Faculty of Health Sciences, Buskerud University College, Box 7053, 3007, Drammen, Norway.
Int J Ment Health Syst. 2012 Sep 19;6(1):18. doi: 10.1186/1752-4458-6-18.
Crisis resolution and home treatment (CRHT) is an emerging mode of delivering acute mental health care in the community. There is a paucity of knowledge regarding the workings of CRHT in the literature. This is the first paper in a series of three from the longitudinal survey of patients of a CRHT team in Norway, which was aimed at describing the characteristics of patients served, professional services provided, and clinical outcomes. This report focuses on describing the characteristics of the patients at admission.
The study was a descriptive, quantitative study based on the patient data from a longitudinal survey of one CRHT team in Norway. The participants of the survey, a total of 363 patients, were the complete registration of patients of this team in the period from February 2008 to July 2009.
Although diverse in their characteristics, the patients were over represented by females, young to middle aged, and people on public support. The patients were mostly referred to the team by self/family members and primary care physicians. At admission, depression was the most prevalent symptom, the overall intensity level of mental health problems was low, and most of the patients had long-standing mental health problems.
Self/family referral seems to be a critical route to receive services by CRTH teams as shown in our study, suggesting a need to examine policies that disallow this form of referral in some communities. The findings from our study show that the patients of the CRHT team, while mostly having long-standing mental health problems and had been receiving healthcare for them, did not have severe mental health problems at admission, although could have been in crises. There is a need for further studies to examine how people with severe mental health problems obtain services in time of crises, and to address the need to gain a greater understanding of the role of CRHT.
危机解决和家庭治疗（CRHT）是社区提供急性心理健康护理的一种新兴模式。文献中关于 CRHT 运作方式的知识很少。这是挪威 CRHT 团队纵向调查的三篇论文中的第一篇，旨在描述所服务患者的特征、提供的专业服务和临床结果。本报告重点介绍入院患者的特征。
该研究是一项基于挪威一个 CRHT 团队的纵向调查的患者数据的描述性、定量研究。该调查的参与者共有 363 名患者，是该团队在 2008 年 2 月至 2009 年 7 月期间的全部登记患者。
尽管患者的特征各不相同，但女性、年轻到中年和接受公共支持的人占多数。患者主要由自己/家人和初级保健医生转介到团队。入院时，抑郁是最常见的症状，心理健康问题的整体严重程度较低，大多数患者都有长期的心理健康问题。
自我/家庭转介似乎是 CRTH 团队提供服务的重要途径，这表明需要审查某些社区不允许这种转介形式的政策。我们的研究结果表明，CRHT 团队的患者虽然大多患有长期的心理健康问题并一直在接受治疗，但在入院时没有严重的心理健康问题，尽管可能处于危机之中。需要进一步研究如何及时为有严重心理健康问题的人提供服务，并解决需要更深入了解 CRHT 作用的问题。
