Sammut Francesca, Calleja Doreen, Abela Manwel, Grech Giovanni
Mental Health Services, Mount Carmel Hospital, Attard, Malta.
Mater Dei Hospital, Msida, Malta.
Int J Ment Health Nurs. 2025 Feb;34(1):e13428. doi: 10.1111/inm.13428. Epub 2024 Sep 20.
Crisis Resolution Home Treatment (CRHT) teams have become a widespread alternative to psychiatric hospitalisation. Despite their popularisation, Malta has only recently introduced a CRHT team. The aims of the current study were to investigate (i) patient characteristics, (ii) factors influencing patients' length of follow-up (LoFU) and (iii) predictors of clinical outcomes. Descriptive and quantitative non-identifiable data were collected and analysed for patients utilising the CRHT service within its first 2 years of operation (n = 643). One-way ANOVA tests investigated influencing factors for LoFU, whereas binary logistic regressions deduced predictive factors for clinical outcomes. Patients without acute psychiatric disorders had the shortest LoFU, indicating that the team received inappropriate referrals. Patients were most likely to have extended LoFU if they were diagnosed with OCD & related disorders and were most likely to be diagnosed with an underlying personality disorder if they were diagnosed with anxiety & phobic disorders. Continuity of care facilitates discharge planning. Patients receiving the CRHT service in Malta are most comparable with health systems that prefer to hospitalise patients with a higher risk profile. The high occurrence of personality disorders necessitates staff to have interdisciplinary knowledge and an appropriate skill mix.
危机解决家庭治疗（CRHT）团队已成为精神病住院治疗的一种广泛替代方案。尽管其已得到普及，但马耳他直到最近才引入CRHT团队。本研究的目的是调查：（i）患者特征；（ii）影响患者随访时长（LoFU）的因素；（iii）临床结果的预测因素。收集并分析了CRHT服务运营头两年内使用该服务的患者的描述性和定量匿名数据（n = 643）。单向方差分析测试调查了影响LoFU的因素，而二元逻辑回归推导了临床结果的预测因素。无急性精神障碍的患者随访时长最短，这表明该团队收到了不恰当的转诊。如果患者被诊断为强迫症及相关障碍，则最有可能有延长的随访时长；如果患者被诊断为焦虑症和恐惧症，则最有可能被诊断为潜在人格障碍。连续护理有助于出院计划。在马耳他接受CRHT服务的患者与倾向于收治风险较高患者住院的医疗系统最为相似。人格障碍的高发生率要求工作人员具备跨学科知识和适当的技能组合。
