R Jacobs1, E Barrenho. 1. Centre for Health Economics, University of York, Heslington, York, UK. rowena.jacobs@york.ac.uk
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.
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.
Authors: Marius Knorr; Andreas B Hofmann; Dimitrina Miteva; Vanessa Noboa; Katrin Rauen; Fritz Frauenfelder; Erich Seifritz; Boris B Quednow; Stefan Vetter; Stephan T Egger Journal: Front Psychiatry Date: 2022-04-27 Impact factor: 5.435
Authors: Nils Gutacker; Anne R Mason; Tony Kendrick; Maria Goddard; Hugh Gravelle; Simon Gilbody; Lauren Aylott; June Wainwright; Rowena Jacobs Journal: BMJ Open Date: 2015-04-20 Impact factor: 2.692
Authors: Rashmi Patel; Nishamali Jayatilleke; Matthew Broadbent; Chin-Kuo Chang; Nadia Foskett; Genevieve Gorrell; Richard D Hayes; Richard Jackson; Caroline Johnston; Hitesh Shetty; Angus Roberts; Philip McGuire; Robert Stewart Journal: BMJ Open Date: 2015-09-07 Impact factor: 2.692