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Impact of crisis resolution and home treatment teams on psychiatric admissions in England

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Publication details

JournalBritish Journal of Psychiatry
DatePublished - Jul 2011
Issue number1
Volume199
Number of pages6
Pages (from-to)71-76
Original languageEnglish

Abstract

Background
In 2000/01 crisis resolution and home treatment (CRHT)
teams were introduced in England and have been associated
in previous studies with reductions in in-patient admissions.
Aims
To examine whether the implementation of CRHT teams has
been associated with reductions in admissions.
Method
We used data from a previous national study for 229 primary
care trusts (PCTs) between 1998/99 and 2003/04. We used a
robust policy evaluation methodology to simultaneously
examine temporal changes (PCTs before versus after the
introduction of CRHT teams) and cross-sectional changes
(PCTs with and without CRHT teams).
Results
Controlling for various confounding factors, using different
control groups and estimation methods, we find no
significant differences in admissions between PCTs with and
without CRHT teams.
Conclusions
Contrary to previous studies, we find no evidence that the
CRHT policy per se has made any difference to admissions
and suggest a need for more research on the policy as a
whole.

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