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Diagnosis, assessments and admissions from a community treatment team

Published online by Cambridge University Press:  02 January 2018

Neil Brimblecombe*
Affiliation:
Dacorum Community Treatment Team, St Paul's, Slippers Hill off Allandale, Kernel Hempstead, Herts HP2 5XY
Geraldine H. O'Sullivan
Affiliation:
Albany Lodge, St Albans, Herts
*
Correspondence
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Abstract

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Aims and method

A community treatment team, offering rapid assessment and intensive home treatment as an alternative to admission is described. The relationship between diagnosis and outcome was examined, in terms of initial ‘take on’ rates, admissions to in-patient areas at both initial assessment and subsequently.

Results

There was a significant relationship between diagnosis and outcome, with marked variation between diagnostic categories.

Clinical implications

Home treatment teams prevent admissions with the majority of people from all diagnostic groups, but less successfully with people with personality disorder.

Type
Original papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

Burns, T. Beardsmore, A., Bhat, A. V., et al (1993) A controlled trial of home-based acute psychiatric services. 1: Clinical and social outcome. British Journal of Psychiatry, 163, 4954.Google Scholar
Dean, C., Phillips, J., Gadd, E., et al (1993) Comparison of community based service with hospital based service for people with acute, severe psychiatric illness. British Medical Journal, 307, 473476.Google Scholar
Fenton, F., Tessier, L., Struening, E., et al (1982) Home and Hospital Psychiatric Treatment. London: Croom Helm.Google Scholar
Hoult, J., Rosen, A. & Reynolds, I. (1984) Community orientated treatment compared to psychiatric hospital orientated treatment. Social Science and Medicine, 8, 11, 10051010.Google Scholar
Johnson, S. (1997) London's Mental Health: A Report to the King's Fund Commission. London: King's Fund.Google Scholar
Mujien, M., Marks, I. M., Connolly, J., et al (1992) The Daily Living Programme. Preliminary comparison of community versus hospital-based treatment for the seriously mentally ill facing emergency admission. British Journal of Psychiatry, 160, 379384.CrossRefGoogle Scholar
Stein, L. I., Test, M. A. & Marx, A. J. (1975) Alternative to the hospital: a controlled study. American Journal of Psychiatry, 132, 517522.Google Scholar
Tufnell, G., Bouras, N., Watson, J. P., et al (1985) Home assessment and treatment in a community psychiatric service. Acta Psychiatrica Scandinavica, 72, 2028.CrossRefGoogle Scholar
Tyrer, P., Merson, S., Onyett, S., et al (1994) The effect of personality disorder on clinical outcome, social networks and adjustment: a controlled clinical trial of psychiatric emergencies. Psychological Medicine, 24, 731740.CrossRefGoogle ScholarPubMed
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
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