Centre for Primary Care, Institute for Population Health, University of Manchester , Manchester , UK.
J Ment Health. 2014 Jun;23(3):130-4. doi: 10.3109/09638237.2014.889284. Epub 2014 Mar 24.
In 2000, the Department of Health for England recommended the creation of crisis resolution and home treatment teams (CRHTs) in order to reduce the number and length of psychiatric hospital admissions. Central to this was the role of gate-keeping all potential admissions.
To examine the interface between crisis resolution and home treatment and other mental health services.
Semi-structured interviews with mental health professionals (n = 25) at eight sites within one Strategic Health Authority region.
Despite wide variation in approach and provision, all teams were confronting common issues related to tensions at both ends of the service user trajectory - on initial assessment and on discharge.
The CRHT model is likely to be most effective when there is low staff turnover, flexibility in inter-team working arrangements and senior practitioners have both acute and community experience. Rather than being seen primarily as gatekeeper to the acute service, it would be better to take a system approach and view the CRHT as a resource for clients awaiting discharge or seeking to avoid hospital admission that is equally available to both acute and community services.
2000 年，英国卫生部建议设立危机解决和家庭治疗小组（CRHT），以减少精神科住院人数和住院时间。这一建议的核心是对所有潜在入院患者进行把关。
考察危机解决和家庭治疗与其他精神卫生服务之间的接口。
在一个战略卫生局区域的 8 个地点，对精神卫生专业人员（n=25）进行半结构化访谈。
尽管方法和提供的服务存在广泛差异，但所有团队都面临着与服务使用者轨迹两端相关的共同问题——在初始评估和出院时。
当员工流动率低、团队间工作安排灵活、高级从业人员同时具有急性和社区经验时，CRHT 模式可能最有效。与其主要被视为急性服务的把关者，不如采取系统方法，将 CRHT 视为等待出院或寻求避免住院的患者的资源，而急性和社区服务都同样可以使用该资源。
