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An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role?

BACKGROUND: The establishment of crisis resolution teams (CRTs) is part of the national mental health policy in several Western countries. The purpose of the present study is to describe characteristics of CRTs and their patients, explore the differences between CRTs, and examine whether the CRTs in...

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Autores principales: Hasselberg, Nina, Gråwe, Rolf W, Johnson, Sonia, Ruud, Torleif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116476/
https://www.ncbi.nlm.nih.gov/pubmed/21569226
http://dx.doi.org/10.1186/1472-6963-11-96
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author Hasselberg, Nina
Gråwe, Rolf W
Johnson, Sonia
Ruud, Torleif
author_facet Hasselberg, Nina
Gråwe, Rolf W
Johnson, Sonia
Ruud, Torleif
author_sort Hasselberg, Nina
collection PubMed
description BACKGROUND: The establishment of crisis resolution teams (CRTs) is part of the national mental health policy in several Western countries. The purpose of the present study is to describe characteristics of CRTs and their patients, explore the differences between CRTs, and examine whether the CRTs in Norway are organized according to the international CRT model. METHODS: The study was a naturalistic study of eight CRTs and 680 patients referred to these teams in Norway. Mental health problems were assessed using the Health of the Nation Outcome Scales (HoNOS), Global Assessment of Functioning Scales (GAF) and the International Statistical Classification of Diseases and Related Health Problems, 10(th )Revision (ICD-10). RESULTS: None of the CRTs operated 24 hours a day, seven days a week (24/7 availability) or had gate-keeping functions for acute wards. The CRTs also treated patients who were not considered for hospital admission. Forty per cent of patients waited more than 24 hours for treatment. Fourteen per cent had psychotic symptoms, and 69% had affective symptoms. There were significant variations between teams in patients' total severity of symptoms and social problems, but no variations between teams with respect to patients' aggressive behaviour, non-accidental self-injury, substance abuse or psychotic symptoms. There was a tendency for teams operating extended hours to treat patients with more severe mental illnesses. CONCLUSIONS: The CRT model has been implemented in Norway without a rapid response, gate-keeping function and 24/7 availability. These findings indicate that the CRTs do not completely fulfil their intended role in the mental health system.
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spelling pubmed-31164762011-06-17 An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role? Hasselberg, Nina Gråwe, Rolf W Johnson, Sonia Ruud, Torleif BMC Health Serv Res Research Article BACKGROUND: The establishment of crisis resolution teams (CRTs) is part of the national mental health policy in several Western countries. The purpose of the present study is to describe characteristics of CRTs and their patients, explore the differences between CRTs, and examine whether the CRTs in Norway are organized according to the international CRT model. METHODS: The study was a naturalistic study of eight CRTs and 680 patients referred to these teams in Norway. Mental health problems were assessed using the Health of the Nation Outcome Scales (HoNOS), Global Assessment of Functioning Scales (GAF) and the International Statistical Classification of Diseases and Related Health Problems, 10(th )Revision (ICD-10). RESULTS: None of the CRTs operated 24 hours a day, seven days a week (24/7 availability) or had gate-keeping functions for acute wards. The CRTs also treated patients who were not considered for hospital admission. Forty per cent of patients waited more than 24 hours for treatment. Fourteen per cent had psychotic symptoms, and 69% had affective symptoms. There were significant variations between teams in patients' total severity of symptoms and social problems, but no variations between teams with respect to patients' aggressive behaviour, non-accidental self-injury, substance abuse or psychotic symptoms. There was a tendency for teams operating extended hours to treat patients with more severe mental illnesses. CONCLUSIONS: The CRT model has been implemented in Norway without a rapid response, gate-keeping function and 24/7 availability. These findings indicate that the CRTs do not completely fulfil their intended role in the mental health system. BioMed Central 2011-05-10 /pmc/articles/PMC3116476/ /pubmed/21569226 http://dx.doi.org/10.1186/1472-6963-11-96 Text en Copyright ©2011 Hasselberg et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hasselberg, Nina
Gråwe, Rolf W
Johnson, Sonia
Ruud, Torleif
An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role?
title An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role?
title_full An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role?
title_fullStr An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role?
title_full_unstemmed An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role?
title_short An implementation study of the crisis resolution team model in Norway: Are the crisis resolution teams fulfilling their role?
title_sort implementation study of the crisis resolution team model in norway: are the crisis resolution teams fulfilling their role?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116476/
https://www.ncbi.nlm.nih.gov/pubmed/21569226
http://dx.doi.org/10.1186/1472-6963-11-96
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