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The effectiveness of crisis resolution/home treatment teams for older people with mental health problems
 — a systematic review and scoping exercise
Author(s)Sandeep Toot, Mike Devine, Martin Orrell
Journal titleInternational Journal of Geriatric Psychiatry, vol 26, no 12, December 2011
Pagespp 1221-1230
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsMental health [elderly] ; Mental disorder ; Therapeutics ; Crisis intervention ; Home care services ; Interaction [welfare services] ; Coordination ; Evaluation.
AnnotationThis systematic review assessed the effectiveness of crisis resolution/home treatment teams (CRHTTs) for older people with mental health problems. A scoping exercise was also carried out to assess the typologies of older people's CRHTTs in practice, and to review these in the context of policy and research findings. CRHTTs were effective in reducing numbers of admissions to hospitals, but outcomes such as length of hospital stay and maintenance of community residence was inconclusive. The scoping exercise defined three types of home treatment service model: generic home treatment teams; specialist older adults' home treatment teams; and intermediate care services. These home treatment teams seemed to be effectively managing crises and reducing admissions. The review highlighted a lack of evidence for the effectiveness of crisis resolution/home treatment teams in supporting older people with mental health problems to remain at home. The authors suggest the need for a randomised controlled trial to establish the efficacy of crisis resolution/home treatment services for older people with mental health problems, as well as an assessment of the home treatment service models available in the UK. (JL).
Accession NumberCPA-120911006 A
ClassmarkD: E: LL: IH: NH: QK6: QAJ: 4C

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