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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Joint Crisis Plans: empowering service users with psychotic disorders

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Raphael Underwood reports on a thematic analysis of joint crisis plans, which explores what service users with psychotic disorders want in a mental health crisis or relapse.

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Fewer patients kill themselves in mental health units, but there are bigger benefits to home care

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Suicides among mental health patients under home treatment are double the number of suicides in inpatient units, according to a new study published in The Lancet Psychiatry which looks at suicide rates in different mental health settings.

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New mental health commissioning guides from JCPMH

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Those lovely people at the Joint Commissioning Panel for Mental Health (JCP-MH) have published four new guides to help those of you involved in commissioning community specialist services, older people’s services, inpatient and crisis home treatment and services for people with learning disabilities. These guides are short (around 20 pages), readable and nicely summarised with ten [read the full story…]

Mind publish report to help mental health commissioners improve crisis care services

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Mind have published a number of resources aimed at improving mental health crisis care, which they say is ‘under-resourced, understaffed and overstreched’. The charity have used Freedom of Information requests to obtain data from mental health trusts, have conducted a survey of nearly 1,000 patients and are also involved in a research project with colleges [read the full story…]

How can we help people with borderline personality disorder who are in crisis? New Cochrane review is inconclusive

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Borderline personality disorder (BPD) affects our mood and our ability to interact with others. It’s one of the most common personality disorders, affecting around 2% of the population. People with BPD often have other mental health conditions such as substance misuse problems, anxiety, depression, bipolar disorder, eating disorders or other personality disorders. Many people with [read the full story…]