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Multicenter Study
. 2005 Jul:187:68-75.
doi: 10.1192/bjp.187.1.68.

Outcomes of crises before and after introduction of a crisis resolution team

Sonia Johnson  1 , Fiona Nolan, John Hoult, Ian R White, Paul Bebbington, Andrew Sandor, Nigel McKenzie, Sejal N Patel, Stephen Pilling
Affiliations
Multicenter Study

Outcomes of crises before and after introduction of a crisis resolution team

Sonia Johnson et al. Br J Psychiatry. 2005 Jul.

Abstract

Background: Crisis resolution teams (CRTs) are being introduced throughout England, but their evidence base is limited.

Aims: To compare outcomes of crises before and after introduction of a CRT.

Method: A new methodology was developed for identification and operational definition of crises. A quasi-experimental design was used to compare cohorts presenting just before and just after a CRT was established.

Results: Following introduction of the CRT, the admission rate in the 6 weeks after a crisis fell from 71% to 49% (OR 0.38, 95% CI 0.21-0.70). A difference of 5.6 points (95% CI 2.0-8.3) on mean Client Satisfaction Questionnaire (CSQ-8) score favoured the CRT. These findings remained significant after adjustment for baseline differences. No clear difference emerged in involuntary hospitalisations, symptoms, social functioning or quality of life.

Conclusions: CRTs may prevent some admissions and patients prefer them, although other outcomes appear unchanged in the short term.

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