Intensive home treatment in crisis: a randomised controlled trial from the Netherlands

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Lucy Maconick and Sonia Johnson appraise a recent trial conducted in Amsterdam, which finds that intensive home treatment substantially reduces the use of hospital beds in acute psychiatry, without compromising patient safety.

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Acute day hospitals: an option for mental health crisis care?

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Dieneke Hubbeling looks at a recent qualitative study of acute day units for mental health crises, which explores the experiences of service users and staff.

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Home treatment by crisis resolution teams can prevent hospital admission, according to Swiss research

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Emmeline Lagunes Cordoba and Magdalena Skowronska review a recent Swiss RCT, which found that crisis resolution teams led to fewer hospital days per patient, but did not prevent hospital admission entirely.

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Mental health crisis teams in England: lost in translation? #MHNR2018

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Rachel Rowan Olive writes her debut elf blog about a recent national survey of mental health crisis resolution teams and crisis care systems in England.

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After the crisis: self-management and peer-support

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Jenny Collom, Maria Giorgalli and Derek Tracy welcome a new RCT published yesterday in The Lancet which demonstrates the benefits of peer-supported self-management for people discharged from a mental health crisis team.

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A crisis map: charting the topography of home treatment

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Derek Tracy and Lisa Lloyd look back over the last 17 years of mental health crisis care and consider the findings of a new survey of Crisis Resolution Teams in England.

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Finding the right care in a crisis

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Derek Tracy writes his debut Mental Elf blog on a recent study that explored the clinical factors that impacted on outcomes in crisis resolution services across two large mental health Trusts in London.

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The weekend effect in mental health services: new evidence suggests no increased risk of suicide, inpatient mortality or seclusion

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Laura Hemming reviews two recent studies that investigate whether patients admitted to a psychiatric hospital at the weekend had worse clinical outcomes, as well as the specific weekend versus weekday incidences of suicide in very high-risk mental health patients.

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Mental health crisis care: clinical and cost effectiveness of models of care

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Caroline Leah publishes her debut blog on crisis care for people with mental health issues, which concludes that better quality evidence is needed to support the overall effectiveness of crisis care interventions.

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Crisis intervention for severe mental illness: Cochrane call for more evidence

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John Baker is struck by the lack of evidence for crisis intervention for people with severe mental illness, highlighted by a recently updated Cochrane systematic review.

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