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Observational Study
. 2022 Oct;57(10):2109-2117.
doi: 10.1007/s00127-022-02250-w. Epub 2022 Mar 4.

Assessment of the efficacy of a Crisis Intervention Team (CIT): experience in the Esplugues Mental Health Center (Barcelona)

Laia Martin-Iñigo  1 , Sonia Ortiz  1 , David Urbano  2 , Silvia Teba Pérez  1 , Salvatore Fabrizio Contaldo  1 , Joan Alvarós  3 , Luisa Baladon  3 , Elizabeth Parody-Rúa  3 , Maria Rubio-Valera  4   5
Affiliations
Observational Study

Assessment of the efficacy of a Crisis Intervention Team (CIT): experience in the Esplugues Mental Health Center (Barcelona)

Laia Martin-Iñigo et al. Soc Psychiatry Psychiatr Epidemiol. 2022 Oct.

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.

Keywords: Acute care; Community mental health; Crisis resolution; Crisis resolution teams; Mental health services.

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References

    1. Johnson S, Nolan F, Hoult J et al (2005) Outcomes of crises before and after introduction of a crisis resolution team. Br J Psychiatry 187:68–75. https://doi.org/10.1192/bjp.187.1.68 - DOI - PubMed
    1. Johnson S, Nolan F, Pilling S et al (2005) Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study. BMJ 331:599. https://doi.org/10.1136/bmj.38519.678148.8F - DOI - PubMed - PMC
    1. Winness MG, Borg M, Kim HS (2010) Service users’ experiences with help and support from crisis resolution teams. A literature review. J Ment Health 19:75–87. https://doi.org/10.3109/09638230903469178 - DOI - PubMed
    1. Generalitat de Catalunya (2019) Pla integral d’atenció a les persones amb trastorn mental i addiccions. Barcelona
    1. Lloyd-Evans B, Johnson S (2019) Community alternatives to inpatient admissions in psychiatry. World Psychiatry 18:31–32. https://doi.org/10.1002/wps.20587 - DOI - PubMed - PMC

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