Lloyd-Evans Brynmor, Lamb Danielle, Barnby Joseph, Eskinazi Michelle, Turner Amelia, Johnson Sonia
University College London.
BJPsych Bull. 2018 Aug;42(4):146-151. doi: 10.1192/bjb.2018.19. Epub 2018 May 24.
Aims and methodA national survey investigated the implementation of mental health crisis resolution teams (CRTs) in England. CRTs were mapped and team managers completed an online survey.
Ninety-five per cent of mapped CRTs (n = 233) completed the survey. Few CRTs adhered fully to national policy guidelines. CRT implementation and local acute care system contexts varied substantially. Access to CRTs for working-age adults appears to have improved, compared with a similar survey in 2012, despite no evidence of higher staffing levels. Specialist CRTs for children and for older adults with dementia have been implemented in some areas but are uncommon.Clinical implicationsA national mandate and policy guidelines have been insufficient to implement CRTs fully as planned. Programmes to support adherence to the CRT model and CRT service improvement are required. Clearer policy guidance is needed on requirements for crisis care for young people and older adults.Declaration of interestNone.
目的与方法
一项全国性调查研究了英格兰心理健康危机解决团队（CRT）的实施情况。绘制了CRT的分布图，团队经理完成了一项在线调查。
95%已绘制分布图的CRT（n = 233）完成了调查。很少有CRT完全遵守国家政策指南。CRT的实施情况和当地急性护理系统背景差异很大。与2012年的类似调查相比，尽管没有证据表明人员配备水平提高，但工作年龄成年人获得CRT服务的机会似乎有所改善。一些地区已实施了针对儿童和患有痴呆症的老年人的专科CRT，但并不常见。
临床意义
国家指令和政策指南不足以按计划全面实施CRT。需要开展支持遵守CRT模式和改善CRT服务的项目。需要就年轻人和老年人危机护理的要求提供更明确的政策指导。
利益声明
无。
