Laia Martin-Iñigo1, Sonia Ortiz1, David Urbano2, Silvia Teba Pérez1, Salvatore Fabrizio Contaldo1, Joan Alvarós3, Luisa Baladon3, Elizabeth Parody-Rúa3, Maria Rubio-Valera4,5. 1. Parc Sanitari Sant Joan de Déu (Esplugues MHC), Esplugues de Llobregat, Spain. 2. Parc Sanitari Sant Joan de Déu (Cerdanyola MHC), Ripollet, Cerdanyola del Vallès, Spain. 3. Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. 4. Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. maria.rubio@sjd.es. 5. Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. maria.rubio@sjd.es.
Abstract
AIM: Crisis Resolution Teams (CRT) have shown positive clinical and service-use results in various countries but evidence in the south of Europe is scarce. The aim is to assess the impact of the Crisis Intervention Team (CIT) in Spain with respect to the course of symptomatology and mental health services use in patients served. METHODS: Prospective observational cohort study. Assessment of the psychopathological severity (HoNOS scale) of the clinical course (CGI scale) and use of medical services. RESULTS: A positive clinical course was observed following the intervention. The mean difference in HoNOS (Health of the Nation Outcome Scales) scores between baseline and discharge was 7 points (p < 0.05). On discharge, more than 60% of patients had improved their symptomatology according to the CGI scale (Clinical Global Impression) and most were discharged due to improvement or goal achievement. A tendency to reduction in the number of admissions to acute units and day hospital was observed, along with fewer emergency room visits. In contrast, an increase in the number of admissions to subacute units was seen. During the intervention, the median number of visits to the center was 15 and the median duration of care provision by the CIT was 39 days. CONCLUSIONS: The CIT intervention promotes patients' clinical improvement and has a positive impact in terms of reducing acute hospitalizations and emergency room visits.
AIM: Crisis Resolution Teams (CRT) have shown positive clinical and service-use results in various countries but evidence in the south of Europe is scarce. The aim is to assess the impact of the Crisis Intervention Team (CIT) in Spain with respect to the course of symptomatology and mental health services use in patients served. METHODS: Prospective observational cohort study. Assessment of the psychopathological severity (HoNOS scale) of the clinical course (CGI scale) and use of medical services. RESULTS: A positive clinical course was observed following the intervention. The mean difference in HoNOS (Health of the Nation Outcome Scales) scores between baseline and discharge was 7 points (p < 0.05). On discharge, more than 60% of patients had improved their symptomatology according to the CGI scale (Clinical Global Impression) and most were discharged due to improvement or goal achievement. A tendency to reduction in the number of admissions to acute units and day hospital was observed, along with fewer emergency room visits. In contrast, an increase in the number of admissions to subacute units was seen. During the intervention, the median number of visits to the center was 15 and the median duration of care provision by the CIT was 39 days. CONCLUSIONS: The CIT intervention promotes patients' clinical improvement and has a positive impact in terms of reducing acute hospitalizations and emergency room visits.
Authors: Sonia Johnson; Fiona Nolan; John Hoult; Ian R White; Paul Bebbington; Andrew Sandor; Nigel McKenzie; Sejal N Patel; Stephen Pilling Journal: Br J Psychiatry Date: 2005-07 Impact factor: 9.319
Authors: Sonia Johnson; Fiona Nolan; Stephen Pilling; Andrew Sandor; John Hoult; Nigel McKenzie; Ian R White; Marie Thompson; Paul Bebbington Journal: BMJ Date: 2005-08-15
Authors: Brynmor Lloyd-Evans; Kate Fullarton; Danielle Lamb; Elaine Johnston; Steve Onyett; David Osborn; Gareth Ambler; Louise Marston; Rachael Hunter; Oliver Mason; Claire Henderson; Nicky Goater; Sarah A Sullivan; Kathleen Kelly; Richard Gray; Fiona Nolan; Stephen Pilling; Gary Bond; Sonia Johnson Journal: Trials Date: 2016-03-22 Impact factor: 2.279