Yang Jialin, Glover Naomi, Wood Lisa
Division of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK.
Soc Psychiatry Psychiatr Epidemiol. 2025 Feb 17. doi: 10.1007/s00127-025-02830-6.
Crisis home treatment teams (CHTTs) provide rapid at-home assessments and crisis support to individuals experiencing mental health crises. Exploring patient feedback on CHTTs can provide policymakers and service planners useful insight regarding service enhancements and improvements in care quality. The current systematic review aims to explore patient experiences on CHTTs, to inform policy decision-making and care quality.
The current review synthesised ten eligible qualitative studies (from Medline, PsycINFO, Embase and CINAHL) on patient experiences of CHTTs using thematic synthesis. Adult patients with a past or current experience of CHTTs, as well as a mental health diagnosis were included in the review.
The current review revealed that patients valued the rapid accessibility of services and positive characteristics of staff that contributed to cultivating strong therapeutic relationships. Patients also appreciated having equal power in treatment decision-making. However, concerns were raised regarding staff timekeeping, receiving generic treatment not well-tailored to patient's unique circumstances, and inconsistencies in continuity of service delivery and smooth transition to other services.
Patient feedback on service improvements are useful for service planners and policymakers to improve CHTT services. Based on the results of this study, the importance of staff timeliness, having a smooth transition during the end of care, and tailored staff training for various demographics can improve CHTT service quality and delivery. Further qualitative research is needed to gain a comprehensive understanding of patient needs and experiences in various regions and demographics.
危机家庭治疗团队（CHTTs）为经历心理健康危机的个人提供快速的居家评估和危机支持。探索患者对危机家庭治疗团队的反馈可为政策制定者和服务规划者提供有关服务改进和护理质量提升的有用见解。当前的系统评价旨在探索患者在危机家庭治疗团队方面的经历，以为政策决策和护理质量提供参考。
当前的评价使用主题综合法，综合了十项关于危机家庭治疗团队患者经历的符合条件的定性研究（来自医学期刊数据库、心理学文摘数据库、荷兰医学文摘数据库和护理学与健康领域数据库）。纳入评价的是有过或目前正在接受危机家庭治疗团队治疗且有心理健康诊断的成年患者。
当前的评价显示，患者重视服务的快速可及性以及工作人员有助于建立牢固治疗关系的积极特质。患者也赞赏在治疗决策中拥有平等的权力。然而，也有人担心工作人员的守时情况、接受的并非根据患者独特情况量身定制的一般化治疗，以及服务提供连续性方面的不一致和向其他服务的顺利过渡问题。
患者对服务改进的反馈对服务规划者和政策制定者改进危机家庭治疗团队服务很有用。基于本研究结果，工作人员的及时性、护理结束时的顺利过渡以及针对不同人群的量身定制的工作人员培训的重要性，可提高危机家庭治疗团队的服务质量和服务提供水平。需要进一步开展定性研究，以全面了解不同地区和人群的患者需求及经历。
