Psychiatric admissions from crisis resolution teams in Norway: a prospective multicentre study

BMC Psychiatry

Torleif Ruud³  Jūratė Šaltytė-Benth²  Sonia Johnson¹  Rolf W Gråwe⁴  Nina Hasselberg³ 

[1] Department of Mental Health Sciences, University College London, London, UK;HØKH, Research Centre, Akershus University Hospital, Lørenskog, Norway;Institute of Clinical Medicine, University of Oslo, Oslo, Norway;Norwegian Centre for Addiction Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

关键词: Admission;    Mental health services;    Crisis resolution teams;    Acute psychiatric services;   

Others  :  1124077
DOI  :  10.1186/1471-244X-13-117

 received in 2012-12-23, accepted in 2013-04-08,  发布年份 2013

【 摘 要 】

Background

Crisis resolution teams (CRTs) provide intensive alternative care to hospital admission for patients with mental health crises. The aims of this study were to describe the proportions and characteristics of patients admitted to in-patient wards from CRTs, to identify any differences in admission practices between CRTs, and to identify predictors of admissions from CRTs.

Methods

A naturalistic prospective multicentre design was used to study 680 consecutive patients under the care of eight CRTs in Norway over a 3-month period in 2005/2006. Socio-demographic and clinical data were collected on the patients, and on the organization and operation of the CRTs. Logistic regression analysis for hierarchical data was used to test potential predictors of admission at team and patient level.

Results

One hundred and forty-six patients (21.5%) were admitted to in-patient wards. There were significant differences in admission rates between the CRTs. The likelihood of being admitted to an in-patient ward was significantly lower for patients treated by CRTs that operated during extended opening hours than CRTs that operated during office hours only. Those most likely to be admitted were patients with psychotic symptoms, suicidal risk, and a prior history of admissions.

Conclusions

Extended opening hours may help CRTs to prevent more admissions for patients with moderately severe and relapsing mental illnesses. Patients with severe psychosis seem to be difficult to treat in the community by Norwegian CRTs even with extended opening hours.

【 授权许可】

   
2013 Hasselberg et al.; licensee BioMed Central Ltd.

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