105.020362.
Introduction of crisis resolution/home treatment teams has been associated with a reduction in hospital admissions in trials. Between 2001 and 2004 there was a rapid expansion in the numbers of these teams in England.
To examine whether national implementation of these teams was associated with comparable reductions in admissions.
Observational study using routine data covering working age adult patients in 229 of the 303 local health areas in England from 1998/9 to 2003/4.
Admissions fell generally throughout the period, particularly for younger working age adults. Introduction of crisis resolution teams was associated with greater reductions for older working age women (35-64 years); teams always on call were associated with additional reductions for older men and younger women. By the end of the study admissions had fallen by 10% more in the 34 areas with crisis resolution teams in place since 2001, and by 23% more in the 12 of these on call around the clock than in the 130 areas without such teams by 2003/4. Reductions in bed use were smaller. Introduction of assertive outreach teams was not associated with overall reductions in admissions.
Introduction of crisis resolution teams has been associated with reductions in admissions.
在试验中，危机解决/家庭治疗团队的引入与住院人数的减少相关。2001年至2004年间，英格兰这类团队的数量迅速增加。
研究这些团队在全国范围内的实施是否与住院人数的相应减少相关。
采用观察性研究，使用1998/9至2003/4期间英格兰303个地方卫生区域中229个区域覆盖工作年龄成年患者的常规数据。
在此期间，住院人数总体呈下降趋势，尤其是年轻的工作年龄成年人。危机解决团队的引入与老年工作年龄女性（35至64岁）住院人数的更大降幅相关；随时待命的团队与老年男性和年轻女性住院人数的进一步减少相关。到研究结束时，自2001年起设有危机解决团队的34个区域的住院人数比2003/4年没有此类团队的130个区域多下降了10%，其中随时待命的12个区域比没有此类团队的区域多下降了23%。床位使用的减少幅度较小。积极外展团队的引入与住院人数的总体减少无关。
危机解决团队的引入与住院人数的减少相关。
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